...A hospital is a health care institution providing patient treatment by specialised staff and equipment. Hospitals are usually funded by the public sector, by health organisations (for profit or nonprofit), health insurance companies, or charities, including direct charitable donations. Historically, hospitals were often founded and funded by religious orders or charitable individuals and leaders. Today, hospitals are largely staffed by professional physicians, surgeons, and nurses, whereas in the past, this work was usually performed by the founding religious orders or by volunteers. According to A.S. Zigmond and R. P. Snaith (2007), a self-assessment scale has been developed and found to be a reliable instrument for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. The anxiety and depressive subscales are also valid measures of severity of the emotional disorder. It is suggested that the introduction of the scales into general hospital practice would facilitate the large task of detection and management of emotional disorder in patients under investigation and treatment in medical and surgical departments. The past decade has been a turbulent time for US hospitals and practicing nurses. News media have trumpeted urgent concerns about hospital understaffing and a growing hospital nurse shortage. Nurses nationwide consistently report that hospital nurse staffing levels are inadequate to provide safe and effective care. Physicians...
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...A VISIT TO A HOSPITAL A VISIT TO A HOSPITAL Points: Introduction – The view of the hospital – Inquiry about friend – Description of outdoor wards – Description of indoor wards – Special rooms – Conclusion. The other day I heard that a friend of mine had met with an accident. He had been admitted in the Jinnah Hospital. I went to see him there in the evening. The hospital was quite big. There was a large compound wall to enclose the hospital. The tall trees provided their cool shade to the visitors. The roads, the paths and by-ways inside the compound were very clean. I was much impressed with the first view of the hospital.4essay.blogspot.com I went first to the Enquiry office and there I came to know that my friend is in Room 41 on the first floor. A ward boy of the hospital conducted me to the room. There I found my friend asleep. I asked the nurse about his condition. She told me that he was out of danger. This assurance made me inclined to go round inside the hospital. On moving round the hospital, I saw the outdoor medical wards, general wards, emergency ward, operation theatre, X-ray room, etc. The outdoor medical wards, both for men and women, were crowded with patients. The scene at the surgical outdoor ward was no different. It was painful to see the patients groaning under pain in the emergency ward. The patients at the outdoor wards get the treatment after a good deal of waiting. I felt that there was an acute shortage of staff. The doctors could not...
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...Latest Technological Development in Hospitals 1. Patient identity confirmation When patients admit to the hospital, they are required to register. During the traditional registration process, nurse will fix a 2D barcode on patients’ forearm in order to identify patients. Today, nurse will take a photo of patient as well and this photo will store in the database of patient. No matter what treatments, surgeries or even food patients are going to take, staff in the hospital would use their own PDA to reassure that things are doing on the right patient by checking the barcode and patient’s face. 2. Centralized vital signs monitor system Vital signs, including pulse, respiration rate, body temperature and blood pressure are important signals to determine a patient’s health condition. Sudden change in a particular signal may represent one’s emergency condition. In this system, all patients’ vital signs will be recorded and analyzed in real-time. If the data of any particular patient is not at the normal state, warning signal will be sent to corresponding staff’s PDA. 3. Electronic medical fact sheets and forms All medical fact sheets, recording facts of patients, such as blood sugar level, would be completed by PDA in electronic basis. The PDA used by staff can be connected to different medical devices, such as blood sugar level tester. Staff are not required to fill in any kind of forms and data will be sent to the database once nurses or doctors confirmed the results. ...
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...Hospital Reimbursement – Differences Between Medicare and BWC The two tables below provide a summary of areas where the Ohio Bureau of Workers’ Compensation (BWC) differs from Medicare for reimbursement of hospital inpatient and outpatient services. Use this document as supplemental material to support Ohio Administrative Code Rule 4123-6-37 Payment .1, of Hospital Inpatient Services, and Rule 4123-6-37 Payment of Hospital Outpatient Services, for the .2, effective dates specified at the beginning of each table. 4123-6-37.1 Payment of Hospital Inpatient Services Effective for Discharge Dates from Feb. 1, 2011, to Jan. 31, 2012 Area Payment adjustment factors Medicare 100 percent of the Medicare rate (Includes both the Medicare portion and the beneficiary portion) BWC • 120 percent of inpatient • • • prospective payment system (IPPS) rate for inliers (non-outlier bills). 180 percent of IPPS rate for outliers Additional 0.25 percent adjustment to restore Medicare’s market basket adjustment Additional 2.9 percent adjustment to restore Medicare’s documentation and coding adjustment Hospital acquired conditions (HACs) provision Reduces IPPS payments when hospitals meet the HAC criteria Excludes the HAC provision Direct graduate medical education per diem (DGME) Does not provide DGME per diem payments under IPPS Provides a per diem add-on payment for DGME for eligible providers Does not reduce IPPS payments Does not apply DGME per diem addon payments to outlier bills...
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...Healing Hospital's Every hospital posts their mission statement where the public can read the promising words describing a caring compassionate health care team that is there for you. But when people show up looking for that compassionate caring help during their time of need they often find that the medical staff is sometimes rude, condescending or nowhere to be found. And if that doesn’t make you already feel helpless and scared, toss in some loud overhead messages such as “Code Blue to emergency”. Then you see someone being wheeled around on a gurney looking scared and sick sometimes with body parts hanging out that should not be because no one took the time to care about the patients’ modesty. If you are not aware that there is a difference between the hospitals that treat the signs and symptoms of your disease and a “Healing Hospital” you are not alone. “Healing Hospitals” believe that love and spirituality are key components for healing and believe healing the mind, body and soul of the patient instead of just treating the signs and symptoms of disease can help heal the overall disease that some suffer from. “Healing Hospitals” understand factors between disease and stress. Using modern technology for education, relaxation, and entertainment creates an atmosphere of health awareness and encourages healthy living for everyone involved at Healing hospitals from administrators to visitors (Mendocino Coast District Hospital, n.d.) (Geimer-Flanders, J., 2009). Specific...
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...Healing Hospital Environment and their relationship to spirituality Human caring facilitates healing. Healing should be accompanied by love and compassion for the sick persons or their families. Healing is a life-long journey of becoming fully human that involves the totality of our being. It connects our body, mind, emotion, spirit, social and political context, as well as our relationships with others and with the Divine. Healing does not necessarily mean being happy or getting what we think we want out of life; it means growth, often with pain. In the health care field spirituality plays an important role in healing, and to give a sense of well being. Spirituality enables an internal tranquility, a meaning, comfort and hope in everyone’s life. Most humans discover spirituality through religion and religious activity. At the same time, some people attain and relate spirituality through art or music, or a relation with nature or through ethics and principles. Of course, people may have different opinions if we ask whether there is a connection between spirituality and healing. However, since mind, body and spirit are intertwined, the health of any of these factors would influence health of other factors. As a personal concept, spirituality is generally understood in terms of an individual’s attitudes and beliefs related to transcendence or to the non material forces of life and of nature (O’ Brien, 2011, p.5). Spiritual practice relates to a person’s faith and behaviors...
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...Discuss the conflict that is occurring at General Hospital. Conflict is a process in which one party (person or group) perceives that its interests are being opposed or negatively affected by another party (Hellriegel/Slocum, 2011). There are four primary levels of conflict: intrapersonal, interpersonal, intragroup, and intergroup (Hellriegel/Slocum, 2011). Intrapersonal conflict occurs within an individual and usually involves some form of goal, cognitive, or affective conflict (Hellriegel/Slocum, 2011). General Hospitals’ CEO Mike Hammer experiences intrapersonal approach-avoidance type conflict since he is trying to devise a master plan to cut costs, increase revenues, expand current services, and add new services. Interpersonal conflict occurs when two or more individuals perceive that their attitudes, behaviors or preferred goal are in opposition (Hellriegel/Slocum, 2011). Once Hammer presented his ideas to Dr. Mark Williams, Director of Medicine an intrapersonal conflict was shown since he felt that all physicians act in the practice of good medicine and forcing them to adhere would make it harder to keep and attract new physicians. Intragroup conflict refers to disputes among some or all of a group’s members, which affects a group’s dynamics and effectiveness (Hellriegel/Slocum, 2011). Although Marge Harding’s father and brother are medical doctors, she isn’t wowed by their positions, doesn’t mind challenging physicians, and views them as one dimensional. This represents...
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...Hello. I am the CEO/Manager of Twin Oaks Regional Medical Center in greater Columbus, Ohio. Twin Oaks is the 2nd largest hospital in Ohio. We are also ranked in the top 5% of the hospitals in the United States according to the U.S. Health 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...
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...Healing Hospital Healing: adjective tending to cure or restore to health (Merriam-Webster. 2015). When a person hears the word healing they might only associate the word with physical healing. However, when a Nurse hears the word healing they consider not only the physical person, but their spiritual and emotional wellbeing. Until recent years the Medical community has focused on healing the body and neglected other aspects of a person’s health and wellbeing. Thanks to organizations like Healthy People 2010 a better understanding has occurred, in which now the importance of treating the person as a whole is understood. Efforts to make changes in which a patient is treated are in full effect thanks to this better understanding. However, with all these changes coming to the forefront all at once it has become challenging for the Medical Community. The Purpose of this paper is to illustrate the components of a Healing Hospital and the challenges that come along with implementing those components. Supporting the Physical as well as Emotional Wellbeing Practitioners main focus when treating a patient is to acquire a diagnosis, and then treat or cure that diagnosis then send the patient home. This is all well and good however, they could be potentially leaving out treating the emotional wellbeing of a person. Which could lead to the patient recovering but later on returning for medical attention because either the issue has returned or become worse. For example, a young...
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...Healing Hospital: A Daring Paradigm Bradley Smith Grand Canyon University: HLT-302 Due: 03/17/13 Healing hospitals are currently on the decline in health care America. Most health care providers have lost the true meaning of healing their patients holistically; both physically and spiritually. If healing hospitals started to come back, I believe that not only will the physical care of a patient increase. But patients will be happier and feel spiritually healed also. If healing hospitals were to make a comeback, hospitals and doctor’s offices would not seem so cold and unwelcoming to the patients. Even though there are challenges in creating a healing hospital, they are still a necessary component in the health care system for patients to feel spiritually healed when they leave. Components of a Healing Hospital Related to Spirituality Laurie Eberst, the president and CEO of Mercy Gilbert Medical Center describes a true healing hospital to, “include three key components: A healing physical environment, the integration of work design and technology, and a culture of radical loving care.” (Eberst, 2008). A Healing and Physical Environment When patients and their families enter the hospital, they are all under a lot of stress due to the illness of the patient. When a hospital provides aesthetically pleasing waiting rooms and doctor’s offices, it helps the patients and their families cope with that stress they are having. It is also important for a healing hospital...
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...Hospitals originated in the 17th century primarily as an institution to provide housing and basic healthcare for the poor. It provided a haven to quarantine individuals to prevent the spread of highly contagious diseases. The technologies and vaccinations available did not allow for the comprehensive care we rely on today. Those who could afford clinical care would pay doctors and nurses to provide services in their home. In the early 19th century, as industrial cities became more populated, the demand for clinical and institutional care grew. Medical technology and scientific innovation made ambulatory healthcare available, yet there was not enough capital to support building large institutions viable to facilitate it. Religious organizations, philanthropists, and local governments built private and public institutions designed to deliver ambulatory, inpatient, and emergency care to local populations. By the beginning of the 20th century, hospitals became capable for research, development, and scientific discovery. Facilities became very large, housing and treating patients as well as facilitating medical research. Modern hospitals now provide clinical care to the most complex and critically ill patients while researching, innovating, and advancing medical technology. With increasing demand for treatment of chronic care, as well as the advancements in acute ambulatory care, modern hospitals have integrated vertically and horizontally to diversify their brand and provide an...
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...Healing Hospitals: A Daring Paradigm Anna Hernandez Grand Canyon University Spirituality in Health Care HLT-310V Richard Hudock July 27, 2014 Healing Hospitals: A Daring Paradigm Spirituality and religions, effects on health has become an increasing interest to scientist since the 1980’s. According to Smith (2006), spirituality has gained such a momentum that there are multiple articles and several textbooks on spirituality since the year of 1989. The consensus is developing that spirituality and religion are closely related to physical and psychological health and that spirituality and health are an important focus in nursing research (Smith, 2006). Spirituality, however, has many definitions. The majority accord that, it is defined as the manner by which persons seek meaning in their lives and experience transcendence-connectedness to that which is beyond the self (Smith, 2006, p. 41). Spirituality has two dimensions and is a highly complex concept. There are two components of spirituality that are generally described. The vertical, which describes the transcendent, is the connection between a patients (inner body) or something outside such as, a higher power or the divine (Smith, 2006). The horizontal component relates to the connection between persons. This consists of individual and social support that are, set in, the spiritual context by religious setting and spiritual relationships (Smith, 2006). The American Association of Critical Care Nursing (2006)...
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...A Healing Hospital has many great qualities to it and really does improve the healing process of a patient. Love is believed to be the center of healing. A Healing Hospital is to give a loving service to others in need (Chapman, 2010). A Healing Hospital has been forgotten with the growing technology and medications for everything in the hospitals of today. The Healing Hospital needs compassion and skill as well as new technology and medications (Chapman, 2010). Having the honest support of management and leadership is needed to achieve a Healing Hospital and giving the appreciation to the staff providing the care to the patients. There is three main components that the Healing Hospital embraces. The three ideas are a healing physical environment, integration of work design and technology, and a culture of Radical Loving Care. The healing physical environment must provide to the patient and family a loving, nurturing, and compassionate aesthetically pleasing environment (Eberst, 2011). Having these qualities help the patients and families deal with the illness and stress that accompany the illness. It is not only caring for the patient but how we interact and care for the families and caregivers. The medical facility that creates and promotes a quiet atmosphere also help to provide a less stressful and calmer work environment for all physicians, staff members, and promotes and supports healing for patients. Reducing overhead pages, loud cleaning equipment, long hallways...
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...Shouldice Hospital, the hospital management is looking to increase the capacity of the hospital to meet the demand without sacrificing the quality of service the hospital offers and has built up over 30 years. 2. Situation analysis Shouldice hospital is a well-known hospital for its specialization in hernia operations. Last year, Shouldice performed operations on 7500 patients. The greatly developed technique that the hospital uses and the excellent customer service that all staff members and doctors work hard to provide give the hospital a great reputation. Thisincreases demand on the hospital as its exceptional reputation increases patients’ desire to have their hernia operations performed at Shouldice hospital. As per the customer service, the patient should arrive one day before the operation and stay one day after for a total of 3 days. The first day gives the patient the opportunity to understand his or her situation by meeting with other patients and sharing their personal experiences. Inaddition, the patient pairs with another who has similar interests and hopes. As a result, the patient forgets their fear and enjoys their time. The journey does not end by leaving the hospital; Shouldice has a yearly event where all patients are invited to mingle, socialize, and see the doctors and staff. Currently the hospital has 90 beds, 12 full time surgeons, 7 part-time assistances, 5 operating rooms, a patient recovery room, a laboratory, and six examining rooms. The hospital does...
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...The Healing Hospital Jackie M. Long Grand Canyon University Foundations of Spirituality in Healthcare HLT 310V-0103 Andre Mooney 09/16/2011 The Healing Hospital Fighting for your health when you are not feeling well demands lots of rest, less worry and strain. One needs the love and affection from family and friends. Imagine a hospital that provided all of that. All the patient rooms would be filled with warm and tranquil colors, a separate space for family members to sleep, nurses and physicals who treated all patients with the same dignity and respect and love that they would give to their own family. The hospital grounds would have beautiful gardens so the patients can have a place besides the chapel to pray. Night time in the hospital would be a time for true rest; not a time that patients would be awakened through the night to run a blood test. Patient Education would be provided when it’s convenient for not only the patient but for the family as well. The hospital chaplain minister would be willingly available anytime day or night when needed. Nurses would not only be available for providing medical care but also available for emotional support at those times when the patient just needs someone to talk to. These are just a few of the characteristics that one would anticipate to experience at a Healing Hospital. The Healing Hospital is awarded its accreditation through the Healing Baptist Trust. To acquire this designation, a hospital must embody three components:...
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