...overnight in a health care facility, such as a hospital or a nursing care facility.Outpatient refers to services provided while the patient is not lodged in the hospital or some other health care institution.There are direct personal involvement within the level of services in the practice of ambulatory /outpatient services which detect,prevent disease such as hypertensions, diabetes , cancer screening and immunization programs. Since death happened and caused by disease that are contagious , primary prevention lesson the danger of morbidity are enforced by encouraging people to wear seat belt, clean treatment for water/sewage and sanitation inspections in restaurants. One method of ambulatory/outpatient service is that clinician would travel from house to house to skilled practitioners in relatively more complex facilities is a form of medical care. Ambulatory/outpatient can be distinguished in the following categories: Primary care help to control costs, utilization and the rational allocation of resources.and serve as patient advisor , advocate, and system gatekeeper, gives advice regarding to diagnoses, therapies and provides care for chronic conditions. Secondary care on an outpatient or ambulatory care: diagnostic, surgical services include routine hospitalization and specialized outpatient care. Tertiary care include the most complex services :open heart , burn treatment, transplantation and is provided in inpatient hospital facilities. Most ambulatory care services...
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...INTRODUCTION Abortion is the premature expulsion of an embryo or fetus from the Uterus.Spontaneous abortions are called MISCARRIAGES.They usually results from hormonal disorders or serious abnormalities of developing embryo.But an induced abortion maybe used to terminate an unwanted pregnancy.Induced abortion involves dilation of suction or surgical means.Possible side effect of induced abortion includes prolonged bleeding,perforation of the uterus and emotional trauma. The so-called abortion pill,mifepristone(RU 486) is an progesterone antagonist.It causes the endometrium to breakdown,thereby detaching the embryo or fetus,wich is passed from the uterus after administration of prostagladine to promote the uterine constructions.It use to limited to the first five weeks of pregnancy and requires the supervisions and care of a physician. Abortion is the ending of pregnancy by removing fetus or embryo before it cn survive outside the uterus. An abortion is a medical procedure used to terminate pregnancy.There are different methods of abortion commonly performed depending on length of pregnancy.One is through a medication and the order methods are procedures which takes place in a clinic,including aspiration (the most common method) and D&E (dilation and evacuation).All of these methods ,when performed by health care professionals,are very safe.Abortion is safest in the first 6-10 weeks of pregnancy. BODY When allowed...
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...An APIC Guide 2008 Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs) Developing and Applying Facility-Based Prevention Interventions in Acute and Long-Term Care Settings About APIC APIC’s mission is to improve health and patient safety by reducing risks of infection and other adverse outcomes. The Association’s more than 12,000 members have primary responsibility for infection prevention, control and hospital epidemiology in healthcare settings around the globe. APIC’s members are nurses, epidemiologists, physicians, microbiologists, clinical pathologists, laboratory technologists and public health professionals. APIC advances its mission through education, research, consultation, collaboration, public policy, practice guidance and credentialing. Look for other topics in APIC’s Elimination Guide Series, including: • • • • Catheter-Related Bloodstream Infections Clostridium difficile Mediastinitis MRSA in Long-Term Care Copyright © 2008 by APIC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission of the publisher. All inquires about this document or other APIC products and services may be addressed to: APIC Headquarters 1275 K Street, NW Suite 1000 Washington, DC 20005 Phone: 202.789.1890 Email: APICinfo@apic.org Web: www.apic.org ISBN: 1-933013-39-7 ...
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...My second shift starts in fortyfive minutes. The ones with dimentia could be called the reason I got into this business. That and the fairly simple job requirements. When I was getting out of the Army a fairly grey~area opportunity was presented to me. I was looking to secure my future and point my life in the right direction. The guy next to me in the mandatoy class we all had to go theough to end our contacts told me about his wife. I hadnt met her but her story had inspired my corrupt and eager mind. This woman* laura* had gotten into hospice care. For those of you unfamiliar with the field* generally hospice deals with terminally ill and very elderly patients. At that point which was about two years into her contract* she had been left a several thousand dollars* a BMW* and a the bedroom two bathroom HOUSE on the emerald coast. It was mindblowing. So manyu families just give up near the end and the one the patient cares about is the one who seems to care. I dont know Lauras motives. Nobody goes into this soul wrenching practice hoping to make some easy money. Nobody but me. Every Day I put on my plain white uniform and go to work as a sort of bouncer. I dont work at a ritzy night club or private security. The government signs my checks. I dont kick rich kids out of bars. I am often tasked to make sure our clients DONT leave. Hired muscle and a pretty face. Fouty two minutes. I might not have time to get to the gas station to take my morning redbull dosage. This is going...
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...Apollo Hospitals announces Q4 and FY13 results Sustains growth momentum FY13 Consolidated Revenues up 19.7% at Rs. 37,687 million Consolidated PAT up 38.7% at Rs. 3,044 million Stand Alone Pharmacies Turnover exceed Rs 1,000 Crores Board declares 110% dividend Commissioned 200 beds multi specialty hospital in Chennai & 140 beds Ortho & Spine Specialty hospital in Bangalore in Q4 Set to commission 1,000 beds across seven locations in FY14 Our commitment to advanced patient care has helped us put in place the world’s busiest solid organ transplant program. Completed 500 Bone marrow transplants with outstanding outcomes India, May 20, 2013: Apollo Hospitals Enterprise Ltd (AHEL), (BSE: 508869, NSE: INE437A01024), the Healthcare Pioneer and leading provider of quality clinical care today reported its consolidated financial results according to Indian GAAP for the quarter and financial year ending March 31, 2013. On the annual performance front Apollo Hospitals Enterprise Ltd (AHEL) recorded an increase in consolidated revenues by 19.7% at Rs. 37,687 million compared to Rs. 31,475 million in FY12. Profit after Tax (PAT) was recorded at Rs. 3,044 million in FY13 vs. Rs. 2,194 million in FY12. The fourth quarter financials of Apollo Hospitals Enterprise Ltd (AHEL) recorded improved performance over the fourth quarter of previous year. Consolidated Revenues recorded a 12.9% growth at Rs. 9,445 million compared to Rs. 8,365 million in Q4FY12. Profit after Tax (PAT) was recorded...
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...HEALTHCARE LEADER Interview with a Healthcare Leader NAME University of Phoenix Interview with a HealthCare Leader Leaders must have a vision for their organization that looks to the future of healthcare and not just deal with the present. Having a vision requires knowledge of the present and where their healthcare organization stands in terms of success. They must also know and be committed to the mission, goals and objectives of their organization. Interviewing a nursing leader in a long term health care facility provided this student with many new views of healthcare management and the challenges she’s presented with daily. The leader this student interviewed is a director of nurses at a longterm care facility with 100 beds, 28 of which are Medicare certified. She has a staff of 18 nurses and 32 certified nursing assistants. Her name is Patti and she has been in her position at various facilities for over 20 years and at the current facility for eight years .She is very knowledgeable about Medicare, Medicaid and case management. She has worked many sub-acute units as well as stepping in now to help with staff shortages. When an employee comes to her with a problem or complaint, the first thing she will ask is, “What do you think the solution is”? Her description of a leader is any person with integrity, honesty, and the ability to treat everyone with respect and dignity. She feels her leadership style is a democratic, participative leadership style. She...
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...OFFERING Of GOODWILL HOSPITAL Submitted by Jeevitha Raju E9121 M.B.A 1ST YEAR |Goodwill Hospital and Research Centre | |Focused on neuro and cardiac surgeries | | | |About the company | |Incorporated in 2000, Goodwill Hospital & Research Centre Ltd is engaged in running a multi speciality hospital at Noida (Ojjus Medicare). The hospital provides | |specialty treatment like Neurology and Neuro surgery, Cardiology and Cardiac surgery and Orthopaedics with emphasis on Joint Replacements and Sports Injuries. | |The hospital also offers a wide range of tertiary care services in varied fields of medicine. The services entail comprehensive medical solutions, including | |consultancy, diagnostics and therapy. | |Goodwill Hospital & Research Centre is...
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...Universal healthcare coverage in Indonesia One year on January 2015 Written and produced by www.eiu.com/healthcare an Economist Intelligence Unit business healthcare Universal healthcare coverage in Indonesia— One year on Contents Abbreviations 5 Introduction 6 Indonesia’s version of Universal Healthcare: What is the JKN? What about the KIS? 8 Challenges with Indonesia’s version of Universal Healthcare 12 Teething problems—A short-term affair? 12 Balancing the budget—Fiscal sustainability 13 Chronic undersupply—Another barrier to providing truly comprehensive services 15 How should the healthcare industry prepare in the short to medium term? 17 Healthcare service providers: Pockets of opportunity 17 Med-tech and pharma: Spotting opportunities and tailoring product offerings 19 © The Economist Intelligence Unit Limited 2015 1 Universal healthcare coverage in Indonesia— One year on Foreword Ivy Teh, Managing Director at Clearstate, an Economist Intelligence Unit business. 2014 marked a watershed year for Indonesia, the world’s fourth populous country, with the election of the popular reformist politician, Mr. Joko Widodo, as its president. The year also saw the rollout of the long-delayed universal healthcare scheme (UHC). Indonesia intends to phase-in the world’s largest single player health care insurance program from 2014 to 2019, reaching universal coverage for all Indonesians...
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... Hospital AB and Health Center is a community based acute care general hospital. The hospital is proactive in seeking methods to identify and provide all sources of community benefit and charity care. The mission of the hospital as stated in administrative service manual policy 726 (2005) is “With caring and compassion, we will improve the health and quality of life of the people we service.” The purpose of existence of the hospital is the commitment to patients and community to first understand their needs, second to provide services that meet these needs; and third, the recognition that service and clinical excellence are only achieved if they are delivered with caring and compassion. The strategies developed for achieving these purpose are invest in high performing people, innovation and implementation, superior quality and service, know patient and customer needs, and meet budgets. Hospital AB integrates the values such as dignity, collaboration, justice, stewardship and excellence into all the services being delivered. The key behaviors identified are honor commitments, take ownership, value individual differences, help others succeed, exceed customer expectations and inspire others to do their best (unknown author, 2005). The 347 bed hospital is an affiliate of Catholic Healthcare. For over 80 years, hospital AB and Health Center has grown along with the community and has evolved into one of the region's major healthcare providers. The hospital has tertiary...
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...IT Curve? by John P Glaser . COPYRIGHT © 2007 HARVARD BUSINESS SCHOOL PUBLISHING CORPORATION. ALL RIGHTS RESERVED. Freshly showered and cooling down after their squash game, Max Berndt drank iced tea with his board chairman, Paul Lefler. Max, a thoracic surgeon by training, was the CEO of Peachtree Healthcare. He’d occupied the post for nearly 12 years. In that time the company had grown—mainly by mergers—from a single teaching hospital into a regional network of 11 large and midsize institutions, supported by ancillary clinics, physician practices, trauma centers, rehabilitation facilities, and nursing homes. Together, these entities had nearly 4,000 employed and affiliated physicians, who annually treated a million patients from throughout Georgia and beyond. The patients ranged in age from newborn to nonagenarian; represented all races, ethnicities, lifestyles, and economic conditions; and manifested every imaginable injury and disease. Many of them, over the course of a year, would be seen at more than one Peach- tree Healthcare facility. Max’s marching orders were to ensure quality, consistency, and continuity of care across the entire network—and to deliver all that with the highest levels of efficacy, economy, and respect for patients and staff. Max, still sweating lightly, finished his tea and ordered more. He and Paul commiserated over the steady vanishing of squash courts in the metro Atlanta area....
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...critically synthesize the existing literature on family involvement in residential long-term care. Studies that examined family involvement in various long-term care venues were identified through extensive searches of the literature. Future research and practice must consider the complexity of family structure, adopt longitudinal designs, provide direct empirical links between family involvement and resident outcomes, and offer rigorous evaluation of interventions in order to refine the literature. NIH-PA Author Manuscript Keywords Family Involvement; Nursing Homes; Assisted Living Facilities; Family Care Homes; Family Caregiving; Informal Care NIH-PA Author Manuscript Over the past several decades, various research studies have demonstrated that family members remain involved in the lives of their loved ones following placement in residential long-term care facilities (e.g., Bowers, 1988; Maas et al., 2000; Rowles & High, 1996; Smith & Bengston, 1979; York & Calsyn, 1977; Zarit & Whitlatch, 1992, to name a few). These collective findings have helped debunk the myth that families abandon their relatives in nursing homes or similar settings to die in isolation (Rowles, Concotelli, & High, 1996). Although the roles of families in residential long-term care have continued to receive attention in the literature, the findings are diverse as studies are often conducted from different perspectives and are dispersed across various disciplines. The...
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...1 Introduction to Clinical Applications Objectives In this chapter we will study • various approaches to the study of disease; • the role of the Centers for Disease Control and Prevention; • common causes of disease; • the distinction between signs and symptoms of disease; • terms used to describe the time course of a disease; and • common abbreviations for medical specialists and specialties. Homeostasis and Disease The body’s tendency to maintain internal stability is called homeostasis. Examples include the body’s relatively stable temperature, blood glucose concentration, hormone levels, acid-base balance, and electrolyte balance. When physiological variables deviate too much from their set point, the body activates negative feedback loops that tend to restore stability and maintain health. In some cases, such as the stoppage of bleeding, positive feedback loops are activated to bring about rapid change. If the attempt to regain homeostasis fails, disease results. There is a strong emphasis in medicine today on promoting wellness through prevention. However, this manual focuses on what happens when prevention fails, homeostasis is disrupted, and disease occurs. The Study of Disease Disease (illness) is any deviation from normal that interferes with correct, life-sustaining bodily function. Literally, the word means dis-ease, the opposite of ease (comfort and normal function). Disease may have underlying structural foundations, such as a broken bone, and its...
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...Ethics in the Marketing of Medical Services STEPHEN R . LATHAM, J.D., PH.D. Abstract This paper deals with the ethics of marketing medical services by physicians, medical groups, hospitals and other mainstream medical caregivers in the United States. It does not deal with pharmaceutical marketing, since that raises a number of special issues, some of them legal and some having to do with the unique culture of pharmaceutical marketing, which really ought to be dealt with separately. Nor does it touch on the little-explored field of marketing alternative and complementary medicine. It begins with a general description of what is included in "the marketing process." It then briefly tours some of the difficulties faced by those who would market medical services ethically, and ends with some conunents on the relevance of professionalism to ethical marketing. Key Words: Professionalism, medical marketing, market competition, health care, product, placement, price, promotion, ethics. Marketing 101: The Four P's the idea of "marketing" with promotion and advertising. But in fact, "promotion" is only one of the famous "four P's of marketing" taught in most business schools. The first step in any marketing plan is to determine the nature of the Product (or service) one wishes to sell. Next, one determines its Placement, the distribution channels through which the product or service can best be made available to the consumer. Then, one attempts to determine the Price at which the...
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...6. Emerging and Re-emerging Diseases Chapter 8 Disease is not constant • Emerging Diseases – are recently “discovered” diseases, or diseases that have become increasingly important. • Some are old diseases just discovered – like Hepatitis C • Some are truly new like HIV • Many are taking advantage of some niche – like air conditioners in large buildings – Legionella pneumophila • Diseases moving to new parts of the world – West Nile Virus • Re-emerging Diseases – are diseases that became less important, but are again increasing in importance. • Tuberculosis is an old disease that is again rapidly increasing in some populations. 1 2 Health Science Microbiology David L. Beck, B.S., A.M., Ph.D. FYI Emerging Diseases - Examples FYI Re-emerging Diseases - Examples 3 4 Known Species The Tip of the Iceburg • How many species are there? • 1980 there was 1,792 described species • 1990 there was 3,393 species (173 new per year) • 2000 there was 6,386 species (299 new per year) • 2010 there was 12,926 species (654 new per year) • Oct 2011 there was 13,563 species (Yikes!!!) (Most of these we know nothing about other than their name.) WE KNOW VERY LITTLE 80% of bacteria are unculturable – what you do not know about can hurt you! 61% of the known 1415 species infectious (and counting) to man are from animals (zoonoses) • • • • 5 Want to know the current number of described species? See: http://www.bacterio.cict.fr/number.html Updated daily. 6 Normal...
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...Emerging Trends in Healthcare A Journey from Bench to Bedside 17 February 2011 © 2011 KPMG, an Indian Partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved. Acknowledgement India’s competitive advantage lies in the lower production and research cost, its large pool of low cost technical and scientifically trained personnel, and large number of compliance certified manufacturers and service providers, which make us different from others. ASSOCHAM feels that technology incubation is no longer confined to a few institutions; it is a responsibility that we have to share, if we wish to see a better and a healthy future ahead. There is an immense need to develop skilled manpower in the area of healthcare and modern as well as traditional medicines. I am glad that this Summit on Emerging trends in Healthcare will bring forth the journey from research desk to the bedside of patient, as we will look at healthcare at the frontline to identify some common challenges that may help explain the complex nature of healthcare and the scale of the “change” challenge. I wish to thank KPMG for unanimously contributing towards this Knowledge Paper, which gives a rich and comprehensive insight of the trend in healthcare. I would also take the opportunity to thank QCI for supporting this event. The case studies contributed providing the best of...
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