...Car 2 summary Crowding in the nation’s EDs poses a serious threat to the quality, safety, and timeliness of emergency care The consequences of ED crowding, which include delayed treatment, patient elopement, prolonged transport, increased mortality, and financial losses, are numerous and affect the entire health care system. The most commonly cited contributor to ED crowding is the inability to move admitted patients from the ED into inpatient hospital beds Admitted patient holding in the emergency department has since been identified as one of the primary causes of ED overcrowding. boarding is the primary cause of ambulance diversion, a practice that delays access to emergency care and can send inbound patients to a hospital where the medical staff does not know them and has no access to their medical records. The result has been serious overcrowding. If the beds in a hospital are filled, patients cannot be transferred from the ED to inpatient units. This can lead to the practice of “boarding” patients—holding them in the ED, often in beds in hallways, until an inpatient bed becomes available. * The LMP is an expansion of the bed management process to include a systematic approach to patient flow management throughout the facility, including a clinical liaison or field agent to drive throughput at all points of care. * a new department dedicated to patient throughput and approved by the entire administrative team was established. The purpose of...
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...Running head: RIGHT TO EMERGENCY CARE The Right to Emergency Care Including the Needs of the Psychiatric Patient Abstract The Emergency Medical Treatment and Labor Act came about in 1986, but was sought after as far back as the 1960s. This law requires emergency care to individuals regardless of ability to pay. EMTALA requires examination and treatment of individuals who present with an emergency medical condition and/or women who present in labor. This law is applicable to all hospitals that participate in the federal Medicare program. EMTALA should not be confused with medical malpractice law. EMTALA also applies to individuals who present with acute symptoms of psychiatric illness and/or substance abuse. The Right to Emergency Care Including the Needs of the Psychiatric Patient The Emergency Medical Treatment and Labor Act (EMTALA) requires access to emergency care regardless of an individual’s ability to pay. EMTALA may also be known as the Anti-Patient Dumping Statute. Regardless of the lack of duty to admit or serve all who present for treatment, a hospital emergency department is an exception to the rule (Showalter, 2015). A hospital emergency department has a duty to “evaluate all patients who present for service and to render emergency care to those who need it” (Showalter, 2015). The need for EMTALA was starting to be recognized in the 1960s (Showalter, 2015). According to Showalter in his text, EMTALA was developed with the “philosophy that healthcare...
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...Informatics Solution Proposal (Part Three): Areas of Evaluation Nicole Thomason, Anna Davis-Walker, Jacqueline Rankin, Lynda Venezia, and Rhonda Freeman HCS/482 October 26, 2015 Kevin Hamon Informatics Solution Proposal (Part Three): Areas of Evaluation With the increase in admission to bed times seen in multiple healthcare facilities across the nation, a need to have better access to the available hospital beds is a necessity. We are in agreement that an electronic bed tracking system is a viable option to help decrease this time length, thus allowing for better continuation of patient care. As a team we have picked two different companies and decided on criteria that staff and management can agree upon. We have looked at the ease of use, clarity, and time factors of both these products. These were criteria were ones that we felt our nursing staff would look at, as they will be the ones working with the system that is implemented. The ability for them to learn a new system and be able to quickly maneuver within it is critical. The other two criteria we chose are compatibility and customization. The ability for the system to be customize to the staff and hospital needs will be instrumental to the decision process, while the compatibility of the system to be integrated into our current system is needed. Here is a summary of our findings. Comparison of the five criteria set forth In a comparison of both systems chosen, the ease of use is comparable for both. The systems...
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...ID#110204 PUBLISHED ON MAY 20, 2014 Emergency Department Congestion at Saintemarie University Hospital BY LAURENT HUBLET * , OMAR BESBES † , AND CARRI CHAN ‡ Introduction In late 2009, Marc Dupont, CEO of Saintemarie University Hospital, had just ended an extremely tense phone conversation with the state secretary of health. The secretary was very concerned about the wait time in the hospital’s emergency department (ED). The recent coverage of these problems in the local press, which repeatedly echoed complaints of patients and their families, was making things worse: It took them 18 hours to take care of my mother when she was admitted to the emergency department in the Saintemarie University Hospital — Saintemarie Tribune (March 2009) On September 8, Nancy (86 years old) had to wait eight hours in the ED with a broken leg before seeing a doctor — Saintemarie Tribune (September 2009) Saintemarie was a midsize European city with a population of 512,000. A few private clinics in the area provided urgent care (i.e., treatment which does not require hospitalization), but were unable to handle acute emergencies. The hospital’s ED was the only emergency care unit available in the Saintemarie metropolitan area. The only alternative to it was a hospital located 50 miles away; patients had to be transferred there by helicopter, which happened rarely because such transfers were extremely expensive. Given its central role, Saintemarie University Hospital was under...
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...and implementing pre-determined organizational objectives for achieving the best standards of care. The entire organizational design and structure impact on the effectiveness of communication and feedback processes with the open systems approach providing for more interactive and consultative approach among employees across the organizational hierarchy. Introduction Renfrey Memorial Hospital (RMH) is a 200 bed regional hospital located in the Midwest. It has been in existence for 32 years and was named after a prominent philanthropist in the area, Mr. Gilbert H. Renfrey, who made many financial contributions to projects in and around the community where Renfrey Memorial Hospital is located. The hospital maintains the only 24 hour emergency department...
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...HOW TO USE CLASSICAL MANAGEMENT APPROACH IN UTILIZING ACCIDENT &EMERGENCY DEPA RMENT? BY ZAHRA AHMED EBRAHIM Master in Business Administration General Management Organization and Business Management Open Asia e University 2011 Introduction Background of the Study A number of approaches to the structure and management of organizations developed during the late 1800s and early 1900s .The early philosophies are traditionally labelled classical theory while the later approaches include systems theory and contingency theory. The classical approach to organization focuses efficiency through design. Eleanor and Phillip (2009) kept four elements to build classical theory: division and specialization of labour, chain of command, organizational structure, and span of control. The first element emphasised about dividing the work reduces the number of task that lead to proficiency and specialization. The second element is the chain of command which is meant the hierarchy of authority and responsibility within the organization. However, the collaboration between staff and there managers improve the efficiency and productivity of the unit. Moreover, the third element is organizational structure that describes the arrangement of the work group. The design of the Organization is intended to faster the organization survival and success. Finally, the span of control addresses the pragmatic concern of how many employees a manager can effectively supervise. The later approaches...
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...the Community Relations Council, the Partners in Education program and through numerous lectures, meetings, support groups and screenings. At Broward Health North, customer service has always been their number one priority. There is a team of 1,135 caring and compassionate staff members along with 500 medical staff members that are dedicated to making sure each patient and their families are provided with the safest quality of care and a Five Star Experience. At Broward Health North, the staff is experienced and is specially trained for all types of emergencies. Their world class emergency room is open 24 hours a day and is always ready to treat you and your children. • 100% of their ER physicians are board certified in emergency medicine. • 100% of their nurses are trauma-trained and nationally certified (TNCC). • Adult Level II Trauma Center-featuring state-of-the-art diagnostic equipment and treatment. • Chest Pain Emergency Unit. • Pediatrician in-house daily from 4pm-midnight for your little ones. Mission Statement The mission of Broward Health is to provide quality healthcare to the people we serve and support the needs of all physicians and...
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...to the forefront all at once it has become challenging for the Medical Community. The Purpose of this paper is to illustrate the components of a Healing Hospital and the challenges that come along with implementing those components. Supporting the Physical as well as Emotional Wellbeing Practitioners main focus when treating a patient is to acquire a diagnosis, and then treat or cure that diagnosis then send the patient home. This is all well and good however, they could be potentially leaving out treating the emotional wellbeing of a person. Which could lead to the patient recovering but later on returning for medical attention because either the issue has returned or become worse. For example, a young man in college comes to the emergency room complaining of chest pain, rapid heart rate, and shortness of breath. After a cardiac workup the patient is deemed medically clear. The ER Physician discovered during his assessment that the patient has been drinking energy drinks on a regular basis in order to stay awake while attending school and working. Upon discharge the ER Physician instructs...
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...a Con- necticut woman experienced chest pain (Brill 2013). She took an ambulance to a local not-for-profit hospital. After several hours in the emergency room, she was sent home with a diag- nosis of indigestion. Shortly thereafter, she received a bill of $995 for the ambulance, $3,000 for physicians’ services, and $17,000 for the hospital. A major part of the hospital bill was a $7,998 charge for a CT scan with con- trast. (The Medicare rate is $554.) The alternative to the CT scan would have been a stress test using an electrocardiograph. Its list price was $1,200 and the Medicare rate was $96. Unfortunately for the patient, she was not offered this option, was uninsured, and was a year too young to be eligible for Medicare. When questioned about the bill, a hospital representative said, “I’ve told you I don’t think a bill like this is relevant. Very few people actually pay those rates.” Nonetheless, the patient was asked to pay it. A medical billing advocate was able to negotiate a $10,000 discount but made it clear that she thought even this amount was excessive. Discussion questions: • After reading this case, would you be more or less willing to have a CT scan done if an emergency room physician recommended it? If I am going to the emergency room (ER) then for me it will be a true emergency and I will more than likely do whatever the doctor recommends no questions asked just like we discussed in our intensive session with the gentleman...
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...Houston Methodist Teletracking System CIS/207 December 1, 2014 Michale Prator Houston Methodist Teletracking System The Houston Methodist is a recognized organization in leading medicine with multiple specialties spanned across various hospital buildings in which it houses its patients. In order to keep track of bed assignments, the Houston Methodist Hospital had to upgrade its bed tracking system to a process that gave real live time bed updates. In the following, I will describe the type and basic use of the system, how the business requirements drove the system's initial development, how the system has helped the organization, and any likely future development. The Type and Basic Use of the Teletracking System Teletracking is an IT solution created to help hospital manage the length of stay for patients. This software allows the hospital to see live time bed capacity, patients in the process of discharge, and transportation of patients from one location to another. Teletracking provides a large amount of valuable data to the business perspective of Houston Methodist Hospital, and its daily operational management (Teletracking Technologies, Inc, (2014)). The Requirements that Drove the System's Initial Development "The hospital had built a new ED in 1999, but to solve its efficiency problem, it needed a new technology approach. Hospital administrators engaged a consulting company to help the hospital determine precisely what problems existed and how to...
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...Individual Learning Project 1 Liberty University Accounting for Decision Making February 14, 2016 Company Analysis and Evaluation Project A Federally Qualified Health Center (FQHC) is a health center that allows patient who might otherwise not receive the critical primary care that they may need. These types of facilities help to fill crucial access gaps, allowing patient to pay according to their income on a sliding fee scale. “Congress passed FQHC-enabling legislation as part of the Social Security Act in 1989 and the application process and requirements for federal qualifications are governed under the Public Health Service Act” (Hennessy, 2013). There are approximately 1,200 main health centers that deliver care with over 8,000 service sites all across the United States. An FQHC provides primary care services to patients within the rural areas and are located within schools across America. This special care is allowing children to receive the wellness care to help them stay and improve in school. In reflection of this type of facility, this assignment will be about Capital City Family Health Center. A FQHC center in the heart of Baton Rouge, Louisiana. Taking care of the patients that they have and also providing services to the homeless throughout the metropolitan and surroundings. SWOT “SWOT has been used comprehensively to aid in understanding a variety of decisions and issues including: manufacturing, location decisions; penetration strategy, promotions...
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...Marketing Strategy Colleena Guy HCS/490 February 22, 2016 Jennifer Johnson Introduction In the changing world of health care, it is important for health care organizations to reach as much people as they can. The evolution of technology has it easier to market products and services to all kinds of people all over the world. There was a time where a person’s access to certain products and services was limited because the world was not so connected as it is now through various modes of communication such as television and the internet. Now that people have more options in health care it is important for upcoming healthcare facilities and organizations appeal to a broader audience. In order to reach more people successfully you have to establish a marketing plan. General Product Information Urgent care clinics are facilities that deliver care to the surrounding community when a person’s primary doctor may not be available to them or when they are suffering from a non-life threatening issue such as accidents and falls, sprains and strains, moderate back problems, breathing difficulties, bleeding/cuts, eye irritation and redness, fever or flu, vomiting, diarrhea or dehydration, and much more (Mount Sinai, 2016). The way we will market this urgent care clinic is by reaching each group represented in society individually. There are five generations represented in globally today and each generation communicates differently and responds differently to different marketing...
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...needs or concerns of the patients. With the change in the economy and the reasons for the emergency room being utilized, it is important to take a moment to see how the flow of the delivery of services can be confined to smooth transitions. This paper will include appropriate probability concepts, rationale, statistical analysis, and a decision tailored to research studies specific to the thesis statement, question response types, and classification of our findings. Thesis Question "Does the emergency room get utilized more by a particular race and is there a reason for this occurrence?" Appropriate Probability Concepts and Your Application of Them to Find Resulting Data To Limit the Uncertainty of this Decision Probability theory is an important part of statistical theory that bridges descriptive and inferential statistics. It is the science of uncertainty, chance or likelihood (Cooper & Schindler, 2008). There are three kinds of probability; classical, empirical and subjective. In this instance, we will focus on a mixture of empirical probability which is based on past experiences and subjective probability which a probability is assigned to an event based upon whatever evidence is available. A closer look will be taken at the records of the patients treated by the emergency care team in the last six months along with tracking the cases seen in the emergency room over the next six months. At the conclusion of this study, it is our hope to have...
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...THE EFFECTS OF OVERCROWDING IN THE EMERGENCY ROOM MICHELLE POWELL MSN –BL 510: NURSING PROBLEM SOLVING SKILLS DEVELOPMENT MAY 20, 2012 PROFESSOR NKECHI ILEKA The Emergency department provides an extraordinary important public service mission by providing emergency care 24 hours a day, 365 days per year without discrimination by social or economic status (Derlet, Richards & Kravitz, 2001). One of the key foundations of EDs is to provide immediate access and stabilization for those patients with medical emergencies (Derlet et al, 2001). The Emergency Department has always been there available to help, unfortunately the basic tenet is now being challenged, and the general public may no longer be able to rely on EDs for quality and timely emergency care, placing the people at risk (Favotich & Hirsch, 2003). According to the Emergency Nurses Association all people are entitled to timely and appropriate access to safe and effective health care. This paper will discuss the problem of overcrowding in the Emergency Room and strategies that the Nurse leader may do to help control overcrowding. Overcrowding in the emergency department (ED) is the most serious issue confronting EDs in the developed world (Favotich & Hirsch, 2003). Overcrowding is a situation “in which the demand for emergency services exceeds the ability of department to provide quality care with acceptable time frames (Joint...
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...success or failure with the system (Sullivan & Decker, 2009). The systems theory essentially is like rebuilding a car. It breaks things down and then figures out how all of the departments and pieces fit back together in that system. Input and output as well as feedback are all necessary for this type of organizational theory. The hospital is the main system with each department being the different pieces. Each portion of the puzzle needs the other in order for it to run smoothly and be a productive organization. The hospital I work for just became a level 3 trauma center. I work up on the med-surg floor so I am not down in the heat of the moment but we all feel the effects of when a trauma is called. This is a perfect example of a systems theory. When a trauma is called the emergency room staff obviously is there to meet the patient, however, there are many more departments that are needed. A lab tech goes to the ER and takes the necessary blood work that the physician orders. In the radiology departments the radiologists themselves stop reading whatever film they are working on and wait for the trauma films to arrive. This process means that everyone that is waiting for results is going to wait that much longer in order to take care of this critical patient. Without all of these departments working together and knowing just exactly what to do a patient’s life is in danger. There are many changes within the healthcare field, current management theories and practices...
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