...other area hospitals that could impact the decision will be described. The change in the service area required for the cardiovascular surgery service will also be explained. Alternative strategies the Board should consider before making a final decision on the possible addition of the open heart program will be examined. Key Words: Cardiovascular, open heart surgery, coronary care Cannon Hospital opened its doors to Concord, NC on July 26, 1937 with forty-six beds, ten bassinets, eight doctors and two patients (Swayne, Duncan & Ginter, 2009). They have come a long way since then. According to Cimino Wilson, they are now known as CMC-North-East, and have handled 12,045 surgical procedures, employed more than 4,700 employees and admitted 22,388 patients in 2011. Since its inception, thanks to the philanthropy of Cannon A. Mills, they have been a contemporary, well-equipped facility. Their mission then and now is “absolute commitment to service and clinical excellence.” Ways the program complies with the hospital’s mission. It was the goal of Cannon A. Mills to provide his employees with the best possible health care (Swayne, Duncan & Ginter, 2009). At the time of this case study, patients are flown to medical centers such as Duke in order to meet their open heart surgery and coronary angioplasty needs. This causes a delay in providing the critical treatment needed by some patients. According to Swayne, Duncan & Ginter, continuity of care to cardiac...
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...with delivering health care to an indigent population When delivering health care to an indigent population, there are several problems associated which are unique to the environment. Such problems include (1) lack of education (2) gang and other related violence (3) low to no community initiative to enroll in health care programs (4) lack of resources to effectively market health care provisions to the community (5) changes to health care which hospitals don’t have the resources to maintain (6) and most importantly, funding. Cooper Green Hospital faced all of these problems. The quality of care as well as the level of customer service at the hospital was poor. Patients were dissatisfied with what seemed to be a lack of compassion on behalf of the hospital and the hospital’s personnel. Patients waited three or more weeks to get an appointment with a physician at Cooper Green Hospital; and most patients waited four or more hours to be seen the day of the appointment. After observing these problems, Dr. Michel developed a strategic plan to make Cooper Green Hospital a more desired hospital to the community. Discuss the five (5) ways that the Community Care Plan will improve the health status of the community Dr. Michael developed a strategy called the Community Care Plan. The Community Care Plan (1) will provide services to under-insured and un-insured community members (2) will improve the health care to the community by offering different health care programs (3) will reduce...
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...Health Care in the United States is very different from the Health Care in other countries, the quality of services rendered are different, the laws are different, and the hospitals are different. Most consumers have limited access to health care, especially in poor countries. The barriers to obtaining health care are increasing. As health care costs rise, its causing more and more people like myself unable to go to the doctor’s due to the lack of insurance. The most difficult hurdle to overcome is the lack of financial resources to pay for medical services. But the bigger problem resides in those bigger countries with lack of access to health care. The uninsured cannot be stereotyped for they include many people who are unemployed, children, people with disability, the elderly, etc. In this paper I will discuss some of the issues associated with delivering health care to an indigent population, the five ways that the community care plan will improve the health status of the community, the five factors that point to the need for change by cooper green hospital, and the five strengths and weaknesses of the community care plan. Discuss six unique problems associated with delivering health care to an indigent population. In recent years, it has estimated that over 48 million Americans are insured or uninsured. Health care is a luxury indigent population cannot afford. Some families are forced to go to free health clinics within their county, and some places that offer low affordable...
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...Cooper Green Hospital and the Community Care Plan Assignment 1 HSA 599 – Health Services Administration Capstone In the United States of America, it is estimated that forty eight million Americans are underinsured or uninsured (Strategic Management in Health care Organizations-2008). In today’s society, health care is a luxury indigent population cannot afford. Many families are made to choose shelter over health care when government assistance is not an option. When a family member becomes sick, the hospital emergency room becomes a walk-in clinic to treatment minor illnesses, the waiting room is usually over crowed, and this resulted in extensive waiting times to be seen by a health care provider. There were unique problems associated with delivering health care to an indigent population. The lack of communication, education, gang violence, vandalism, low enrollment, and marketing, became difficult obstacles to overcome. The rapid changes in US health care system and funding; Cooper Green Hospital was forced to make sufficient changes that had a negative impact on the hospital; the changes include staff lay-offs, taking beds of service, cutting programs, funding, revenue, and lack of resources to invest in capital projects. The quality of care, poor customer service; and long waiting times because factors that pointed to the problems Cooper Green Hospital faced. A positive change was imminent. Patients were dissatisfied by the lack of respect shown or compassion towards...
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...with delivering health care to an indigent population. This paper will further address the ways that the Community Care Plan will improve the health status of the community. It outlines factors that point to the need for change by Cooper Green Hospital. Also the paper discusses the strengths and weaknesses of Cooper Green Hospital. Lastly, the strengths and weaknesses of the Community Care Plan will be discussed. Dr. Michael saw a vision of wanting to provide easy access to the poor and uninsured of Jefferson County, but after four years of some struggles and positive outcomes it ended for him. Cooper Green Hospital and the Community Care Plan were in conjunction with one in another. They were to serve the community number one and bring in more revenue. Unfortunately the accomplishment was not completed. When trying to provide health care to an indigent population, it takes a lot of strategic planning. One needs to have a plan A, B and C on the books at all times. One problem was having a “safety net providers”, “safety net providers had large Medicaid and indigent care caseloads relative to other providers and were willing to provide services regardless of a person’s ability to pay.” Swayne, Duncan, Ginter, pg. 698. They tried to open a CCP closer to the homes and it was closed down, because of vandalism, gang violence, and low enrollment. Also it looks like they did not do a lot of marketing their business so the poor communities would know these services...
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...Running Head: COOPER GREEN HOSPITAL Cooper Green Hospital and the Community Care Plan Strayer University Health Economics April 20, 2012 Dr. Mountasser Kadrie 1. Discuss six (6) unique problems associated with delivering health care to an indigent population. Delivering health care to an indigent population can be problematic with there being more patients needing care than there are providers. "Safety net providers had a large Medicaid and indigent care caseloads relative to other providers" (Swayne, Duncan, & Ginter, 2009, p. 698). Providers that provide care to indigent populations do not receive the compensation for services that they would in an area where individuals had HMO, PPO, or POS type insurance coverage. Providers that care for Medicaid recipients are paid less for services than managed care companies pay. Providers of services for Medicaid recipients are "required to accept the Medicaid reimbursement as payment in full" (Swayne, Duncan, & Ginter, 2009, p. 700). Many individuals in the indigent areas will not seek health care until their symptoms have worsened to the point that seeking professional care is required. "Many poor residents delayed getting necessary medical care because they had no health insurance" (Swayne, Duncan, & Ginter, 2009, p. 702). In a large metropolitan area where there are many choices for health care services, facilities have to compete to provide care and increase revenue within their facility. There were...
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...Cooper Green Hospital and the Community Care Plan 1. Discuss six (6) unique problems associated with delivering health care to an indigent population. 2. Discuss the five (5) ways that the Community Care Plan will improve the health status of the community. 3. Discuss the five (5) factors that point to the need for change by Cooper Green Hospital. 4. Discuss five (5) strengths and five (5) weaknesses of Cooper Green Hospital. 5. Discuss five (5) strengths and five (5) weaknesses of the Community Care Plan. The major problems that plagued the company’s growth were as providing affordable good quality medical services to the indigent population of deficient country, streamlining procedures with polices, managing employees and gauging their performances, declining revenue, decreasing enrollments and under utilization, no upgrading enhancement of technologies, indifferent behavior of some employees towards the patients, inability of the infrastructure to cater to the increasing demands of the out patients section, resulting in long waiting hours and frustrated patients.Another problems faced by the hospital were balancing cost with maximum access to care, managing employee within budget, performance and demand and simplifying procedures and aligning them with policies. The two plans are named as Health first, a traditional fee for service plan and the community care plan , a prepaid membership plan based on family size and income, which would given opportunity...
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...CULTURAL COMPETENCE IN HEALTH CARE: EMERGING FRAMEWORKS AND PRACTICAL APPROACHES Joseph R. Betancourt Massachusetts General Hospital–Harvard Medical School Alexander R. Green and J. Emilio Carrillo New York-Presbyterian Hospital–Weill Medical College of Cornell University FIELD REPORT October 2002 Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff. Copies of this report are available from The Commonwealth Fund by calling our toll-free publications line at 1-888-777-2744 and ordering publication number 576. The report can also be found on the Fund’s website at www.cmwf.org. CONTENTS About the Authors.......................................................................................................... iv Acknowledgments .......................................................................................................... iv Executive Summary......................................................................................................... v Introduction .................................................................................................................... 1 Findings........................................................................................................................... 3 Defining Cultural Competence ..............................................................................
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...public. The most critical issue is the lack of funding. The effects of the economic recession are spurring NPO leaders and their funders to create and apply innovative fundraising projects, collaborate together and to deeply analyze federal packages and plans for support. Although raising funds in today's tight economy is a challenge, some nonprofits are doing better than others. Organizations that are doing well have numerous amounts of revenue sources and many ways for donors to give, they spend more time and personal effort in building relationships with their donors, have refocused on the importance of developing staff, resources, and programs, and are simply looking to do more, not less (Borning, 2010). NPOs have suffered from the downturn in 2008 and 2009 but the fact is even tougher financial times have come since then for many nonprofit organizations, especially larger organizations that rely heavily on government grants and contracts (Kerr, 2010). Fifteen regional NPO agencies were surveyed with open ended questions about the challenges of surviving the weak economy for the last four years. In the research, I used syntactical units because they are small and reliable units used in analyzing (Cooper and Schindler,2011). Syntactical units are words, phrases and sentences....
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...========================== Acquisition of Consolidated Rail Corp. by Benjamin C. Esty Airbus A3XX: Developing the World’s Largest Commercial Jet by Benjamin C. Esty American Chemical Corp.by William E. Fruhan, John P. Goldsberry American Home Products Corp.by David W. Mullins AQR’s Momentum Funds by Daniel B. Bergstresser, Lauren H. Cohen, Randolph B. Cohen, Christopher Malloy Arundel Partners: The Sequel Project by Timothy A. Luehrman AXA MONY by Andre F. Perold, Lucy White Beta Management Co. by Michael E. Edleson Butler Lumber Co. by Thomas R. Piper Cartwright Lumber Co.by Thomas R. Piper Citigroup 2007: Financial Reporting and Regulatory Capital by Edward J. Riedl, Suraj Srinivasan Clarkson Lumber Co. by Thomas R. Piper Cooper Industries, Inc. by Thomas R. Piper Cost of Capital at Ameritrade by Erik Stafford, Mark L. Mitchell Debt Policy at UST, Inc. by Mark L. Mitchell Dell’s Working Capital by Richard S. Ruback DermaCare: Zapping Zits Directly by Richard G. Hamermesh, Lauren Barley Diageo plc by George Chacko, Peter Tufano Dimensional Fund Advisers–2002 by Lauren H. Cohen Dividend Policy at FPL Group, Inc.by Benjamin C. Esty Dividend Policy at Linear Technology by Malcolm P. Baker, Alison Berkley Wagonfeld Equity International: The Second Act by Nicolas P. Retsinas, Ben...
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...together on a regular basis in a teaching environment to work alongside each other to gain the following skills: • Patient safety in relation to drug administration • Patient safety in relation to drug prescribing • A clearer understanding of each others role • Practical experience in drug administration and drug prescribing in a non –threatening environment • Insight into pharmacology and pharmokinetics and it’s importance in prescribing and administration of drugs. This three-year study we propose to write up and evaluate and hope to publish with the intention to produce learning materials and educational packs to be marketed at later date Rationale for Change Project Medications Errors within any health care setting can have severe consequences not only for the patient but financially for the organisation if litigation comes about. Medication errors can be defined as “any incorrect or wrongful administration of a medication, such as a mistake in dosage or route of administration, failure to prescribe or administer the correct drug or formulation for a particular disease or condition, use of outdated drugs, failure to observe the correct time for administration of the drug, or lack of awareness of adverse effects of certain drug combinations.” Mosby Medical Dictionary (2009). Causes of medication error may...
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...Holland I. Employee satisfaction II. Introduction III. Statement of the problem IV. Literature Review A. Sampling Plans 1. Survey Method 2. Qualitative Method 3. Quantitative Method B. General Information 1. Research Design 2. Mythology C. Who does it affect 1. Expected Results 2. Reports IIII. Conclusion and Recommendations Introduction Employees of all incomes brackets and age groups continue to become less and less satisfied at work. Employee satisfaction means different things to different people. For example, an employees’ motivation can range from basic pay to survive, to contributors that work for the satisfaction of contributing to the greater good (Thompson, (2004). Research indicates that satisfied employees are more likely to stay with his or her employers (Heathfield, 2012). According to this survey 82% of the employees at this hospital indicated overall satisfaction with his or her position with 35% reporting he or she was very satisfied. More surprising 62% said that the current job market did not play a role in his or her job satisfaction. Hospitals have a well-balanced diversity of people and levels of working roles. In process for any giving organization to make sound decisions within the company, it is beneficial...
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...Build Healthier Communities A Report for the Robert Wood Johnson Foundation Commission to Build a Healthier America Wilder Research Wilder Research Wilder Research Report prepared for the RWJF Commission to Build a Healthier America by Paul W. Mattessich, Ph.D. Wilder Research Saint Paul, Minnesota Ela J. Rausch, M.P . .P Federal Reserve Bank of Minneapolis Minneapolis, Minnesota With support from the Robert Wood Johnson Foundation June 2013 Creating Healthy Communities Cross-sector partnerships are sparking widespread action to improve community health COATESVILLE , PA SEATTLE, WA Access to healthy foods Access to preventative care and healthy housing LOS ANGELES , CA Quality early child care and education CHICAGO, IL Data and evidence to build health into all policies and practices MIAMI , FL Opportunities for physical activity and healthy living health community development • community development finance • community planning • early child care/education • human services • housing Introduction “ Building a healthier America is feasible in years, not decades, if we collaborate and act on what is making a difference.” —Robert Wood Johnson Foundation In 2008, the Robert Wood Johnson Foundation convened a commission of nonpartisan leaders to identify opportunities to improve the health of all Americans by creating environments that protect and actively promote health. Their report, Beyond Health Care: New Directions to...
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...AUGUST 2011 REGIONAL PLAN FOR SYDNEY Regional Development Australia-Sydney brings together people and information to promote collaborative decision making for the sustainable and just economic development of Sydney, with a focus on employment growth. REGIONAL PLAN FOR SYDNEY © Regional Development Australia-Sydney Inc. This work is copyright. The Copyright Act 1968 permits fair dealing for study, research, news reporting, criticism or review. Selected passages, tables or diagrams may be reproduced for such purposes provided acknowledgement of the source(s) is included. Permission for any more extensive reproduction must be obtained from Regional Development Australia-Sydney Inc. While every reasonable effort has been made to ensure that the data and other content in this document is correct at the time of printing, Regional Development Australia-Sydney Inc. its committee and employees, disclaim any and all liability to any person in respect of anything or the consequences of anything done or omitted to be done in reliance or upon the whole or any part of this document. The Regional Plan includes inputs from stakeholder consultations and draws information from 87 other existing plans and reports published by the Australian, NSW & Local Governments and other key agencies. It does not represent the ‘only’ information on Sydney however it provides a unique ‘overview’ of the entire Sydney Region. RDA-Sydney cannot guarantee the currency of the statistical data; therefore...
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...Cooper Creek’s newest dad One minute, Keeton West is a confirmed bachelor and bull rider who lives out of a suitcase. The next, he’s the single dad of a baby he didn’t know existed. Now back in his hometown, everyone remembers the tragedy that changed his—and Sophie Cooper’s—lives forever. He desperately needs Sophie’s help with little Lucy. But spending time with Keeton seems to remind Sophie of all she lost. She won’t get close to another bull rider. Yet one sweet baby girl has her own way of bringing two hearts together. “What am I going to do with her, Sophie?” Keeton asked. “I’d say the same thing parents have done with babies for hundreds of years. Take her home and raise her.” “I’m a bull rider. I’m on the road almost fifty percent of the time. I’m living in a house that isn’t even livable.” Bull rider. That reminder had Sophie stepping back in her car, away from him, away from the tug on her heart and back into her shell. “Yes, well, I’d say you’d better get it livable.” “You could help me.” “I did. I changed the nastiest diaper in the history of diapers.” She glanced at her watch. “I’m late.” “We have to talk about the land.” “Later.” “Dinner?” He leaned in, holding tight to Lucy. “Nope. I don’t date bull riders.” She started her car and reached to close the door. He stood there, not moving. “I’m not asking you out.” Ouch. That hurt a little, for some crazy reason. “Good, I’m not accepting.” “Fine, I’ll see you later,” he said with...
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