...Grades website. Twin Oaks has a level one trauma center that has 852 beds in all, to accommodate the patients that need our services. Being a level one trauma center we receive all of the most extensive cases and life threatening illnesses that our fellow hospitals can not accommodate. We have six beds set up in the emergency room to be able to perform emergency surgery at the bedside. This helps us give the patient who may not have the time to be prepped for surgery get the care they need immediately. In order to be considered a level one trauma center, we have to have 24-hour in-house coverage by general surgeons, and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatric and critical care. At the medical center, we have also incorporated a comprehensive quality assessment program in order evaluate and improve patient care and wait times when they arrive at the emergency room. (Trauma Center Levels Explained, n.d.) Twin Oaks offers a full range of diagnostic, medical and surgical specialties in areas such as emergency medicine and trauma, heart and vascular, oncology, orthopedics, neurology, and women’s and children’s services. We are committed to providing the highest overall quality of care and treatment, to have the highest outcomes and performance of our fellow hospitals. We have a committed team of doctors and nurses who are...
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...website. Twin Oaks has a level one trauma center that has 852 beds in all, to accommodate the patients that need our services. Being a level one trauma center we receive all of the more extensive cases and life threatening illnesses that our fellow hospitals can not accommodate. We have 6 beds set up in the emergency room to be able to perform emergency surgery at the bedside. This helps us give the patient who may not have the time to be prepped for surgery get the care they need immediately. In order to be considered a level one trauma center, we have to have 24-hour in-house coverage by general surgeons, and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatric and critical care. At the medical center, we have also incorporated a comprehensive quality assessment program in order evaluate and improve patient care and wait times when they arrive at the emergency room. (http://www.amtrauma.org/?page=TraumaLevels) Twin oaks offers a full range of diagnostic, medical and surgical specialties in areas such as emergency medicine and trauma, heart and vascular, oncology, orthopedics, neurology, and women’s and children’s services. We are committed to providing the highest overall quality of care and treatment, to have the highest outcomes and performance of our fellow hospitals. We have a committed team of doctors and nurses...
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...Electronic Medical Records. Provide an explanation on why the Epic EMR software is needed, what Epic’s EMR impact will have on LAC+USC and the network of clinics under the umbrella of LAC+USC. The writer will also discuss the social, ethical and economic impact Epic EMR software would have on LAC+USC network. LAC+USC data Los Angeles County - USC Medical Center (LAC+USC) is located in East Los Angeles, California. “In one year, the hospital will treat close to 800,000 patients, deliver 10,000 babies, treat 250,000 people in its emergency room, treat about half of all AIDS and Sickle Cell patients in Southern California, and handle 5,000 outpatient visitors per day” ("Los Angeles Almanac", 1998-2012). Due to the large volume of patients treated at LAC+USC, LAC+USC relies on a network of 208 contracted clinics known as Public Private Partnership (PPP) to provide primary care services. The 208 PPP clinics generate the most referrals to LAC+USC emergency room or specialty clinics for services. Patients referred to LAC+USC for specialty services range from homeless, mentally ill, new immigrants and drug addicts. Many...
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...Shortage of Specialists in Emergency Rooms In today’s emergency rooms, it has become routine to not be able to see a specialist for the ailment a patient came in for. Many times, except in absolute emergencies, the patient’s pain will be treated and they will be referred to a specialist’s office and directed to make an appointment for follow up care. Many issues play into the reduction of specialists available in the emergency room and range from the need to pay specialists for their time on call to many specialists choosing to be exclusively office-based and not participating in emergency room call at all. Differences in Organizations In a situation such as specialist shortages, for-profit and not-for-profit organizations in the general hospital setting do not have many differences. A large scale not-for-profit healthcare system may have the funds to pay stipends to specialists to take call at their facilities. A small stand-alone for-profit hospital may not have the funds to pay such stipends. “…study cites financial and legal disincentives that might make specialists reluctant to stay on-call. These include lack of payment due to the high number of uninsured patients using emergency departments and legal liabilities that lead to high insurance premiums for specialists,” (Robert Wood Johnson Foundation, 2011). The study above proves that the issues relating to the shortages are not a for-profit or not-for-profit issue but physician specific issues. How...
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...Georgia 30122 770-942-3199 weecare.com Monifa Mwangi January 4, 2011 Executive Summary One of the top complaints of individuals seeking non-critical emergency services is wait time. For emergency room visits, a patient may spend 2-3 hours in an emergency waiting room for non-critical treatment such as fever, cough, sprains, etc. Quick2treat is an online concept developed to allow consumers access to WeeCare’s current office wait times and allows the patient to schedule an appointment, or hold their place in line for urgent care treatment. Once the patient has confirmed the appointment time, the patient is guaranteed to be seen within 15 minutes upon arrival. Internet registration for non-life threatening emergency department services that allows patient and family to avoid dreaded time in a waiting room. The concept of Quick2treat follows current technology for real-time online status reporting used by the airport industry, amusement parks “fast pass” system and online reservation services in restaurants. The market indicates that there is a significant need for quality “urgent” care other then emergency services provided by area hospital’s emergency rooms. Currently, the clinic employs competent, well-educated physicians and support staff to respond to the current needs of patients, however, there is room for growth. WeeCare has developed an excellent reputation with many of patients, through the work of our staff over the past three years, through successful marketing...
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... |No referrals needed, can see any doctor or specialist, No primary |Someone that wants the freedom to choose which doctor they want| | |doctor needed, fee-for-service plan, Sometimes does not cover |to see, does not want to have to get referrals | | |preventative care. | | |Preferred Provider Organization (PPO) |Freedom to choose your provider, encouraged to use in-network |Most employers may offer this benefit to their employees. This| | |providers, may have a small copay, annual deductible before |will give employees a variety of physicians that they can see | | |insurance will pay, and in-network will be covered at a higher |for any ailment. | | |rate than out-of-network. | | |Health Maintenance Organization (HMO) |Must choose a primary physician, requires a referral to see a |Large employers to cut done on...
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...As a Chief Operating Officer of New Guinea Medical Campus, I am responsible for the 15-bed Emergency Room (ER) and its performance. There have been many complaints within the last year regarding inadequate patient care, poor ER management, long wait times, and patients being sent away because of lack of space, staff, or physicians to provide appropriate care. I have come up with a strategic plan that would allow the ER to overcome the shortcoming and to increase performance. 1. Diagnose the root causes of the complaints about the clinic As the Chief Operating Officer (COO) of New Guinea Medical Campus, there are many responsibilities that fall under the position that holds one of the highest executive positions of an organization. This position reports to the Chief Executive Officer (CEO). The COO’s responsibilities coincide with the needs of the CEO and the organization. Responsibilities and roles of the COO are many and include the daily operations of the facility, the development and design of the operations and to implement efficient and effective management that aligns with the goals of the organization. As a healthcare professional this operating officer must set ethical standards and guidelines which they themselves abide by and also integrate it into the organizational culture and the employees’ expectations. “Ethics complement and balance legal guidelines. Ethics are a set of moral principles that serve as a guiding philosophy for behavior. Most professional...
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...after the professor explained his condition she told him that Dr. Martin cannot see to him because of his packed schedule. The professor asked for a referral to go to the HealthCheck Clinic but the nurse declined claiming that Dr. Martin is not willing to send him there and was instead prescribed with medicine for the diarrhea. The prescription was placed in the pharmacy for the professor to pick up. Unsatisfied, the professor called up Candy, the director of the Employee Benefits Office, but Wendy picked up and relayed everything to Candy who then expressed her surprise and distress over the situation. She too did not understand that the request for a referral was denied as the professor asked for it. The professor picked up the medicine from the pharmacy, drove home, took a pill, and went to bed. The following day the diarrhea was under control but the gastric discomfort was still a problem. He decided to go to work but in the afternoon he gave up and went home. He called Dr. Martin’s office and once again Betty answered the phone. She informed him that the doctor is out all afternoon and still claimed that the doctor refuses to refer him to HealthCheck. Betty believed that Dr. Martin would want the professor to go to the emergency room. Beyond irritated, the professor decided to go to HealthCheck himself without a referral to figure out what was wrong with him. Almost immediately after explaining to the reception all that has happened and how he felt, he was...
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...Trinity Hospitals five year plan includes development of an orthopedic center, cardiovascular center and a cancer center. Task four asks for an assessment of the viability of one of these service lines. By assuming the role of the hospital CEO, I will evaluate the orthopedic center service line and present the findings to the board of directors for their approval. Demand for Orthopedic Service Line As identified in the Trinity Community Hospital’s Community Needs Assessment, the demand for orthopedic services in the area is expected to increase by 46% in the next five years. Inpatient joint and spine procedure are projected to increase by 30% and outpatient joint and spine procedures are expected to increase by 350%. Trinity Hospital’s fact sheet does state that there is no formal orthopedic service at the hospital but there is strong interest by local orthopedic groups in joining the hospital’s team. There are plans to build a new 15,000 square foot physical therapy/rehab center on or close to campus to support the new orthopedic service line. This is important as appropriate follow up can be offered to orthopedic patients. Trinity Hospital must rise to meet their competition. Tertiary Medical Center boasts a strong orthopedic program and a trauma center, while Regional Hospital also boasts strong orthopedic services. The hospitals five year plan calls for distinctive clinical programs and services in the areas of spine, total joint and hand services. Also, the plan...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at...
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...and that 71% of all teenagers have had a drink of alcohol before finishing high school. Most teenagers believe that smoking marijuana is not a big deal and that parents and society opposed cigarette smoking more (Tracy, 2011). Celebrities such as Michael Jackson, Brittany Murphy, and Anna Nicole Smith overshadow the issue of prescription drug abuse when every day people are experiencing the same outcomes. Emergency room (ER) nurses are the frontline in treatment of individuals suffering from addiction, withdrawal, and overdose. Still, many doctors and nurses have become hardened because of the belief that patients are drug seeking, which leads to poor management of pain and increased disparity accessing health care. In this paper I will present demographics on prescription drug abuse, issues of cultural competence and sensitivity, and strategies nurses can use to alleviate health consequences for this vulnerable group. Finally, I will conclude by presenting a brochure that ER nurses can use to identify patients at risk for substance abuse and to assess for early referral to treatment. Consequently, looking at the big picture can help health care providers to assist individuals at risk without judgment. Demographics The Center for Disease Control and Prevention (CDCP) reports show that deaths from unintentional overdoses in the United States increased by 145% over the past 10 years and is second only to motor vehicle crashes as a cause of death, especially in people ages...
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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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...Mahmoud Azzam Abu Othman/ 1370022. Submitted to: Dr. Ayman Mansour The Need of Emergency Psychiatric Triage and Qualified Psychiatric Clinical Nurse Specialist (CNS) in Emergency Department of General Hospital. General emergency nurses are primarily trained to deal and respond to patients with physical medical complaints and occasionally do not understand psychiatric clinical emergencies that reflect the impact on mental health patients (Abdur-Razzaq, 2011). In other hand, emergency nurses often avoid mentally ill patients and didn't see it as part of their work (Happell & Sharrock, 2002). Furthermore, general nurse is lacking the skills of assessment and management of psychiatric patients presenting to emergency department which counted...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at...
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...Financial Coordinator acts as a liaison to Patient Financial Services, hospital and professional third party. This position works along with the other Transplant Financial Coordinator in the Kidney Transplant Program to ensure that patients maintain adequate coverage before, during and after transplant; facilitate the flow of medical records data to assure accurate and prompt reimbursement, data collection and clinical data analysis. The role of the Referral Specialist included obtaining and completing insurance information, benefit verification, and interpreting benefits. She documented and...
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