...Marketing Analysis: Baylor’s The Heart Hospital HCS/539 Marketing for Health Health Care Marketing Analysis: Baylor’s The Heart Hospital In the United States, 14 million people are affected by heart disease and it is the leading cause of death in America. Baylor’s Heart Hospital is designed with the needs of those heart patients in mind. In providing service to those patients, the hospital is there to anyone experiencing problems with his or her heart and vascular condition. Baylor Heart Hospital is the first hospital dedicated exclusively to heart and vascular health care. This paper will present the background of the organization, describe the four p’s and how they are important to success, examine the marketing relationships with the partnerships, and determine the target market, including demographics and psychographics, and data from the general area in which the organization is located, with an explanation of why understanding the target market is vital to a successful marketing plan. Baylor’s Heart Hospital Background Baylor’s Heart Hospital offers all types of patients five star service with a medical quality. The hospital, within itself, contains an equipped and advance imaging department with a 64-slice CT scanner, a cardiac emergency department, an onsite cardiac rehabilitation center, an endovascular suite, an eight-bed-post-anesthesia recover unit with three electrophysiology labs, three operating suites, and three cardiac catheterization labs. With the above mentioned...
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...before they are put on the market for the public. Sometimes even after all of these tests and trials, drugs can cause major problems after they have been put in to the public market. When problems arise these drugs are normally taken off of the market for further testing, or off of the market for good. Law firms will then take on consumers cases to sue the pharmaceutical company. These are called tort lawsuits and if there are enough people suing then it is a mass tort lawsuit. This paper will look at the mass tort lawsuit against Vioxx. It will explain the problem, how it was addressed by the company, and who was found at fault. Vioxx is drug that was developed by the pharmaceutical company Merck. It was introduced in mid- 1999. Originally Vioxx was a medication that was prescribed to patients for pain. The drug was not on the market for too long before the drug was pulled off of the market. In 2004, Merck pulled the drug off of the market for good on reports that the painkiller increased risk for heart attacks and strokes in patients using it (Voreacos & Johnson, 2010). In the specific case of Merck&Co. vs Garza, the estate of Leonel Garza sued Merck over Mr. Garza’s untimely death. Mr. Garza had started taking Vioxx on March 27, 2001 after visiting his cardiologist and complaining of pain and weakness over a 24 hour period (Merck & Co., Inc. v. Garza). His doctor gave him a one week sample of Vioxx. After this initial appointment, Mr. Garza received several different...
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...Who is the Better Nurse? Christa A. Hosley Grand Canyon University: NRS-430V August 9, 2014 Who is the Better Nurse? What is the definition of competence? Merriam-Webster’s Collegiate Dictionary describes competence as the ability to do something well or the quality or state of being functionally adequate. This paper will describe competency differences between the two year degree nurse, otherwise know as the (ADN), and the four year degree nurse, otherwise known as the (BSN). An Intensive Care Unit patient care situation will be described, making you aware of the different approaches to nursing care and decision making based on educational levels of the nurse. What is the future of the nursing profession? We must first, take a look at the history of nursing. Several centuries ago, nursing was not seen as a profession, rather a job for the less dersired. (Friberg & Creasia, 2010). These men and women helped the sick, poor, and abandoned individual, nursing them back to health. Florence Nightingale, the founder of modern nursing, was responsible for the first Diploma School of Nursing at St. Thomas Hospital in London, England, to educated nurses on better practices with improved sanitation and environments. (Friberg & Creasia 2010). Due to a major nurse shortage after World War II, Mildred Montag founded the first ADN nursing program in 1956. (Friberg & Creasia 2010). There are now multiple educational options for students. A graduate of an accredited nursing program...
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... Page 2 Page 3 Page 4 • Market studies identified new opportunity, which will increase company market share for central venous catheter product by 10 % profit. Introduction about central venous catheter • Heart block and arrhythmia are complications of pulmonary artery and cardiac catheterization. Injury to the conducting system of the heart often involves the right bundle causing right bundle branch block (RBBB). If patients already have left bundle branch block (LBBB), complete heart block (CHB) may result. After trauma, impairment of the right bundle is usually transient with recovery in hours, but complete heart block can lead to symptoms requiring invasive treatment. Similar complications are rare with insertion of central venous catheters, as they should not enter the heart. Injury to the right bundle during central venous catheter insertion can be by trauma from the guide wire or from the catheter itself. The function of the AV node and bundle of His in these patients has not been studied before. We report a patient with LBBB who developed CHB during insertion of a central venous cannula. Conduction through the AV node and His–Purkinje system was intact, showing that the transient RBBB was caused by traumatic injury rather than by other disease of the conduction system. Designing central venous catheter product, which will appeal customer who are looking for a quality, healthy, sterility, and pyrogen free. The new product should be on shelf in...
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...pathopharmacological features of a specific disease process, this paper will provide information related to heart disease in the form of coronary artery disease (CAD). A1. Pathophysiology Analysis Cardiovascular disease (CVD) is the number one cause of mortality worldwide and becoming a steadily more investigated problem due to its prevalence. Much research is going into genetic, inflammatory mechanisms and neuro-hormonal factors related to CVD as scientific knowledge evolves regarding complexity of this broad pathophysiology. Atherosclerosis is the leading cause of the subsection of CVD called CAD. This is a form of arteriosclerosis where there is progressive thickening and hardening of the vessel walls of the two major coronary arteries and their branches. The thickening is an accumulation of lipid-laden macrophages inside the wall of the artery leading to the formation of lesions and plaque buildup (McCance, K. & Huether, S., 2014). When the plaque develops on the coronary artery walls the pumping ability of the heart becomes impaired as oxygen and nutrients needed for heart function may be partially or completely impeded. Complete occlusion of a coronary artery or one of its branches leads to a myocardial infarction (MI) evidenced by impaired myocardial metabolism and ischemic tissue death. Depending upon the location or branch of the artery where occlusion takes place, different regions of the heart muscle are affected. This acute insult is a significant source...
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...The Benefits of Technology in Nursing and Healthcare Abstract This paper explores nursing informatics and technology in the emergency department of a local level 1 trauma center. The references cited provide discussion and statistics on several types of nursing informatics utilized today by this facility, including benefits and shortcomings. Personal experience from the author are also incorporated as he witnessed first hand the nursing informatics and technology “explosion” and how this facility incorporated this technology into their daily nursing care over the past 15 years. In 1995 I acquired a job as a nurse’s aid at the hospital I am currently employed. At the time, they were just introducing computers at the nurse’s stations. It was used primarily for their first generation of Computer-Assisted Physician Order Entry (CAPOE). With exception to limited order entry, all the documentation was still placed on paper charting. Difficulties I encountered first hand included tracking down the chart while other staff members had possession of it. It made charting in a timely fashion almost impossible, and I often found myself charting late entries. Today I am a Certified Emergency Nurse in the Emergency Department of LVHN. In the grand scheme of things, 15 years is relatively a short time, yet the advances in technology I have been witness to are sometimes overwhelming. “Informatics is a field that’s evolving every day, and there’s much to learn” (Abbott...
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...FUNDAMENTALS OF NURSING * Think about it… * ABCDEFGHIJKLMNOPQRSTUVWXYZ * Is represented as 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 * Then: * H-A-R-D-W-O-R-K * 8+1+18+4+23+15+18+11=98% * K-N-O-W-L-E-D-G-E * 11+14+15+23+12+5+4+7+5=96 % * A-T-T-I-T-U-D-E * 1+20+20+9+20+21+4+5=100 % * And look how far the love of God will take you * L-O-V-E-O-F-G-O-D * 12+15+22+5+15+6+7+15+4=101 % NURSING * Is the extent to which an individual or group is able to realize aspirations and satisfy needs and change or cope with environment. It is the complete physical, mental and social well-being and not merely the absence of disease or infirmity. Major Nursing Goals * Promotive – an action or measures designed to support behavior conducive to health * Preventive – any actions or measures designed to protect individuals, families, groups, communities from harm to their health * Curative – any actions or measures designed to correct or remove disease or any illness. * Rehabilitative – any actions or measures designed to restore health and promote recovery from any alteration of health Roles and Responsibilities of Nurses: * Caregiver – helping clients promote, restore, and maintain dignity, health and wellness * Communicator/Helper – central role of nurses in identifying needs of the client * Educator/Teacher – involves nursing activities, health promotion, the primary concern * Counselor – providing emotional, intellectual and psychological...
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...The Role of Technology in Rising Health Care Costs. What should or shouldn’t be done. Neha Para, MPH Student 5453-001 US Health Care System University of Oklahoma Health Sciences Center December 8, 2010 Abstract Health care costs are a longstanding concern to policymakers. For years, health care spending has been rising faster than the rate of economic growth, raising the question of what factors are responsible for rising health care costs. This paper explores published articles that report results from research conducted on technological innovations in health care and its relation to rising health care costs. The cost increases have a significant effect on households, businesses, and government programs. Health care experts indicates the development and diffusion of medical technology as primary factors in explaining the persistent difference between health spending and overall economic growth, with some arguing that new medical technology may account for about one-half or more of real long-term spending growth. Rising health care expenditures lead to the question of whether we are getting value for the money we spend. On an average, increases in medical spending as a result of advances in medical care have provided reasonable value. An alternative viewpoint holds that although new technologies represent medical advances, they are prone to overuse and thereby excess cost. Most of the suggestions to slow the growth in new medical technology in the U.S. focus on...
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...Heart Failure Western Governors University Pathopharmacological Foundations for Advanced Nursing Practice Heart Failure It is estimated that about five million people in the United States are living with heart failure with an overwhelming number of 550,000 newly diagnosed cases each year, costing the nation roughly $32 billion dollars per year (Centers for Disease Control and Prevention, 2016). Heart failure is a complex, pathophysiological condition in which the ventricles of the heart is weakened and unable to pump effectively to meet the body’s needs for nutrients or has lost adequate filling capacity. Clinical presentations of heart failure depends on which ventricles have failed to pump blood adequately; left ventricular failure, also known as congestive heart failure (CHF) is more common than right ventricular failure (McCance & Huether, 2014). The most common symptoms of heart failure are shortness of breath, fatigue, and peripheral edema. HF is not a disease, but rather a manifestation of a diseased heart. Large number of disorders can lead to heart failure, and with the aging population and many surviving primary cardiac events, it is no surprise that the most common reason for hospitalization in patients older than 65 years old is heart failure (McClintock, Mose, & Smith, 2014). Heart failure has become a major public health problem because it is the only cardiac condition that continues to increase in prevalence (McClintock, Mose, & Smith, 2014)...
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...other organizations providing health-care services. Business and leaders must be well equipped in traditional management knowledge and practices to manage the unique aspects of the health-services industry. The success of the new Health Care Reform depends on the cost, types of coverage and technological advances. Careful elevation and true quality assurance programs will reduce some the nepotism that goes on in our system. This will allow the best person, business, or technology to be used as it is needed. The innovation that has been created over the past ten years have allowed for improvements as well as lowering the mortality rate. Japan system allows for frequent health checks and even house calls are being done electronically. This paper looks at various costs of the Healthcare system, technological alternatives available in the Healthcare system and look at the pros and cons of different options available. History of the United States Healthcare If we compare the quality of health care today with the health care prevailing a century ago, it has dramatically improved and quality of care provided today is far better, but at the same time the health care system has become very complex, confusing and to some extent inefficient in spite of the burgeoning cost of health care. Expectations today have grown rapidly with the advancement in the health care technology. Medical technology, training, technique and facilities have...
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...op yo rP os t NA0186 A Telemedicine Opportunity or a Distraction? Janis L. Gogan, Bentley University Monica J. Garfield, Bentley University S hawn Farrell, Executive Director of the Partners TeleStroke program, glanced at his smart phone while striding toward his office at Massachusetts General Hospital (MGH) in Boston; he nearly collided with Lee Schwamm, MD. Knowing that Dr. Schwamm’s overfull schedule as Vice Chairman of Neurology and Director of Acute Stroke and TeleStroke Services meant he had little time to chat, Farrell used the near-collision as an opportunity to quickly mention a recent conversation with a nurse from Falmouth Hospital on Cape Cod. An active participant in the TeleStroke service, Falmouth Hospital was regularly honored for its adherence to best practices in stroke care. “Recently some Falmouth nurses asked how we can convince other MGH departments—such as in critical-care pediatrics—to provide similar telemedicine consultation services,” Farrell stated, adding “Their nurse stroke coordinator, Jean Estes, is a huge cheerleader for TeleStroke.” Dr. Schwamm continued moving toward his office as he replied, No tC Shawn, don’t we already have too much to do? I need to see patients, complete the analysis for a study I am working on, submit a grant application. Next week I will speak at an international neurology conference. Telemedicine can certainly be invaluable in many clinical domains, but there just are not enough...
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...c h a p t e r 2 Nursing Process Words to Know actual diagnosis assessment collaborative problems critical thinking data base assessment diagnosis evaluation focus assessment goal implementation long-term goals nursing diagnosis nursing orders nursing process objective data planning possible diagnosis potential diagnosis short-term goals signs standards for care subjective data symptoms syndrome diagnosis wellness diagnosis Learning Objectives On completion of this chapter, the reader will: ● ● ● ● ● ● ● ● ● ● ● ● Define nursing process. Describe six characteristics of the nursing process. List five steps in the nursing process. Identify four sources for assessment data. Differentiate between a data base assessment and a focus assessment. Distinguish between a nursing diagnosis and a collaborative problem. List three parts of a nursing diagnostic statement. Describe the rationale for setting priorities. Discuss appropriate circumstances for short-term and long-term goals. Identify four ways to document a plan of care. Describe the information that is documented in reference to the plan of care. Discuss three outcomes that result from evaluation. n the distant past, nursing practice consisted of actions based mostly on common sense and the examples set by older, more experienced nurses. The actual care of clients tended to be limited to the physician’s medical orders. Although nurses today continue to work interdependently with physicians and other health care practitioners...
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...Centered Care Organization Practice Setting Currently I have the privilege to work for the largest Not-for-Profit healthcare system in Texas. Memorial Hermann Health System is more than a hospital system, we are designed to be a healthcare delivery model, incorporating affiliated physicians with care delivery hospitals, effortlessly working together with one goal in mind, the goal of advancing health. By setting our focus on evidence based medicine, the constant pursuit of healthcare quality, and patient safety, Memorial Hermann Health System has been recognized as a national and regional leader in quality healthcare. As an integrated healthcare system, Memorial Hermann has surrounded the city of Houston with 12 acute care hospitals, three heart and vascular hospitals, a neuroscience institute, two sports medicine institute locations, a chemical dependency treatment center, a home health agency, a retirement community, a nursing home, several surgical, and cancer centers. Working in conjunction with our physician network Memorial Hermann also offers local employers with health solutions and health benefits through its wholly owned insurance company. (Memorial Hermann Houston Hospital, Institutes & Centers, n.d.) Within this vary large framework of a healthcare system, I work within one of our acute care hospitals, Memorial Hermann Northeast Hospital, located in the Houston suburb of Humble, Texas. Our mission is to serve the residence of the greater Lake Houston area. The Lake...
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...ACUTE GLOMERULONEPHRITIS DISCLOSED _________________________ A Case Study Presented to The Clinical Instructors AUP College of Nursing Adventist University of the Philippines __________________________ In Partial Fulfillment of the Requirements for the Course NMCN 244, Care of Mother, Child, Family and Population at Risk ___________________________ TABLE OF CONTENTS I. Introduction Significance of the Study II. Patient DataBase A. Demographic Data B. Nursing History 1. Developmental Tasks 2. Health History 3. Medical Diagnosis & Chief Complaints III. The Disease Entity A. Review of Normal Physiology B. Theoretical Background C. Statistical Report D. Risk/Aggravating Factors E. Pathophysiology Narrative w/ Documentation F. Pathophysiology Diagram G. Prognosis of Disease IV. Assessment A. Gordon’s or Head to Toe Assessment B. Book Picture vs Patient’s Manifestations V. The Management A. Diagnostic Test Result and Significant B. Therapeutic/Medical Interventions 1. Surgeries/Treatment 2. Drugs C. Nursing Initiated Interventions 1. Nursing Care Plan 2. Discharge Plan VI. General Evaluation of the Study A. Summary B. Recommendation VII. Bibliography I. Introduction Acute glomerulonephritis is a disease that affects glomerular capillaries. Etiologic factors are many and varied; they include immunologic reactions, vascular injury, metabolic...
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...improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to...
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