... : No. 04-1234 : GENERAL HOSPITAL : 200 City Avenue : Anywhere, PA 19100 : Defendant : PLAINTIFFS' MEMORANDUM OF LAW IN OPPOSITION TO DEFENDANT'S PRELIMINARY OBJECTIONS IN THE NATURE OF A DEMURRER Statement of Facts Laura Spencer was admitted to General Hospital on May 1, 2003. Lucky Spencer was delivered at 11:52 p.m. The following morning a nurse brought the baby into the plaintiff’s room in a rolling crib and then left. After about fifteen minutes of nursing, Laura feeling tired called the nurse to come and take the baby back to the nursery. When the nurse returned she was hurried and appeared tired. She picked up the baby to the transport him back to the nursery, but failed to put the baby into the rolling crib per hospital policy. Instead, she held the baby in one arm and attempted to open and close the door to plaintiff’s room. The nurse lost her grip and dropped the newborn on his head onto the floor. The plaintiff immediately heard the nurse screaming “oh my God, I dropped the baby” followed by the sound of the baby’s head hitting the floor. She then heard her newborn screaming and then saw his blood running under her closed hospital door. Moments later an orderly and a nurse burst into Laura Spencer’s room and forcibly put her into her...
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...Full disclosure--I was never a soap opera fan, but my grandmother and mother watched them when I was quite young (actually before Jack Wagner even graced the screen of General Hospital). In spite of this fissure in my television viewing, for some reason, I remember being familiar with the name Jack Wagner and even recognizing him when he appeared as Bill Avery in season one of When Calls the Heart. I was a tremendous fan of his character. In fact, I was known to banter back and forth with other younger Hearties about why Bill was a better and more handsome Mountie than Jack. In spite of the unpredictable nature of Bill as played so effortlessly by Jack, I still revel in the sense of humor and intensity of passion he skillfully brings to this character every time we witness his prowess on screen. Just this week, I was finally able to chat with Jack, and this is one interview you do NOT want to disregard. We discussed a wide variety of topics including his early acting roles, his ever-expanding work for the Hallmark Channel, and even a bit about his charity endeavors. RH: Jack, I appreciate you...
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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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...MGT/230 Monica Frechette The selected organization for this topic is Massachusetts General Hospital (Mass General or MGH). MGH delivers excellence in patient care, which is advanced through innovative research and education of the diverse communities it serves. A description of MGH’s organizational structure will be provided. Two other organizational structures will be selected for the use of contrast and comparison to MGH. Lastly, the organizational functions of the various structures will be identified to determine influence on the organizational structure. MGH has most recently been ranked as the top hospital overall in the United States by U.S. News & World Report. It is ranked nationally in all adult specialties as well as for pediatric specialties. MGH was the original teaching affiliate of Harvard Medical School (HMS) and is currently one of over a dozen hospitals affiliated with HMS. MGH is owned by Partners HealthCare, which was formed by MGH and Brigham and Women's Hospital in 1994. With the opening of the Lunder Building in 2011, MGH is now the largest hospital in Massachusetts with 1,051 beds to service its community. Additionally, MGH has most recently been ranked as the top hospital overall in the United States by U.S. News & World Report 2012 – 2013 – a spot previously held by a different hospital. All these progressive decisions moving the hospital forward must begin somewhere. By establishing the organizational hierarchy and flow of...
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...vast majority of health care decisions made for families and women use health services more frequently than men (Anniston, 2012). Most women are dissatisfied with how they receive care, which is often in settings that does not support the unique aspects of care for women (Milliken, 2011). Significant opportunity exists to develop services targeting women, and even to certain age specific groups within this population making meaningful distinction in the marketplace, improving quality of care, and increasing patient satisfaction. These opportunities can range from focused niche service development to comprehensive approaches that incorporate a wide range of programs. Geriatric Patients Sentara Norfolk General Hospital has also recognizing the...
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...to organizations on how to handle patient information and how to deal with any situation that may arise to the best interest of the patient and the organization. There are situations that will arise, and the organization must be prepared to handle it. An instance may arise when the U.S Department of Health and Human Services (HHS) may have to get involved. The HHS is an organization designed to help enforce the HIPAA rules and regulations and make sure organizations are in compliance with HIPAA. Recently, a major health care organization in Massachusetts, The General Hospital Corporation and Massachusetts General Organization Inc. (Mass General), settled to pay the U.S. Government $1,000,000 because of a HIPAA violation. Documents containing protected health information (PHI) were lost and never recovered from an employee losing a folder containing 192 patient’s records. The employee took the records from the hospital and while riding the subway returning back to work, the employee left the records on the train. The investigation of the missing records was started from a patient discovering their record was lost and the patient called the HHS Office of Civil Rights. The HHS’s investigation led to the discovery of 192 patient records missing. Many different people felt the impact of the mistake that one employee made. This one mistake put 192 patients information in the wrong hands. These patients are in jeopardy for possible identity theft and having all of their information...
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...HCS/335 October 8, 2012 Leah Alexander Administrative Ethics Paper The topic chosen was Massachusetts General Hospital. This paper will go over the issue and its impact. It will also include arguments or facts to support the proposed solution. We will also touch on the ethical and legal issues involved with the release of 196 patients’ medical information. The issue is that 196 patients’ records at the hospital’s Infectious Disease Associates Practice were left by an employee on the subway. These records contained names, medical record numbers, dates of birth, health insurers and their policy numbers, diagnosis, and names of their providers for 66 patients. The Infectious Disease unit treats people with HIV/AIDS, as well as other infectious diseases. The records were never recovered and were lost on March 9, 2009. The Department of Health and Human Services issued a 1 million dollar fine against the Massachusetts General Hospital because of that breach of patient privacy. The HIPAA privacy rule clearly states that health care providers are required to protect the privacy of patient information through administrative, physical and technical defenses. Massachusetts General agreed to fix this and to take actions to prevent this from happening in the future. They agreed to implement a set of policies and procedures regarding what information is removed from the hospital, training all employees on this procedure, and labeling the hospital’s director of internal audit services...
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...national topic. This incident carries it’s own ethical issues with second amendment gun rights and public safety. Representative Gifford’s medical information was compromised in the weeks that followed. The information and opinion presented here will discuss the success of the HIPPA laws governing the security and safety of patient medical information as exampled in representative Gifford’s case. Individuals private medical information must be protected as that information is dispersed being used to provide high quality healthcare towards the successful outcome for that patient. There is a delicate balance in protecting patient security and the use of medical information in understanding and promoting medical advances for society in general. Individually identifiable health information weather transmitted electronically, paper, or orally is protected health information. Individually identifiable information may be as common as as name, address, social security numbers. When data contains this information ultimate care must be taken in how that information is reviewed either written, electronically, or verbally. In the case of Representative Gifford there is an added concern she is a public figure. Unlike most of us there is a demand for any information regarding people that are considered popular. It seems to be some part in the worst in us that any negative or salacious information is something we as a public crave. When a patient is in the trusted care of health care staff...
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...and potentially convenient method of attack for numerous terrorist organizations. An attack of this type could go unnoticed in many public areas. Major transportation hubs throughout the United States are major targets for such an attack. An act of bioterrorism is a major threat to the United States that could occur unnoticed and must be dealt with immediately by providing a nationwide vaccination against all agents, better education programs for the general public, and most importantly, the prevention of such an act from happening. In October, 2001, the first confirmed case of inhalation anthrax was confirmed in Florida, which brought the word bioterrorism to mainstream America (Jernigan, 2001, p. 934). Throughout the fall of that year many people’s fears were stoked by this anthrax scare following shortly after the events of September 11, 2001. This anthrax scare highlighted that while the hospital system throughout the United States may not be completely prepared for a widespread bioterrorism attack, these hospitals could handle a small number of cases and brought bioterrorism preparation to the forefront of the Global War on Terrorism. Of the first ten cases of inhalation anthrax in the United States in 2001, four of the ten infected died within ten days of the onset of symptoms (Jernigan, 2001, p. 942). This statistic is very frightening as it shows the potentially devastating effect that a large scale bioterrorism attack could cause. Researchers...
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...basis of that analysis, to recommend both a size and a composition for the real-asset portfolio segment within that LTP. Background Partners Healthcare System was the largest health-care network in New England, providing a range of primary, secondary, and tertiary health-care services to millions of patients from throughout eastern Massachusetts. The Massachusetts General Hospital and the Brigham & Women’s Hospital, two world-famous acute-care hospitals in Boston, had joined together in 1994 to found the Partners network. Both Mass. General and Brigham not only provided acute clinical care but were also research and teaching hospitals affiliated with the Harvard Medical School. Over the next few years, four suburban hospitals had also joined the network, as had dozens of physician organizations (practices with multiple numbers of doctors) across eastern Massachusetts. A variety of important staff functions, including treasury functions like asset management, had been centralized at Partners headquarters in downtown Boston, but all the clinical care and research took place in the decentralized network of hospitals and physician offices (see Exhibit 1). Partners’ Treasury Department, headed by Manning, reported up through a senior vice president of Treasury to the chief executive officer and the board. Importantly, there was also an investment committee consisting of well-known and respected investment professionals who determined the investment policy for Partners’ pools of investments...
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...Patients exposed to hazardous materials must be decontaminated. If a patient is not decontaminated, the hospital emergency department and other patient can be exposed. (Mass Causality and High Impact Command, page 99) Are you aware of any procedures that should be taken when It comes to decontamination within the health and medical services? There are several essential steps that will be discussed pertaining to Health and Medical Services. First step that will be discussed is Control. Control is very important and also considered a key factor. You must Control the spreading of the infected or contaminated from the ambulance up to hospital staff. “Even though written procedures might be into place, actual demonstrations of these procedures during an exercise will point out if further training is needed or if procedures should be revised.”(ntl.bts.gov, 254) Next, you will need to find out if the medical facilities know how to retrieve and use necessary medical and other data for diagnosing and treating victims exposed to hazardous materials. “Many of the local hospitals will not be able to treat exposed victims without consultation with medical experts from other parts of the State or country.”(BTS.org, Medical Services) After you have found out if any of the medical facilities know how to retrieve necessary data you will need to Test procedures for providing hospitals with information on the number of victims, types of injuries and contamination involved, and estimated...
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...opportunities that the representatives of the general public have and cannot afford even some basic needs. Homeless individuals have to break the law and commit crimes, such as stealing food, even though they do not intend to do so, which leads to mass incarceration. This influences their behavior and increases the chances of becoming drug or alcohol addicts, which makes homeless individuals even more likely to become incarcerated. People who are imprisoned, often have no or underpaid job that does not provide these people with money enough to have a decent residence, which makes them a vulnerable population (Johnson 2015). It is important to consider what makes homeless people commit crimes that result in imprisonment. The information from various articles received during the literature review, I will reveal the connection between homelessness and incarceration, emphasizing the history that lead to their occurrence as well as the main causes of both problems. I will point out and explain the correlations between homelessness and crime rates, as well as its connections to the mental disorders, substance abuse, and chronic health condition in the context of how homeless lifestyle can be related to the incarceration. Also, I will indicate the way in which homelessness leads to mass incarceration. I will argue that the concept of homelessness and incarceration that cannot be broken without external help of the government, the general public and other organizations such as the U...
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...decades, researchers have identified malnutrition as being highly prevalent in acute care hospitals (Barker, Gout & Crowe, 2011). More recently, Canadian literature shows that 45% of hospitalized...
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...A1 EXECUTIVE SUMMARY Nightingale Community Hospital is a 180-bed acute care center that provides a myriad of services for our local community. From our state of the art Vascular Lab to our Neuroscience Unit we strive to provide cutting edge technology with exceptional care. Our vision is to be the hospital of choice for patients, employees, physicians, volunteers and the community. Our mission is to create a healing environment, with a passionate commitment to healthcare excellence. Through our vision and mission, Nightingale Hospital strives to meet and exceed all expectations during our next Joint Commission visit. Before we address the aspects of our upcoming visit from Joint Commission, we must address the foundation of what Joint Commission is. One of the definitions of Joint Commission is, “Joint Commission Accreditation of Healthcare Organizations (JCAHO) is an organization that develops and maintains standards to promote compliance in regards to acceptable levels of care that should be given to patients” (About the Joint Commission). Accreditation from JCAHO provides Nightingale Community Hospital with the gold seal of approval signifying exceptional care. Currently Nightingale Hospital has the JCAHO stamp of approval. However we as an organization should strive to achieve a higher standard of care for our employees and patients as well as our community. With the upcoming visit from JCAHO approaching we need address the past JCAHO visit and...
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...The ORIGINAL ARTICLE Heart the MVand Short StaturePolicy implications CASE REPORT Sinking of Failure Doña Paz – II. in a 43 year-old male Table 1. Initial Laboratory Results Heart Failure recommendations to address these to hypothyroidism. with cardiomyopathy secondary factors. The patient had been born full term to a then 31-yearMethod. ReviewPara 3 (G4P3), the 4th of preparedness in the old Gravida 4 of the state of maritime 9 siblings, with an pre-disaster setting and the post-disaster responsefacilitated the apparently unremarkable delivery at home following by Table 2. Thyroid Doña Paz by the sinking of the MV Function Tests government and responsible a traditional birth attendant. He was noted to be normal agencies. A scrutiny Reference Value preparedness of concerned of the state of Result at birth. and subsequent response to thewith age was agencies The patient was allegedly at par0.02 disaster both Free T4 (0.8-2.0) ng/dL physically and mentally until formulating 24.75 Uiu/ml conducted with the objective of eight years old when he was recommendations TSH (0.4-6.0) said to have stopped growing in height. He was brought to which may lead to prevention and mitigate loss of lives. a private doctor, whose diagnosis was undisclosed, and he Results. Multiple factors to increase for the occurrence patient was given medications accounted height, which the of this tragedy. only one month with no improvement. Through the took for These factors include an inherent risk due...
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