...MODULE 1: CASE ANALYSIS – CPOE at EMORY HEALTHCARE ID: 59255426 The differences between the types of physicians Compared with the full-time and directly employed physicians in other settings at Emory, most physicians at EUHM were not directly employed. The positions in EUHM were more like “part-time contractors”. In addition to work for EUHM, these physicians also took jobs from other area hospitals. Many of them were already familiar with CPOE from other places but the CPOE systems they had used were quite different with the one Emory implemented. Those physicians were very likely to react positively at the beginning because CPOE was not a new word to them, but would suffer from switching multiple CPOE system later when they realize the systems were totally not the same although they were all called the CPOE. However, Emory was not able to provide the customized education based on each individual. So these physicians had to adjust to that without the help. Indeed, I believe all the CPOE systems would be similar in general and might differ just about 20%. It seemed not a big problem to these physicians because the fact that they at least better than people don’t know CPOE at all before. However, the paper emphasized the challenge because of this situation. Why? This made me think about the find faults game. In the game, it would be harder and harder to find the faults when two pictures are getting more and more similar. It would be further harder for the ...
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...Emory University Portfolio Management Plan Contents Emory University Background 4 Strategic Plan 6 Strategic Capacity Plan 7 Portfolio Management Process 7 Project Selection Criteria 8 Program Management Plan 9 Conflict Resolution Plan 11 Change Management Plan (CMP) 13 Resource Utilization Plan 16 References 18 Appendix A 19 Emory University Background Emory University was founded by an original charter that started the school in Oxford, GA, Newton County on December 10, 1836. It was hand-written on two pieces of notebook paper, front and back. By 1914, the Methodist Church was looking to create a university in the South, and Emory College was looking to expand. Asa Candler, founder of The Coca-Cola Company, wrote the "million-dollar letter" to offer seed money, and he sweetened the deal by donating land in Atlanta. Emory University received a DeKalb County charter to build at its present location in 1915. The soft drink company president's brother was Emory alumnus and former president, Methodist Bishop Warren Candler, who returned to serve as its first chancellor on the new campus. The Atlanta-based Coca-Cola Company has given rise to family fortunes for the Candlers, the Woodruffs, the Goizuetas and others who have been extraordinarily generous to Emory. The philanthropy of these and other donors has enabled Emory's growth and empowered its ambition to become one of the nation's leading universities. It's unofficially considered poor school...
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...The Patient Protection and Affordable Care Act (PPACA) is one of the most substantial reforms in Medicare since 1965. This is now considered the law of the land according to Douglas Holtz-Eaton. The PPACA portrays a “coverage first” strategy. “Sadly, a review a of the state’s experience bodes poorly for the future of national reform.” (Point/Counterpoint 177) There are two major driving factors in which could propose a threat for this reform. The first factor is it costs too much. Many decades ago, healthcare spending was at a minimum and not the focal point of American citizens. The statics show during 1970, national health expenditures were $1,300 per person and consumed 7 cents out of every national dollar, 7% of the GDP. Since the 1970, the spending per person has grown 2% more each year than income per captia. Therefore, healthcare costs have been increasing at such a high rate and will continue to threaten many decades to come. The second factor is the skyrocket of health insurance. This obviously is not mindboggling due to the fact that it is a reaction to the rapid increase of healthcare. Insurance costs have tripled over the past decade, making it hard for the average citizen to afford such outrageous premiums. As a result, less and less people are opting out of health insurance, which is no longer an option due to the new federal law making health insurance mandatory. The PPACA reform is looked upon with a “cost first” approach. This approach allows...
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...EMORY UNIVERSITY NELL HODGSON WOODRUFF SCHOOL OF NURSING TITLE: NRSG 507: Theory and Research Applications CREDIT ALLOCATION: 3 Semester hours PLACEMENT: Tuesdays 1:00 – 3:50 PM Rm. 201 FACULTY: Catherine Vena, PhD, RN | Eun Seok (Julie) Cha, PhD, RN | Clinical Associate Professor | Assistant Professor | Room 224 | Room 234 | cvena@emory.edu | echa5@emory.edu | 404-727-8430 | 404-712-9578 | Office Hours: By appointment | Office Hours: By appointment | COURSE DESCRIPTION: This course is an introduction to the theoretical and research foundations of advanced nursing practice. Key content to be covered includes the philosophical basis of science and knowledge, the structure and development of theory, qualitative and quantitative research methods, theory and research critique, and the application of theory and research in advanced nursing practice. It delineates research competencies for advanced practice nurses. The course encompasses critique of studies, application of research findings to practice (research utilization) and evaluation of outcomes attributable to advanced practice nursing. Ethical considerations related to research are integrated throughout the course. COURSE OBJECTIVES/OUTCOMES: 1. Understand the relationship between theory, research, and practice. 2. Critique and evaluate theoretical perspectives and research methods used to address clinical problems. 3. Understand...
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...national programs for control and prevention of communicable diseases and Vector born pathogen. CDC also is in charge of implementing strategies and plans to deal with environmental health problems. It also controls quarantine activities and performs epidemiological research, and it provides consultation on an international basis for the control of preventable diseases. The subdivisions of the agency include: * The center for chronic disease prevention and health promotion * Environmental health * Health statistics * Infectious diseases * Injury prevention and control * Immunizations * Occupational safety and health (Centers for Disease Control and Prevention, 2013). The Federal Center for Disease Control (CDC) was first created on July 1946 known as Communicable Disease Center. Originally the main mission is to control malaria and other vector-borne diseases during World War II. In the beginning CDC occupied one floor of small building in Atlanta, GA with a budget of only $10 million and fewer than 400 employees. As the organization became established deep in the South, once known as the heart of the malaria zone, Dr. Joseph Mountin the CDC Founder continued to fight for public health issues and to push to extend CDC responsibilities to other communicable diseases. “In 1947, CDC made a token payment of $10 to Emory University for 15 acres of land on Clifton Road in Atlanta that now serves as CDC...
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...SICKLE CELL AND THE PAIN SICKLE CELL AND THE PAIN B Gibson SOC313 Social Implications of Medical Issues Instructor: Betsey Morthland July 23, 2012 SICKLE CELL AND THE PAIN Living with pain. What is sickle cell disease? Are you a carrier or do you have sickle cell disease? We will look at what is sickle cell disease and how do you know if you are a carrier. How many people have sickle cell disease, what challenges they face personally and socially? Are there programs to help people with sickle cell disease deal with pain management? This is just a peek at sickle cell disease. Sickle cell disease is an inherited disorder of the red blood cells. If you have sickle cell disease you have an abnormal type of hemoglobin. Sickle cell disease contains mostly hemoglobin*s. Blood cells become sickle and crescent shape, which causes them to have trouble passing through small round blood vessels. “When sickle-shaped cells block small blood vessels, less blood can each that part of the body. Tissue that does not receive a normal blood flow eventually becomes damaged. This is what causes the complications of sickle cell disease.” (Florida Transition Project) There are several types of sickle cell disease – (SS) Sickle Cell Anemia, (SC) Sickle Hemoglobin C Disease, Sickle Beta-Plus, and Sickle Betz-Zero Thalassemia. Sickle Cell trait (AS) is an inherited condition and this condition is not sickle cell disease. People that have the trait are normally healthy and they are only carriers...
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...Heart Failure Christy Harding Western Governors University C155- Pathopharmacological Foundations for Advance Nursing Practice Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea, fatigue, dyspnea, cough with frothy sputum, peripheral edema, and decreased urinary output. Heart failure is caused by many conditions that damage the heart’s muscle. Any form of heart disease can lead to heart failure. A1. Pathophysiology Heart failure arises as a consequence of an abnormality in cardiac structure, conduction, rhythm, or function (Figueroa & Peters, 2006). Heart failure always begins with an index event. This event could be silent, as with the expression of a genetic mutation, or obvious, such as a myocardial infarction (Francis & Tang, 2003). Heart failure can be categorized into systolic ventricular dysfunction also known as systolic heart failure or diastolic ventricular dysfunction also known as diastolic heart failure...
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...Avoiding the Uninsured 1. Running head: AVOIDING THE UNINSURED Avoiding the Uninsured How City Hospitals are Giving Up on the Poor Gerard Molnar Keller Graduate School of Management Health Service Systems HS541 Dr. Nancy Borkowski February 21, 2010 Avoiding the Uninsured 2. How City Hospitals are Giving Up on the Poor On a sunny, unseasonably warm autumn day in September of 2008, twelve individuals, seven women, five men picked up a dozen shovels in a field in New Lenox, IL and drove them into the ground. Thus the $400 million 289-bed state-of-the-art Silver Cross replacement hospital at Route 6 and Clinton Road was born. Silver Cross Hospital has, in fact been around since 1892 in nearby Joliet just five miles north up Interstate 55. At the ceremony, Dr. Daniel Gutierrez, Chairman of the Silver Cross Board of Directors used the original shovel that broke ground for the current hospital back in 1892 and in doing so he mixed Joliet soil with that of New Lenox soil forever linking the hospital’s past with that of its future (Village of New Lenox, 2008). So why would you, after serving a community for 118 years, suddenly pack up and move only five miles down the road? All the officials at the groundbreaking ceremony that day said all the right things. Silver Cross President and CEO Paul Pawlak said, Not many hospitals have the opportunity to build a brand new facility, but Silver Cross is not like other hospitals. The culture of Silver Cross is the spirit of “can...
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...Six Sigma is a set of tools and techniques/strategies for process improvement originally developed by Motorola in 1981.[1][2] Six Sigma became well known after Jack Welch made it a central focus of his business strategy at General Electric in 1995,[3] and today it is used in different sectors of industry.[4] Six Sigma seeks to improve the quality of process outputs by identifying and removing the causes of defects (errors) and minimizing variability in manufacturing and business processes.[5] It uses a set of quality management methods, including statistical methods, and creates a special infrastructure of people within the organization ("Champions", "Black Belts", "Green Belts", "Yellow Belts", etc.) who are experts in the methods.[5] Each Six Sigma project carried out within an organization follows a defined sequence of steps and has quantified value targets, for example; process cycle time reduction, customer satisfaction, reduction in pollution, cost reduction and/or profit increase.[5] The term Six Sigma originated from terminology associated with manufacturing, specifically terms associated with statistical modeling of manufacturing processes. The maturity of a manufacturing process can be described by a sigma rating indicating its yield or the percentage of defect-free products it creates. A six sigma process is one in which 99.99966% of the products manufactured are statistically expected to be free of defects (3.4 defects per million), although, as discussed below...
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...| | Book 1.(ed), Howard Frumkin. "Chapter Eighteen - Food Safety".Environmental Health: From Global to Local, Second Edition.Jossey-Bass. © 2010 Food safety professionals protect and promote public health by investigating foodborne disease outbreaks to learn about their causes and by implementing foodsafety strategies to prevent future outbreaks from occurring. They also inspect production facilities, food-processing plants, and retail food establishments to ensure that products are safe, wholesome, and suitable for human consumption. Food safety professionals work in a variety of settings including private industries, governmental agencies, health care facilities, and academic institutions. 2. Wheeler, Cass. You've Gotta Have Heart: Achieving Purpose Beyond Profit in the Social Sector. AMACOM. © 2009. People often ask me how the American Heart Association came to the idea of the heart-check seal of approval found on over 800 products on grocery store shelves. This program is a significant piece of the American Heart Association brand, and it is a good example of how we do things in nontraditional ways. There is a certain amount of risk in any program, and in this case we ran into quite a few roadblocks. I believe that in every crisis lies an opportunity, and that was certainly the case with the AHA's food certification program. 3. Rosinski, Philippe. ( 2010). Global coaching: an integrated approach for long-lasting results. Serious research findings...
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...Dollar General MBA 7000 Business Policy and Strategy March 14, 2012 Indiana Tech Introduction and Overview Dollar General’s CEO, Cal Turner Jr., said, “Our customer doesn’t buy until she absolutely has to – she’s that stretched. Our agenda has to be to do everything we possibly can to be responsive to her needs. This is why Dollar General’s executive vice president for operations and merchandising, described the company’s customers as: “Our customers are salt-of-the-earth people who are savvy about spending money because they have to be. They have to balance their checkbooks every day, at least mentally.” (Appendix 2) So to me that displays why Dollar General has flourished during these past years even during the economic challenges in United States, Dollar General understands the target customers they are looking to attract. Therefore, internally the company must meet government regulations of health care coverage to meet upcoming government standards and expansion of the company globally while being consistent and not straying off its aggressive business growth plan in the United States can increase the company’s share of the market not just locally but globally, while increasing the company sales and awareness thereby increasing its position even more so in the industry. Dollar General serves the mid to lower income households with annual incomes of less than $50,000. (Case) Dollar General has the largest appeal to large families, low income, fixed...
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...Austin and Boxerman’s Information Systems for Healthcare Management Seventh Edition Gerald L. Glandon Detlev H. Smaltz Donna J. Slovensky 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 [First Page] [-1], (1) Lines: 0 to 27 * 516.0pt PgVar ——— ——— Normal Page * PgEnds: PageBreak [-1], (1) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 AUPHA/HAP Editorial Board Sandra Potthoff, Ph.D., Chair University of Minnesota Simone Cummings, Ph.D. Washington University Sherril B. Gelmon, Dr.P.H., FACHE Portland State University Thomas E. Getzen, Ph.D. Temple University Barry Greene, Ph.D. University of Iowa Richard S. Kurz, Ph.D. Saint Louis University Sarah B. Laditka, Ph.D. University of South Carolina Tim McBride, Ph.D. St. Louis University Stephen S. Mick, Ph.D. Virginia Commonwealth University Michael A. Morrisey, Ph.D. University of Alabama—Birmingham Dawn Oetjen, Ph.D. University of Central Florida Peter C. Olden, Ph.D. University of Scranton Lydia M. Reed AUPHA Sharon B. Schweikhart, Ph.D. The Ohio State University Nancy H. Shanks, Ph.D. Metropolitan State College of Denver * [-2], (2 Lines: 2 59.41 ——— ——— Normal * PgEnds [-2], (2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 [-3], (3) Lines:...
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...The Innovator in Healthcare Workforce Solutions ANNUAL REPORT I N N O V AT I O N I N H E A L T H C A R E W O R K F O R C E S O L U T I O N S Dear AMN Healthcare Shareholders, 2011 was a year of continued market recovery, solid execution, and evolution. Our clients’ desire for more workforce solutions and innovative service offerings, coupled with AMN’s leading position in this space, has more clearly differentiated our value proposition and put us at the forefront of growth and thought leadership. More than ever, we are leveraging our stronger talent, capabilities and infrastructure as a meaningful differentiator in the market, and have earned the privilege of serving the largest and most diverse group of clients and clinicians nationwide. A REVIEW OF 2011 growth in Travel Nursing, there were a number of other key highlights during 2011: • We expanded our national leadership position in clinical managed services programs by adding over 20 new MSP clients, representing an estimated $80 million in projected annualized gross spend under management. In 2011, our revenues through MSP contracts grew by 38% on a pro forma basis to $185 million, representing a third of our Nurse and Allied Healthcare Staffing business. Penetration of MSP revenues is primarily in Nurse Staffing at this time, and we believe over the next three years there will be a similar shift in the Allied Staffing and Locum Tenens businesses. AMN is well-positioned to capitalize on this continuing trend...
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...Running Head: THE HEALTH BELIEF MODEL, AND PROSTATE CANCER What is the Impact of the New Prostate Cancer screening guidelines on Black Men? And The Health Belief Model Calvin Sneed Marymount University August 1st 2014 Introduction Prostate cancer is a highly prevalent disease with an estimate of 30,000 deaths and 233,000 new cases predicted for the United States in 2014 (ACS, 2014). It is the second leading cause of cancer death in American men but is highly survivable if diagnosed correctly. In fact, the American Cancer Society (2014) has stated the relative five and ten year survival rates for the disease are 100 percent and 99 percent respectively. These figures indicate the importance of early detection screenings like the Prostate Specific Antigen test (PSA) and the Digital Rectal Exam (DRE) in regards to surviving the disease. “Since using early detection tests for Prostate Cancer became relatively common in the United States (about 1990), the prostate cancer death rate has dropped” (ACS, 2014). However, there has been a contentious debate in recent years involving many organizations on the adequacy of these early detection measures (American Society of Clinical Oncology, 2013). Controversy stems from studies like the Prostate, Lung, Colorectal, and Ovarian (PLCO) cancer screening trial. The early research from this study indicated there was no evidence of a mortality benefit in having an annual PSA screening done (Andriole, Crawford, Grubb, Buys...
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...significant includes the Calgary Family Assessment Model (CFAM), developed by Wright and Leahey. CFAM is an integrated conceptual framework used for interviewing and making assessments of families. It consists of three major categories, structural, functional and development, and each category contains its own subcategories. This paper will demonstrate the assessment of my family, the Fournier Family, using the Calgary Family Assessment Model. Strengths and weaknesses of the family will be determined, information which is necessary for the development of three significant nursing diagnosis applicable to the family. Interventions to meet the outcomes of these diagnoses arise through collaboration between the nurse and family, as they develop strategies to promote, improve, and sustain effective family functioning. Through the use of this model, assessment, diagnosis and interventions will each be identified and applied to the Fournier Family in an effort to improve the families’ outcome as a unit. Central to the delivery of safe and effective family nursing care is the nurse’s ability to make accurate assessments, which in turn will allow nurses to identify health problems and tailor plans of care to their patients (Kaakinen, 2015, p.106). Assessment is performed on all individual or groups of...
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