...the pertinent facilities. The solution is to have interprofessional collaboration. The utilization of current advanced practice nursing staff as a resource for floor nurses and other involved healthcare workers is a must. This would obtain certification in wound care and be responsible for the ongoing continued education for wound prevention, monitoring and maintenance. The staff will be educated and trained at quarterly intervals on wound identification, staging, prevention, maintenance and monitoring. Key words: wound care, evaluation, pressure ulcers, multidisciplinary, specialist, evidence The Significance of Having a Multidisciplinary Team 4 Problem Identified The Centers for Medicare & Medicaid Services (CMS) declared in October of 2008 that it will no longer provide reimbursement for hospital acquired pressure ulcers (HAPUs) because it is a preventable occurrence (CMS, 2014). Even though the percentages of occurrences have declined since then, HAPUs continue to cause financial strain on institutions (estimated $9.1- $11.6 billion dollars loss annually) (Leaf Healthcare Inc., 2014). Nurses are in a position to decrease these numbers but barriers remain. Staff nurses in acute care settings, as well as hospital based transitional units provide care for patients with multiple diagnoses. These nurses are required to identify potential risk factors and put in place preventative measures. Wound prevention remains one of the top...
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...Literature Review - Business Intelligence Timothy Sheahan Liberty University Business 600 Dr. Jonathan D. Schultz December 19, 2013 Abstract Business intelligence (BI) is a popular and growing field that helps managers and decision-makers in deciding important decisions. Over the past two decades advancements in technology have elevated the importance of BI systems and software to an organized corporate strategy and overall success. Reliable and accurate BI systems are used by many large corporations; they can be custom-built by a service provider or by people working for the corporation. This is because they are very expensive, cutting edge software systems. Past research has shown that BI is one of the fastest-growing methods of intelligence gathering in the field. With all of the attention of advances in information technology (IT) and how helpful they are it is easy to overlook some of their repercussions. This paper highlights the importance of BI in decision-making areas and the techniques used to make them. Advantages and benefits are then discussed and one major problem is described in detail. Computer hacking is becoming more popular as the future comes closer and it is a larger problem than most think outside of the business world. The conclusion offers an insight into the future of BI and identifies the problem of hacking as its major threat. 1. Introduction ...
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...care fits your needs and preferences (What is Qualityin Health Care, n.d). • Ensure that your health care does not cause harm (What is Quality inHealth Care, n.d). • Ensure that your health care is right for your illness (What is Quality inHealth Care, n.d). • Make sure that your health care is given without unnecessary delays(What is Quality in Health Care, n.d). • Ensure that your health care includes only the medical tests andprocedures that you need (What is Quality in Health Care, n.d). • Make sure that your health care is fair and not affected by such thingsas your gender, language, color, age or income (What is Quality inHealth Care, n.d). The Cleveland Clinics method of approach to quality management are toprovide lower healthcare cost, revenue generated , overall reputation, internal andexternal competiveness, motivate their employees and market and profit sharing. There are times where different terms or phrases can all be mean one and the samething therefore seek to achieve the same goal. With regard to quality management it Quality Management 3can be taken to mean: quality performance, quality management, performancemanagement, quality...
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...working for a coal company that practices mountaintop removal. A nature lover would more likely be happy pursuing a career working for a company that lobbies against mountaintop removal. On the other hand, if a person values human innovation more than nature, that person would be very successful as a coal miner. That person would appreciate the fact that mountaintop removal is a more efficient way to get coal out of the ground and into the marketplace. Both individuals, if they identify their values and ethics and chose to live by them, can be happy and contribute to the welfare of society. Practicing professional values and ethics can prevent a person from making foolish decisions that could jeopardize that person’s career. The legal system is perhaps the field where values and ethics are most needed. The decisions made by criminal justice professionals affect a person’s livelihood, their freedom, and even their continued existence. For this reason, judges have a very extensive set of ethical guidelines laid out in the U.S. Constitution, federal and state law, and legal precedent. Two judges in Luzerne County, Pennsylvania chose to ignore professional ethics, and it cost them their careers. We expect judges to be impartial when administering justice, but these two judges had a stake in the...
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...Readiness for Change With an ever-increasing population and the rising cost of medical care, the healthcare industry is in need of innovated ways to provide quality health care while containing cost. Technological advances offer one-such solution to cost containment, though, adoption of Information Technology (IT) in the health care industry remains low despite overwhelming evidence that the use of electronic medical records (EMR) has improved staff efficiency, increased preventative care measures, and decreased medical errors thus lowering healthcare cost (Childs, 2009). Even in an environment that is rich with evidence-based innovations, diffusion of successful electronic medical records remains a problem in the healthcare industry. This paper will explore the implementation of transitioning to an EMR in a specific facility. Implementation of an Electronic Medical Record The change initiative in this scenario is implementation of an EMR. In 2004, the Office of the National Coordinator for Health Information Technology was developed as a part of the Department of Health and Human Services. In 2009, the American Recovery and Reinvestment Act was signed into law, the goal of this act was to create new jobs and spur economic activity and invest in long-term growth (U.S. Government, 2012). The Act had a plan to achieve goals by providing $787 billion that would offer tax cuts and benefits for many working families, fund entitlement programs, such as unemployment benefits, and...
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...Unit 2 Term Paper Gary M. Kidd Kaplan University Author Note Pro. Young-White, I’m sorry the term paper is a day late, but I spent most of 3 September at a scheduled medical procedure to refill the pain pump implanted in my spine with Dilaudid. It kept me knocked-out most of the day. Please remember that I’m given extra time on assignments via the Kaplan University office of student disabilities. Abstract This term paper for unit two review three articles, Ethics Consultation in United States Hospitals This term paper also defines 8 financial terms. Keywords: Balance sheet, Shareholder Equity, EBITDA, EBITDAM, Financial Ethics, Financial Benchmarking, Financial Trend Analysis, and Ratio Analysis. Unit 2 Term Paper Business ethics is the appropriate business guidelines and customs regarding debatable issues, like the way a CEO runs his company, illegal stock trading, corruption, business social and monetary obligations. The government’s authorities frequently enforce business ethics, still there are times when businesses alone will use a straightforward structure that organizations can abide by so that they simply may benefit the public interest (investopedia.com, 2013). Article Review The first article chosen for this assignment, is Betsy Gallup’s article Ethics Are an Important Part of Running a Health-Care Facility, and she explains ethics as having three components: independence, integrity and objectivity (2009)...
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...(Vice President – Institutional Banking Group, Development Bank of Singapore (DBS), Bangalore) Presented by Aditya Shetty Roll No. 258 MBA-Core Div C NMIMS 03-June-2011 Preface This project report has been prepared as part of the Summer Internship Program of the MBA-Core course curriculum at Narsee Monjee Institute of Management Studies (NMIMS), Mumbai. This is in partial fulfilment of the requirements of the MBA programme. The report focuses on the Small and Medium Enterprises (SME) segment of borrowers. SME market is the growing and upcoming sector in the banking industry. This encourages entrepreneurs to develop their company from small sized to the future big corporate. The basic aim of the project is an understanding of the SME market in Bangalore and designing a strategy for Development Bank of Singapore (DBS) to enter this segment. This subject was chosen since the subject is a new& developing field for the foreign banks and private banks. SME products help in understanding the various funding & non funding based lending mechanisms. This project will help me understand various means of understanding the various lending mechanisms used by banks. This understanding of SME business will help in the future to know more about the banking industry. Bangalore Aditya Shetty 03-June-2011 Acknowledgement I am thankful to Development Bank of Singapore (DBS) Bank to give me an opportunity to carry out my summer internship project here...
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...Career path I am currently studying at Tresham College studying health and social care level 3. The entry requirement where the following A minimum of 4 GCSEs at C or above including English, maths and science OR an Intermediate Diploma (Level 2) in Health and Social Care at merit grade or above with a good reference OR a relevant Level 2 vocational qualification. I managed to get on this course as I done level 2 health and social care and gained a merit on this course. Mental health nursing Mental health nursing is often complex, demanding and very rewarding. As many as one in three people are thought to suffer some form of mental health problem. However, dealing with the human mind and behaviour is not an exact science. Therapeutic relationships Mental ill health is often brought on by a crisis in life such as depression after the death of a partner. However, depression is just one of the ranges of conditions that come under the heading of mental ill health. There are also neuroses, psychoses, psychological and personality disorders. Therapeutic relationships between the mental health nurse, those with mental ill health, and their families are critical to successful mental health nursing. Helping people back to mental health is also every bit as valuable and satisfying as caring for those with a physical illness. Core qualities and skills Your main tool as a mental health nurse will be the strength of your own personality and communication skills. You will need to...
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...General Motors Prepared for: Business Cluster Professors Prepared by: Team 7 Anthony Allio Joseph Allio Lauren Snitcher Nicholai Larroque Gregory Armamdo June 10, 2005 Table OF CONTENTS Introduction 4 Region Analysis 4 North America- GMNA 4 Europe- GME 4 Latin America- GMLAAM 5 Asia/Pacific- GMAP 5 Porters Five Forces 6 Rivalry 6 Barriers to Entry 6 Threat of Substitutes 7 Power of Suppliers 7 Power of Buyers 8 Competitive Advantage 9 Internal Analysis 10 Internal Strengths 10 GMAC’s Continued Earnings Growth 10 Marketing Strategy/Consolidation 10 GM LAAM/ GM Asia Pacific 10 Internal Weaknesses 11 Rising Health Care Costs 11 Weak Product Mix 11 Lack of Flexibility 11 Strategy 12 Retrenchment Strategy: Product Redevelopment 12 Overlapping models 12 Reinvention 13 Appendix 18 Introduction General Motors is a company that has been around for over one century and has been an integral member of the automotive industry since its inception. To understand General Motors one must simply look at their business philosophy which guides them today, and is embodied in the companies’ culture: product excellence and customer focus, act as one company, and move with a sense of urgency. Throughout this analysis of General Motors we have provided an in depth look at these philosophies, while in the end developing a future strategy for General Motors to implement in restructuring...
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... Disqualification order (under part 2 of Criminal Justice and Court Services Act 2000) which would also bar individuals from working with children When a person would like to work with children or vulnerable adults, the Safeguarding Vulnerable Groups Act 2006 provided a new framework for vetting and barring individuals to protect and make provision for children [and vulnerable adults] and identifies any offence which would make a person unsuitable to work with children [and adults]. The new barring check is referred to as Disclosure and Barring Service (DBS) and a positive disclosure shows cautions, warnings, convictions and any other relevant police information. The Equality Act 2010 The Equality Act 2010 states that it is unlawful to discriminate against pupils because of their sex, race, disability, religion or belief, sexual orientation and the Disability Discrimination Act 1995/2005 states that it is against the law for a school to adversely treat a disabled pupil including: 1. refusing admission because of disability (‘direct discrimination’) limit access to application forms to only one format (‘indirect...
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...Organizational Performance Management Varilie L. Williams-Garner September 17, 2012 HCS/451 Health Quality Management and Outcomes Analysis Jodie Sapaugh Health care as an industry exists to serve its stakeholders in the safest, most effective and efficient manner; but each organization type and company function differently. Organizations share some similar functionalities and regulatory requirements that provide a path for them to follow. The regulatory requirements demand compliance and a standard performance level creating a need for specialized monitoring and accreditation to support quality improvement on numerous levels. Communication is a key component of the process an organization has adopted to maintain compliance, meet standards and regulatory requirements, and maintain the company’s vision and mission. The process commands the role of risk-management to supervise safety functions and quality-management to supervise the stakeholder satisfaction with the services provided in all aspects. Differences and similarities in functionality for each organization or company runs parallel in the goal of safety and satisfaction through monitoring, improving, and communicating to meet regulatory and compliance requirement standards. Similarities and Differences These organizations share many similarities and yet there are differences amongst the five types of organizations chosen; hospitals, emergency services, assisted daily living, home health care, and...
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...Roles and Responsibilities of a Midwife Midwives provide advice, information, care and support for women and their babies during pregnancy, labour and the early postnatal period. They help women make their own decisions about the care and service they receive, they also make them feel comfortable and reassured through their pregnancy. They provide care for new-born children, they give health education and parenting support immediately after birth, until their care is moved to a health visitor. Midwives are responsible for the health of the mother and child and only if there are medical complications does the responsibility move to another health and social care worker. Responsibilities A midwife has many responsibilities including the care of mother and baby, adhering to hospital policy and maintaining an awareness of issues such as health and safety, other duties include: * Diagnosing, monitoring and examining women throughout their pregnancy. * Developing, assessing and evaluating individual programmes of care. * Providing full antenatal care, including screening tests in hospital, community and the home. * Identifying high risk pregnancies and making referrals to doctors and other medical specialists. * Arranging and providing parenting and health education. * Providing counselling and advice before and after screening and tests. * Offering support and advice following events such as miscarriage, termination, stillbirth, neonatal abnormality...
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...planning of ICT (Information and Communication Technologies)-based services, abbreviated as eServices, is a crucial task for the public as well as private sectors. Given a strategic project (or an initiative), a strategic planning process identifies the main alternatives, the key business/technical issues involved in each alternative, and helps in evaluation and selection of the most viable alternatives before initiating the project. To succeed, the strategic planning process must explore a large number of people, process and technology issues and eliminate surprises. This is not easy because the task of eservices planning in the digital age is considerably complicated due to the changing business and technical landscape and an ever-growing body of knowledge. This short tutorial gives a quick overview of the vast body of knowledge that entails a typical strategic ICT planning process and presents a conceptual framework for further exploration of this important area. 1. An Example – eServices for a City Ms Fran Kuye is mayor of a city with one million inhabitants, located in a developing country.She wants to use the knowledge gained from her MPA (Master of Public Administration) to transform her city to a “Digital City” that heavily relies on eservices to support its citizens. Her overall goal is to develop a 2 year plan that includes the following: First year, start with informational services on the web that deliver the information to the citizens over ...
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...proposition. Exploring Shouldice's fundamental principles and extrapolating them to other settings might help healthcare professionals offer improvements to patient care. Carpal tunnel syndrome (CTS) is the most common elective hand disorder, which can be debilitating for patients. Surgical intervention is extremely effective when necessary. It would be prudent to develop efficient pathways for the treatment of CTS, and other common disorders in the future. This review aims to explore the successes behind the Shouldice model, cross-fertilise surgical and management grounds by familiarising surgeons with the Shouldice model to help generate key ideas for the future, and extrapolate key information to postulate the 'carpal tunnel treatment centre' as a potential enterprise that can be designed on the basis of the Shouldice model. Optimal healthcare delivery while improving the patient journey, in a cost-effective manner, requires careful planning and execution. It is important to further explore and capitalise on this knowledge, to improve our service to patients and the multidisciplinary healthcare workforce, particularly in light of restructuring of the NHS and the reduction in training opportunities for surgical residents. Key Words: Shouldice • carpal tunnel syndrome • patient journey • surgical training Accepted for publication 25 March 2014 Optimising healthcare delivery iu a costeffective manuer is crucial from a management perspective. This may be accomplished by providing...
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...Director of Nursing (DNS) at HCC, “Usually, 2-3 LPN’s per shift are required daily” (Y. Pascal, personal communication, December 15, 2013). Agency nurses are approved to work at HCC once they submit a current physical and complete an in-house facility orientation. During this orientation, agency nurses receive New York State mandated in-services, such as patient abuse and HIPPA. The nurses also receive specific instruction regarding emergency procedures, medication policy, employee conduct and procedures. However, specific unit policies and procedures, location of specific supplies are not included in the general orientation. Upon completion of the orientation, the agency nurse receives no further orientation or precepting. Thus when an agency nurse enters HCC for their first shift they are functioning independently and with limited knowledge. This is clearly a problem, which varies in degree of potential danger to patients based on the specific unit assignment. For instance, on the 7-3 shift there are 2 nurses per floor, a charge nurse and a secondary nurse. In this situation, new agency nurses have an opportunity to work in close cooperation, ask questions and seek guidance from a more seasoned and knowledgeable nurse. In contrast, the 3-11 and 11-7 shifts consist of a single nurse...
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