...more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides patient centered care that improves quality, safety, efficiency, timeliness and accessibility - Employer: used to access job related conditions and injuries and to determine occupational hazards that may impede effective performance in the work place. - Attorney and Courts: use...
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...Doc Sharing. Name: Aimee Gemme Describe briefly your topic of interest (15 possible points): My topic of interest is, Hospital readmission’s within thirty days of patient discharge. The federal government has gathered that one in five elderly patients are back in the hospital within thirty days of being discharged. The cost of readmission’s for medicare patients alone are at $26 billion yearly. The rate of hospital readmission is often avoidable if patients receive proper education at discharge regarding medications and follow-up care, coupled with verifying that the patient understands the information being given. #1 Database (or collection) (30 possible points): Title of source: ERIC-The Education Resources Information Center Location of source (URL): www.eric.ed.gov Owner or publisher:Institute of Education Services of the United States Deparment of Education. Describe (in your own words) the research database or collection of research including the purpose and the subject matter it covers: ERIC’s mission is to provide educator’s, researchers, and the general public a comprehensive, user-friendly, searchable database of education and research. This database allows anyone free access and simplified searches to 1.5 million records of publications including, dissertations, policy papers, books, journal articles, and other education-related materials. Explain how the source relates to your topic of interest: This database is...
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...effective health care management. Research evidence provides data that proves patients who are diagnosed with CHF needs a variety of health care needs during admission and after discharge. The proposal will display an evaluation plan, implementation plan and a dissemination of the evidence. Provide at least 1 evidence based literature; for at least 1 evidence based solution. Keywords: congestive heart failure, therapy, education, patient outcomes Description of the Problem Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure Health care providers must ensure skills, knowledge and teaching is effective when providing care to their patients and families about symptoms of CHF. The length of stay for an average hospital visit can be two days however, for more chronic issues warrant an even longer stay. To avoid readmission of the disease processes of CHF warrants additional care and resources during and after discharge. . Some patients cannot follow up with their primary care physician because of transportation, language barriers and economic status. These lessen their chances of follow-up care causing frequent hospitalizations. The strategy used for the study conduct a Cochrane Q and I squared statistics reviewed 141 studies with screening by the title and the abstract. 119 papers were eliminated because of data including the interventions and the electronic data related to CHF. 22...
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...Synopsis: The story opens with Jim McIntoch who is the Vice President of Finance at Amalgamated Forest Products. He is engaged in a heated conversation with Frank who is the manager of Corporate Reporting. Jim is upset because he has been told that Frank is intending to go public regarding a financial analysis report that the company is presenting to legislation and how it has been falsified. Frank is threatening to announce findings about a report entitled: “Endangered Species: The Pulp and Paper Industry in the Upper Peninsula,” The report described what the Amalgamated Forest planned to do about the government proposal to put sewage controls on the discharge of waste water from the pulp and paper mills in an ecologically delicate region, Northlake, a town of roughly 10,000 people. Within the report there was a particular section that contained financial estimates on how much would be spent in operating cost if the company was to establish pollution control of the wastewater discharge. This section of the report was prepared by Tina Pacquette, the company’s manager of financial analysis. She had reported that the company would suffer a great financial loss if they were to build a lagoon as legislation would require for treating the wastewater. Frank realized that the numbers Tina was reporting were greatly exaggerated and almost tripled what she had reported a year ago. The report stated that if the legislation was to pass then the operating cost that Amalgamated...
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...A1: Sentinel Event Describe the Sentinel Event On September 14 at 12:30pm, pediatric patient Tina was involved in what was thought to be a child abduction. After arriving at the hospital that morning, Tina’s mother checked Tina in with the registrar. The registrar collected Tina’s demographics and insurance information and entered it into the medical records. She made copies of ID’s and insurance cards and had Tina’s mother sign all necessary paperwork for Tina’s surgery. The registrar did not ask for any information regarding the custody of Tina because it was not a part of her job duties. Once admitted, the Pre-op nurse greeted Tina and her mother. The Pre-op nurse had Tina’s mother sign all consent forms for the surgery. She then helped Tina get gowned up and began the pre-op assessment on Tina, started her IV and administered her pre-op medications. According to the Pre-op nurse, Tina’s mother did inform her that she’d be doing something with her son during Tina’s surgery. Tina’s mother gave the Pre-op nurse her name and number, which the Pre-op nurse wrote down in her notepad, so she could be called when the surgery was done. The OR Nurse had very strong feelings on the lack of communication between departments. She said that she has witnessed many issues and seen many problems arise due to a lack of communication and understanding across departments. She strongly believes that working more closely with security would eliminate some of this issues in the future. Following...
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...Accreditation Audit (AFT2) Task 2 Executive Summary: Root Cause Analysis Accreditation Audit (AFT2) Task 2 Executive Summary: Root Cause Analysis A. Aspects of Root Cause Analysis 1. Description of Sentinel Event Nightingale Community Hospital is conducting a root cause analysis of a pediatric abduction which occurred during a post-operative discharge process. “A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. Such events are called "sentinel" because they signal the need for immediate investigation and response.” (The Joint Commission, n.d.) In this event, a three year old child was admitted to Nightingale Community Hospital for a bilateral myringotomy. The mother of the child stepped out during the surgery in order to run an errand involving her other child. The mother was told the surgery would take about 45 minutes. The mother relayed that she should be back after the surgery to pick up her child. The mother did not respond after the recovery, even though the recovery nurse called out to the waiting area and paged for the mother. The patient was then transferred to the discharge nurse. The child was agitated waiting for her mother to return. Coincidentally, the father was at the desk and the nurse invited him to see his child. The nurse was relieved as the child changed her affect to one of excitement and called him daddy...
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...Analysis and Synthesis of Chronic Heart Failure Research Studie Analysis and Synthesis of Chronic Heart Failure Research Studies Background Chronic heart failure (CHF) is a disease characterized by high mortality, readmission rates and a marked decrease in health-related quality of life. Psychological distress is common in patients with CHF and different psychological variables may have an impact on the prognosis in chronic heart failure patients. Chronic heart failure patients also need to be involved in their plan of health care in order to be able to manage their own disease at home. However, patients’ perspective on the role of their informal carers regarding information management process revealed how much they depend on their knowledge and support. The studies that I have chosen to compare and contrast in this paper will shed light onto both of these subjects in regard to chronic heart failure patients as well as inform about the various studies that pinpoint relevant data in regards to CHF. These studies are important because they help medical professionals in regard to providing the highest level of care to their CHF patients. Quantitative Research Study Introduction For the quantitative research study in this analysis, I examined the journal article entitled Predictors of readmission and health related quality of life in patients with chronic heart failure: a comparison of different psychosocial aspects. This research study’s purpose was to “investigate...
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...SETTING Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis Dorota M. Loney University of Texas at Arlington school of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Rhonda Mintz-Binder, RN, MN, DNP April 29, 2012 Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis First we need to understand what Rehabilitation is to be able to focus on its concept analysis. It is a part of the continuum of care as it focuses on increasing a patient’s function for self care and mobility. The need for a rehabilitation care concept in a specialized rehabilitation hospital increases as the length of stay decreases in acute hospitals after surgery or procedures due to the financial burden on insurances, Medicare, Medicaid, and the acute hospitals themselves. No longer do we see in the United States two week long acute hospital stays after major surgeries, strokes or other injuries that affect the activities of daily living (ADL). The hospitals discharge patients back home much sooner than before or transfer them to facilities for further recovery. Unfortunately some of these facilities are long term acute care hospitals or nursing homes where continuing daily therapy is very limited. The fortunate ones get admitted to a specialty hospital called a rehabilitation (rehab) hospital that this paper will focus on. Here, nurses, occupational therapists, physical therapists, speech therapists...
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...Critique of Colella & Gejerman’s Study “Survivorship Health Information Counseling for Patients with Prostate Cancer” Laura Laughbaum, SN Lake Superior State University Abstract This paper is an academic critique of an article written by Colella and Gejerman (2013) titled: “Survivorship Health Information Counseling for Patients with Prostate Cancer.” The authors undertook a research study to examine whether specialized discharge education counseling increased prostate cancer patients satisfaction with their care and education related to their chronic health problems after radiation therapy. My examination systematically focuses on specific aspects of the article in terms of process and validity of research methods and results. I have attempted to develop a cohesive and unified explanation which not only expounds the particulars of the research but which also formulates a clear interpretation of that research throughout. I suggest that the lack of communication of the researchers in this article about their methods of sample selecting and data analysis greatly reduces the validity and generalizability of their findings. Critique of Colella & Gejerman’s Study “Survivorship Health Information Counseling for Patients with Prostate Cancer” In their article, “Survivorship Health Information Counseling for Patients with Prostate Cancer,” (Colella & Gejerman, 2013) outline...
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...financial constraints have affected the length of stay for certain patient procedures, resulting in an early discharge. Patients discharged from hospitals sooner than anticipated are finding themselves ill prepared, regarding insufficient education and instructions on self-management for home care, post-hospitalization. Patient education in nursing should be a focal priority, yet is often slighted due to time constraints, and lack of staff, preparation and materials. The purpose of this paper is to discuss the importance of sufficient patient education prior to discharge for patients with residual home care. Research on this topic could have beneficial implications for patient satisfaction pertaining to quality education for home care prior to discharge. Evidenced-based research has illustrated that the development of educational tools to aid nursing in providing succinct and pertinent information of discharge criteria has attributed to a rise in patient satisfaction. Considerations for educational materials were preferred language, specificity of patient concerns, and simplicity of educational materials. Summary Contemporary day surgery: patients’ experience of discharge and recovery Gilmartin (2007) reports that surgical procedures once requiring hospitalization are now performed on an outpatient basis, which minimizes the opportunity for adequate discharge planning and instruction. Gilmartin (2007) suggests that due to the brevity of the patient’s stay, the importance...
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...ForcesWatch briefing Terms of Service in the UK Armed Forces Employment in the armed forces is unique in placing severe restrictions on rights and freedoms that are available to the rest of the UK population. The armed forces are also the only employers in the UK who legally require their employees to commit themselves for several years, with the risk of a criminal conviction if they try to leave sooner. This situation is all the more worrying given that the majority of recruits are very young. There is also evidence that many personnel are unclear about the length of their commitment and their rights to leave and that the information they receive can be misleading. Length of service 1 The minimum length of service in each branch of the forces is as follows: Army (over 18s): Four years nd Army (under 18s): Until 22 birthday Navy: Three and a half years after completion of training or four years' service, whichever is longer Air force: Three years after completion of training or four years' service whichever is longer In 1999 the army increased its minimum length of service from 3 to 4 years. Army recruits under 18 years old are required to serve up to 2 years longer than a recruit who joins aged over 18 and so commits to up to 6 year’s service when still a minor. When forces personnel reach the end of their minimum length of service, they must give a year’s notice (in the army or navy) or 18 months (in the air force). Recruits may be required to serve for longer than...
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...INTRODUCTION CHAPTER 1 1.1 INTROCTION TO AIR COMPRESSOR Compressors are power consuming thermodynamic device which convert mechanical energy into head or pressure energy. An air compressor, as the name indicates, is a machine to compress the air and to raise its pressure. The air compressor sucks air from the atmosphere, compresses it and then deliverers the same under a high press ore to a storage vessel. From the storage vessel, it may be conveyed by the pipeline to a place where the supply of compressed air is required. Since the compression of air requires some work to be done on it, there a compressor must be driven by some prime mover. Fig-1.1 Air Compressor 1.2 Classification of Air Compressor The air compressor may be classified in many ways, but the following are importance from the subject point of view. 1. According to working a. Reciprocating compressor b. Rotary compressor 2. According to action a. Single acting compressor b. Double acting compressor 3. According to number of stage c. Single stage compressor d. Multistage compressor 4. According pressure e. Low pressure whose final pressure does not exceed 10 bar f. Medium pressure with range of 10 bar to 80 bar g. High pressure with range 80 bar to 1000 bar. 5. According capacity...
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...Availability and Energy Consumption Analysis of Mobile Cloud Environments Danilo Oliveira∗ , Jean Araujo∗† , Rubens Matos∗ and Paulo Maciel∗ ∗ Informatics † Academic Center, Federal University of Pernambuco, Recife, Brazil Unit of Garanhuns, Federal Rural University of Pernambuco, Garanhuns, Brazil {dmo4, jcta, rsmj, prmm}@cin.ufpe.br∗ , jean@uag.ufrpe.br† The remainder of this paper is organized as follows. Section II provides an overview about mobile clouds and the analytical modeling for availability evaluation. The methodology adopted is presented in detail in Section III. Section IV presents the models developed to represent a mobile cloud system. A case study is described in Section V, with the results obtained through model analysis. Section VI concludes the paper, presenting also some possible future works. II. BACKGROUND Abstract—Mobile cloud computing refers to abstraction of computational power to outside of the mobile device, processed in the “clouds”. This paper provides an availability and energy consumption study using hierarchical heterogeneous modeling. Different scenarios were analyzed considering wireless communication technologies, such as 3G and WiFi. The results shows that the 3G protocol causes a lower availability and is the greater responsible for the discharge of battery, but when is combined with WiFi protocol providing communication redundancy, we have the best results of availability and better results of uninterrupted operation time of battery...
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...In this project combination of sodium hydroxide and potassium hydroxide is used as electrolytic solution. 1. Caustic soda (NaOH) It is also known as sodium hydroxide, having caustic metallic base. It is hygroscopic readily absorb water as presented in air, so it should be stored in a container. Caustic soda is soluble in water with the liberation of heat along with also dissolves in ethanol and methanol, although it shows lower solubility in these solvents than potassium hydroxide. Molten sodium hydroxide is also a strong base, however high temperature is required to limits applications. Sodium hydroxide solution will leave a yellow stain on fabric in addition to paper. It is used in several industries, mostly as a strong chemical base in the produce of pulp and paper, textile, drinking water, soaps plus detergents in addition to a drain cleaner. Unpolluted sodium hydroxide is a white solid obtainable in the form of pallets; flake granules furthermore as a 50% saturated solution. Properties of sodium hydroxide...
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...Culture-Specific Forensic Accounting Conceptual Framework: A skills Set Theoretical Analysis Abstract : Forensic accounting, given its peculiar investigative stance, requires a specific skills set on the part of the forensic accountant, that integrates accounting, auditing and investigative skills. The Jordanian Anti-Corruption Commission’s (JACC) struggle to investigate Maward’s, a Jordanian state-own company, suspected corruption has raised serious concerns regarding the weak state of forensic accounting in Jordan, and the need for its adaptation to suit the country’s peculiar context, to successfully institutionalize at the wider societal level and benefit the state in its aim for ensuring efficient utilization of the scarce resources at its disposal. This study is an attempt to deduce a country-specific conceptual framework for forensic accounting, which can be replicated, with suitable adaptations, to other countries with similar cultural backgrounds, and put forth some theory-supported suggestions to help guide future research in the area. Keywords: forensic accounting, conceptual framework, institutional theory, foucault Introduction: The rise in the white collar crimes, where evidences are comparatively moreobscure and difficult to detect (Gottschalk, 2011), has necessitated equipping of auditors with forensic skills, particularly over the recent years (DiGabriele, 2009a; Carnes & Gierlasinski, 2001). In the aftermath of several accounting scandals...
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