...Decrease adverse drug events (ADEs) within our facility by increasing medication reconciliation at patient’s transfer into our facility to 90% within 6 months. TEAM MEMBERS AND ROLES Team Member Role/Importance Medical Director Acts as the sponsor of the project and provides accountability for the team members. Serves as the executive link providing resources and helping the team overcome barriers. He is also the team's clinical leader because he has the authority to implement the change and understands the implications of the proposed changes to the system. Pharmacist The pharmacist has technical expertise on drug therapy and can improve safety by identifying duplications in medication regime and possible medication interactions. Also serves to help review medications if a physician is not familiar with them. Registered Nurse Serves as a project driver by implementing and overseeing clinical data collection. They also facilitate patient involvement in his or her own care by providing education. IT Brings to the team the required technical expertise to develop an automated medication reconciliation process in our Electronic Health Records. Also serves as a critical member to train staff on proper uses of the system. Care Coordinator Visits patient onsite before they are transferred. Serves as a liaison between both facilities. Ensures that all available clinical and medication information is collected from the previous care team and arrives at our facility with the patient...
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...Health Rights/Responsibility 03/15/2014 Week 2 You Decide Assignment Identification After going through the case of Margie Whitson, the dilemma is the fact that Margie is looking to have her pacemaker removed which will in turn would end her life. So far, Margie Whitson has had a rough year and has come to the decision that she wants her pacemaker deactivated because she believes it is delaying her death. Her pacemaker is the only thing keeping her heart beating at this point. But even at that, her doctor, Dr. Vijay, refuses to deactivate it due to the fear of legal action/misunderstandings of the ethical and legal acceptability. Margie Whitson is very determined to have her pacemaker removed so she call for Jane Robison, the social worker who decided to bring the case to the notice of the ethics committee. The morals involved here is the patient’s right to refuse care if she chooses and also the right to die. The moral principles of ethics involved also in this case are: Beneficence- act of doing good, demonstrating kindness, showing compassion, and helping others; Non-maleficence- avoiding the infliction of harm; Justice- the duty to be fair in the distribution of risks and benefits, and; Autonomy- recognizing an individual’s right to make his or her own decisions. The morals in conflict here are justice, non-maleficence and autonomy. The doctors, nurse, social workers, and ethics committee need to be sure that non-maleficence is not being implemented while considering...
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...A nursing assistant wheels Margie Whitson back to her room at Golden Oaks Rehabilitation Center and helps her back into bed. Golden Oaks is located on the grounds of Marion General Hospital, owned and operated by the hospital board of directors. It has been a very difficult day. Margie takes a deep sigh as she leans back into bed and says, “I’ll get into night clothes in a few minutes if that’s alright. I’d just like to sit here and think for a little while.” The nursing assistant nods in agreement Margie has just attended the funeral of her son William, who died this week after several years of poor life quality in the same nursing facility. William’s first stroke happened 3 years prior; two more strokes followed, and he lingered in poor health at the center over the intervening time. Margie is now 95 years of age, and William was 73 when he passed this week. The last 5 years have simply been devastating for Margie. First her husband Earl passed on at the age of 88. They had been married for 68 years, most of them wonderful and successful years together, until the medical problems began. They had one other son, Jacob, who died in a motor vehicle accident in his 30s. As Margie sits in the quiet of her nursing home room, she faces the reality that she is utterly and completely alone in the world. She and Earl had hoped for grandchildren, but that never happened, and Margie’s family is simply all gone now. Margie’s own health is poor. A hip fracture 10 years ago...
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...The Nightingale Community Hospital is anticipating an audit from the joint Commission in the next 13 months to come and they are preparing to perform well in the audit. The hospital will focus on improving its communication process. The purpose of communication in healthcare setting is to disseminate information about the patient and what needs to be done because the patient is releasing decision making ability and safety into the control and care to the doctor. Communication is very vital because it will determine the outcome of the procedure. Communication has been a big problem in health care organization they certainly contribute to 80% of serious medical error. This action plan is going to identify areas that are non-compliant and provide a plan of correction. The purpose of this visit is to determine whether NCH is compliant with the standard set by The Joint Commission. Hospital should comply with the Joint Commission standard to keep patient and staff safe and as well as maintain the quality of care. Communication is very important in healthcare because it improves patient care and the quality of care. NCH core values focuses on safety, community, teamwork and accountability for every patient at the point of admission to discharge. In preparation for the audit the NCH will evaluate how effective is the communication between doctors, nurse and the other staff using the universal Protocol Standard from the Joint Commission handbook. This report is to address the issues...
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...HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 To purchase this visit following link: http://www.activitymode.com/product/hsm-542-entire-course-study-guide-week-1-to-8/ Contact us at: SUPPORT@ACTIVITYMODE.COM HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 To purchase this visit following link: http://www.activitymode.com/product/hsm-542-entire-course-study-guide-week-1-to-8/ Contact us at: SUPPORT@ACTIVITYMODE.COM HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 To purchase this visit following link: http://www.activitymode.com/product/hsm-542-entire-course-study-guide-week-1-to-8/ Contact us at: SUPPORT@ACTIVITYMODE.COM HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 To purchase this visit following link: http://www.activitymode.com/product/hsm-542-entire-course-study-guide-week-1-to-8/ Contact us at: SUPPORT@ACTIVITYMODE.COM HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 HSM 542 ENTIRE COURSE STUDY GUIDE WEEK 1 TO 8 To purchase this visit following...
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...HSM 542 Health Finance You Decide: Week 6 February 11, 2015 As the Chief Financial Officer is important to look for ways to improve cash flow and patient intake within Community Memorial Hospital. In light of the new information that was given from Bill Jacobs, the Human Resource Director at Commercial Intertech (CI), about the contract signed with MegaPlan Health. Community Memorial Hospital is not on MegaPlan Health’s Preferred Provider Network (PPN), and could potentially lose out on 9,000 patients in total from CI, without becoming a preferred provider. To become a preferred provider with MegaPlan Health, there are many prerequisites it requires within the contract upon signing. There are many qualms that have come up from this new contract being signed. The Chief of Staff stated that one-third of his patients come from CI, and if we do not sign the contract with MegaPlan Health, he plans on leaving our hospital. Our CEO has a great idea, to create our own counter-contract proposal in order to help keep some of our own practices in effect. According to our Business Office Manager, we cannot work with MegaPlan. She has worked with them in a different hospital and they make it impossible for claims to get approved, and when they are approved they are wrong. One of our CNO’s stated that we need to sign the contract with MegaPlan because our people will panic and we will potentially lose some of our best nurses. I believe that it would be the best to follow...
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...Week 5 You Decide Little Falls Hospital Risk Manageme June 7, 2013 HSM 542 Health Rights and Responsibilities Professor Julie Dennis Problem In the case of Lydia Bevin and Little Falls Hospital I have been asked by Felicia Larue, the hospital CEO, to give a briefing on the patients situation and alternative actions that could be taken by the hospital to ensure that the rights of the patient are preserved and the risks to the hospital are minimized (University, 2013). Summary and Recommendations Lydia Bevin is receiving support that is sustaining her life and has been receiving this support for over six-months after she was in an automobile accident. Lydia is paralyzed and unable to communicate due to the accident. It has not been confirmed whether Lydia is incapacitated, as she is unable to talk and can only nod her head. The hospital staff is not even sure that Lydia is capable of understanding information that will allow her to make health care decisions for herself. According to the New York Health Care Proxy Law, her husband has the “legal right to make decisions on behalf of his wife, since he is her legal guardian and surrogate decision maker” (New York State, ). Mr Bevin has asked that life sustaining support be withdrawn per his wife’s wishes. Lydia's mother does not support the decision to withdraw active treatment because she believes that Lydia has a chance of recovering. Lydia had prepared an advance directive but at this time the advance directive...
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...You Decide Week 6 Little Falls Hospital Risk Management HSM 542 Health Rights and Responsibilities Purpose A risk management plan is created so as to support Little Falls Hospitals mission and vision statements as it pertains to the clinical risk of the hospital, patients, visitors, volunteers, and employee safety, and any possible operational, business, and property risks. Culture Principles The Patient Safety and Risk Management program will support Little Falls Hospitals philosophy; everyone is responsible for patient safety and risk management. It is essential to have participation and teamwork among providers, management, staff and volunteers. The Patient Safety and Risk Management program will be implemented with the coordination of multiple organizational and department functions and activities. Little Falls Hospital will support the introduction of a just culture with emphasis on evidence based best practices, learning from errors, and providing feedback instead of punishment and blame. In a just culture any unsafe conditions or hazards will be identified quickly, medical or patient care errors will be reported and analysed, open discussions of mistakes and suggestions for improvements are welcome with patient safety and risk management practices. Individuals will still be held accountable for compliance. When evaluation and investigation into errors reveals there has been reckless behaviour or there has been wilful violation of policies then disciplinary...
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...sustained growth through foresight ANNUAL REPORT 2009-2010 Vision Global recognition for size, culture and quality, while nurturing nature and society. Mission Supporting the nation’s growth in power and steel with speed and innovation. Core Values l Crystal clear l Passion for excellence l Drive with leadership l Young thinking l Challenging status quo Contents Vice Chairman’s Statement.....................................02 Highlights 2009-10.....................................................04 Board of Directors........................................................05 Notice...............................................................................06 Directors’ Report..........................................................11 Management Discussion and Analysis......................22 Report on Corporate Governance...............................38 Auditors’ Report.................................................................48 Standalone Accounts.......................................................50 Consolidated Accounts...................................................79 Shri O. P. Jindal August 7, 1930 – March 31, 2005 O. P. Jindal Group – Founder and Visionary Only a life lived for others is a life lived worth while An industrialist par excellence under whose aegis the O P Jindal Group grew from strength to strength. But for the world at large Late Shri O P Jindal was much more than that. He was also a leader of masses, some one who...
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...MORE ADVANCE NOISE FOR QUIET “An intriguing and potentially lifealtering examination of the human psyche that is sure to benefit both introverts and extroverts alike.” —Kirkus Reviews (starred review) “Gentle is powerful … Solitude is socially productive … These important counterintuitive ideas are among the many reasons to take Quiet to a quiet corner and absorb its brilliant, thought-provoking message.” —ROSABETH MOSS KANTER, professor at Harvard Business School, author of Confidence and SuperCorp “An informative, well-researched book on the power of quietness and the 3/929 virtues of having a rich inner life. It dispels the myth that you have to be extroverted to be happy and successful.” —JUDITH ORLOFF, M.D., author of Emotional Freedom “In this engaging and beautifully written book, Susan Cain makes a powerful case for the wisdom of introspection. She also warns us ably about the downside to our culture’s noisiness, including all that it risks drowning out. Above the din, Susan’s own voice remains a compelling presence—thoughtful, generous, calm, and eloquent. Quiet deserves a very large readership.” —CHRISTOPHER LANE, author of Shyness: How Normal Behavior Became a Sickness 4/929 “Susan Cain’s quest to understand introversion, a beautifully wrought journey from the lab bench to the motivational speaker’s hall, offers convincing evidence for valuing substance over style, steak over sizzle, and qualities that are, in America, often derided. This book is brilliant...
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