...provides an overview of how small hospitals can maximize resources. Why is it important? Small hospitals must compete vigorously to attract and retain physicians. How do I use it? Read this and look for new articles through CAP TODAY. It’s a Small World: Making the Most of Modest Means By Karen Southwick When a laboratory instrument breaks down at Marian Medical Center, on the central coast of California, staff members roll up their sleeves to fix it because the nearest repair facility is three to four hours away, which means at least a day’s turnaround. "We have to be very good at repairing instruments ourselves and doing on-site and preventive maintenance," says Nancy Felton, laboratory manager at Marian, a 167bed hospital in Santa Maria, Calif., about equidistant from San Francisco and Los Angeles. Consequently, reliability and user-friendly maintenance and repair are key criteria in the hospital’s purchase of new or replacement instruments. "We want to be able to deal with most problems ourselves," Felton says. Marian Medical Center and other small hospitals (under 200 beds) share similar labmanagement problems: When considering new tests, these labs must justify not only the cost of the equipment, but also the space and training resources they will consume. Turnaround time and volume are also important factors. 1 Practice Management Toolkit © 2011 College of American Pathologists. All rights reserved. At the same time, small hospitals must compete vigorously to...
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...The Major Differences in Hospitals Today and 100 years ago. The Roles of modern hospitals Student’s Name Name of the University Professor's Name 30 July 2012 Author’s note The Major Differences in Hospitals Today and 100 years ago. The Roles of modern hospitals As defined by Miller (1997) a hospital is an institution which provides beds, meals, and constant care for patients while they undergo medical therapy at the hands of professional physicians. These services are meant to restore the patients’ health. Currently the hospitals have diversified their functions. The ownership of hospitals in the modern society ranges from worldwide organisations, Governments, nongovernmental organisation to individuals. Despite this diversity in ownership, the quality of services offered are mainly controlled and monitored by either different world wide organisations or respective governments. Hospitals as important organisations, have become better as compared to 100 years ago As compared to 100 years ago, hospitals have changed in a great way. This is because of the outbreak of different new diseases. Modern hospitals are highly scientific and...
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...Case 26 -- It's My Job!! Betty is an outpatient clerk in a 150-bed urban hospital. Her duties consist of admitting patients for scheduled outpatient procedures, obtaining the necessary verification of benefits from insurance companies, and working with utilization review personnel to ensure that all the precertification information is received when needed. Various staff members have complained to Jean, Betty's supervisor, about Betty's abrasive attitude and the foul language she occasionally uses. Jean was hired six months ago to replace Kate, who moved to another hospital. Betty has a reputation of being hard to get along with and coworkers avoid contact with her as much as possible. In June, Betty announced she was three-months pregnant and was expecting her baby in early December. Jean told Betty to review the requirements in the personnel handbook regarding pregnancy leave. A leave-of-absence (LOA) form was to be completed by Betty stating when her baby was expected and the amount of time she was requesting off. The personnel manual also stated that every effort would be made to return an employee on LOA to his or her previous job, but no guarantee could be made that the same job would be available. In September, Betty began having trouble with her pregnancy. In early October, she was put on bed rest and instructed not to return to work. Betty called Jean to inform her of the doctor's order, and Jean told her to keep in touch. Because Betty was not due...
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...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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...Have you been to the hospital? Technology saves people every day and it hurts people every day. So is technology a good or bad thing? Technology is a good thing ,Hospitals save 39,000 people every year using technology.Some of the technology hospitals use are heart monitor which records your heart for irregular heart beats. technology is a good thing that saves lives everyday and there are lots of life saving technology. Technology saves lives. Hospitals use things like cat scans which can make a 3D image of your brain. Cat scans of your brain can give you more information about brain tissue and brain structures than a standard x-ray of the head. Therefore giving more info on injuries or diseases of the brain. I have been saved by the hospital. I was riding on a gader with my mom while we were feeding the animals and i jumped off to fast and she ran right onto my stomach and stopped i blacked out. When i woke up i was on the side of the fence and the only thing i remember that hurt was my tounge. Then we went to the hospital and i got a cat-scan but i did not break anything i just popped blood vessels. Technology saves people everyday. Is technology a good or bad thing to have? I believe it is a good thing to have. With technology hospitals can improve the lives of patients. I know first hand how hospitals can save lives. Because of what I have experienced. I believe in the hospitals technology how about...
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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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...ASSIGNMENT BRIEF Assignment MBA 401 OPERATIONS MANAGEMENT ACADEMIC YEAR 2011/2012 |Module code and title |MBA 401 Operations Management | |Module tutor |Mr. Quoc Dinh Ngo | |Tutor with responsibility for this Assessment |Mr. Quoc Dinh Ngo | | | | | |(this is your first point of contact) | |Assessment |Individual Essay | | | | | |100% of module assessment | | | | | |3,000 words ...
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...CURRENT ISSUES SERIES Mergers & Acquisitions: Organizational Culture & HR Issues Deborah A. Pikula IRC Press Industrial Relations Centre Queen’s University Kingston, ON K7L 3N6 Tel: (613) 533-6709 Fax: (613) 533-6812 E-mail: ircpress@post.queensu.ca Visit our Website at: http://qsilver.queensu.ca/irl/qsirc/ Queen’s University ISBN: 0-88886-516-3 © 1999, Industrial Relations Centre Printed and bound in Canada Industrial Relations Centre Queen’s University Kingston, Ontario Canada K7L 3N6 Publications’ Orders: 613 533-6709 Canadian Cataloguing in Publication Data Pikula, Deborah A. Mergers & acquisitions : organizational culture & HR issues (Current issues series) Includes bibliographical references. ISBN 0-88886-516-3 1. Personnel management. 2. Corporate culture. 3. Organizational change. 4. Consolidation and merger of corporations. I. Title. II. Series: Current issues series (Kingston, Ont.). HF5549.P469 1999 658.3 C99-932294-X Executive Summary Mergers and acquisitions are increasing in North America as organizations try to expand their operations and increase their competitive advantage. But despite optimistic expectations, mergers and acquisitions frequently fail, in part because managers neglect human resource issues, which are rarely considered until serious problems arise. This study highlights the importance of proactive management of human resource issues, concurrently with financial issues, and offers detailed practical advice to help ensure...
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...Alzheimer’s Disease Scholarly Article Nikita Patel Chamberlain College of Nursing NR 222 Health Promotion Throughout Life Span Summer 2012 Alzheimer’s Disease a progressive neurologic disease of the brain leading to the irreversible loss of neurons and the loss of intellectual abilities, including memory loss and reasoning, which becomes severe enough to impede social or occupational functioning. The article Poor Decision Making Is a Consequence of Cognitive Decline among Older Persons without Alzheimer’s Disease or Mild Cognitive Impairment is about decision making is an important determinant of health and well-being across the lifespan but is critical in aging, when many influential decisions are made just as cognitive function declines. The increasing evidence suggests that older adults, even those without dementia, often make poor decisions and are selectively vulnerable to scams. The memory and aging project did a experiment with 420 non-demented persons to see if cognitive evaluations and subsequently completed assessments of decision making and susceptibility to scams. In this study, the researchers tested the hypothesis that poor decision making is consequence of cognitive decline among older people without AD or MCI. Decision making is a complex behavior that require higher order cognitive functions and is critical in aging when some of life’s most influential decision are made. For reasons unknown, older person are highly vulnerable to poor decision choices...
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...Phase 1 Description of Company Super Technologies Limited is a business that sells computer parts at wholesale prices. The company was founded in 1988 and they are one of main suppliers to individuals and smaller businesses involved in the sale and repair of desktop computers. They have six conveniently located branches around the country. Customer service is important to this company; they provide a wide range of payment options, delivery hours and flexible prices with their business transactions and their dealings with customers. Therefore they have developed a good reputation amongst customers and have grown a large loyal customer base. Problems They Are Facing For a business that sells computer parts, it would be expected of them to have a database, or some form of electronic tracking in place of their stock. They are using paper invoices etc. which are being backed up and lost. Currently the staff prints out extra copies of all invoices and purchase orders and places these documents in a box for the accountant to pick up at the end of the month. This is a huge waste of paper and is a very tedious task. This causes problems within the individual branches and the company overall. Currently staff members may have to spend quite some time in order to find the correct invoice for a particular item. They place these invoices in different folders which are sorted by date and keep them in a filing cabinet. The business is in desperate need of a database to keep track...
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...Barclay Memorial Hospital (BMH) has served its community since 1947 offering the best in health care and gaining the trust of the citizens in the community. A district board was set up to govern the hospital and direct it in a way that would allow the hospital to achieve their goals by bringing quality health care to the neighborhood. The district board was made up of five members who were elected by residents in the district to serve 3-year terms. Around 10 years ago, the board and the CEO decided that the best course of action for the hospital in order to remain competitive was to join a medical group, Valley Physician Group. This made BMH a private, not-for-profit hospital. However, the physician-hospital organization eventually dissolved after financial failure and the hospital went back to being a district ownership. After this failure, the board decided to hire a new CEO, Gregory Schilling. Schilling brought the hospital back to financial viability and improved morale for the hospital with the company's success. However, this success was short-lived and Schilling’s relationship with the board started to unravel because of it. Schilling had a history of working for a not-for-profit hospital and has spent 45 years as a hospital administrator. Schilling also has a history of severe back problems that has started to restrict his ability to work. Schilling did a lot to improve the hospitals business. He increased the morale of employers, made renovations to update the facility...
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...defined simply as hospital-acquired infections. These infections are not present initially and typically occur within 48 hours of a patient’s admission, within 3 days of discharge or approximately 30 days after an operation. (Inweregbu, Dave & Pittard, 2005) Not just in the United States, but also globally, such infections are rising significantly with no solutions available currently. And, though it is exceedingly difficult to gather reliable information, especially within smaller countries, it has been shown that hundreds of millions of individuals are impacted by such infections each year. Nosocomial infections are an endemic globally with high incidence in both developed and undeveloped countries. Such infections are particularly pertinent in both ICU and NICU patients. In America, it is typical to find that 4.5% of patients will fall ill to such infections when taking the entire population into consideration. European countries see a prevalence rate of approximately 7.1% when considering the population as a whole. These rates will become higher when looking at a sample such as the ICU or NICU where rate of infection can range from 30%-51%, taking into consideration, the longer the stay the greater the risk. (World Health Organization) However, when considering the low and middle-income populations of underdeveloped countries, these rates are considerably higher. It is estimated that up to 19.1% of patients will become sick with a secondary hospital acquired infection...
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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: 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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