...The capital investment plan for the Mayo Clinic is an ongoing process to improve the health care and offer new equipment to help patients. The Mayo Clinic has been in business for several years and continues to not only help its patients but also the community in which is resides. Because of the revenue the hospital has brought to the area, it feels it is time to give back to the community in which is resides, which is a great investment plan for the residents. The Mayo Clinic, which is a hospital that focuses on the needs of very rare diseases and other ailments, recently spent $3.5 billion on capital projects in 2012 in hopes of increasing the number of jobs within the community in the years ahead (Newmarker, 2012, N.P.). “Jeff Bolton, the Mayo Clinic’s chief financial officer, said 60 percent of the capital spending will go toward replacing and renewing facilities, equipment and information technology” (Newmarker, 2012, N.P.). With this in mind it is also time to update some equipment within the facility as well. The new MRI screening center will open opportunities for employment as well as new and up to date treatment for patients. The objectives for the first year of operation upon completion will be: Increase the number of patients by providing services that Mayo has not been able to before Hire twenty new employees that specialize in MRI technology as well as billing and collection specialists Collections of at least 90% Average of 1200 to 1500 patients...
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...Resources Education 13 Volume 3, No. 3, Summer 2009 STRATEGIC HRM AT THE MAYO CLINIC: A CASE STUDY Sunil Ramlall Hamline University Tripp Welch, Jennifer Walter, and Daniel Tomlinson The Mayo Clinic ABSTRACT For many decades, Mayo Clinic has been ranked as one of the top medical institutions in the world. The entire health care industry has been experiencing immense challenges. Given the current and historic success of Mayo, what does Mayo need to do from an HR perspective to maintain this standard of excellence? This case identifies the strategies used by Mayo to achieve excellence in employee and patient satisfaction. The case describes how this complex service organization fosters a culture that exceeds customer expectations and earns deep loyalty from both customers and employees. The role of HR is analyzed to explain how strategic HRM enables the organization to achieve its strategic business objectives. INTRODUCTION Mayo Clinic is the first and largest integrated, not-for-profit group practice in the world. Doctors of every medical specialty work together to care for patients, joined by common systems and a philosophy that "the needs of the patient come first." More than 3,300 physicians, scientists and researchers and 46,000 allied health staff work at Mayo Clinic, which has sites in Rochester, Minnesota, Jacksonville, Florida, and Scottsdale/Phoenix, Arizona. For many decades, Mayo Clinic has been ranked as one of the top medical institutions in the world...
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...STRATEGIC HRM AT THE MAYO CLINIC: A CASE STUDY Sunil Ramlall Hamline University Tripp Welch, Jennifer Walter, and Daniel Tomlinson The Mayo Clinic ABSTRACT For many decades, Mayo Clinic has been ranked as one of the top medical institutions in the world. The entire health care industry has been experiencing immense challenges. Given the current and historic success of Mayo, what does Mayo need to do from an HR perspective to maintain this standard of excellence? This case identifies the strategies used by Mayo to achieve excellence in employee and patient satisfaction. The case describes how this complex service organization fosters a culture that exceeds customer expectations and earns deep loyalty from both customers and employees. The role of HR is analyzed to explain how strategic HRM enables the organization to achieve its strategic business objectives. INTRODUCTION Mayo Clinic is the first and largest integrated, not-for-profit group practice in the world. Doctors of every medical specialty work together to care for patients, joined by common systems and a philosophy that "the needs of the patient come first." More than 3,300 physicians, scientists and researchers and 46,000 allied health staff work at Mayo Clinic, which has sites in Rochester, Minnesota, Jacksonville, Florida, and Scottsdale/Phoenix, Arizona. For many decades, Mayo Clinic has been ranked as one of the top medical institutions in the world. Over the past few years, the entire health care industry...
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...N435 Virtual Family Health Assessment Project Winona State University Family Structure and History: "Tom" is a 44 year old male with a 42 year old wife and a 13 year old son. Tom, his wife and son are Caucasian, with Tom's parents being first-generation German immigrants. His father died from a CVA at 72, and Tom's only sibling died in a motor vehicle accident. His mother-in-law died at age 64 from ovarian cancer. Tom's mother and father-in-law are retired and in overall good health. His brother-in-law works as a carpenter and has no pressing health concerns. Tom's mother lives in a ground floor apartment of their home, which is built on a farm owned by his father-in-law. There are thus 5 people in Tom's immediate family. Tom works as a welder in a local manufactory, and his wife is employed by the county as a court stenographer. Tom's 13 year old son attends public school in the 7th grade. Father (CVA) Mother Father-in-law Mother-in-law (Ov. CA) Brother (MVA) MAIN "Tom" Wife Brother-in-law AFIB, DM II Son "Tom" (Primary Patient) Health Issues Atrial...
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...Approximately 17 million Americans have diabetes.(Lamb) As many as one-half are unaware they have it. This chronic disease causes serious health complications including renal failure, heart disease, stroke, and blindness. It is a condition in which the pancreas no longer produces enough insulin or cells stop responding to the insulin that is produced. Then glucose in the blood is not able to be absorbed into the cells of the body.(Kishore) The cells in the human body need energy in order to function. Glucose is the body's primary energy source. It is a simple sugar resulting from the digestion of foods containing carbohydrates. It circulates in the blood from the foods that are digested as a ready energy source for any cells that need it. Insulin is a hormone or chemical produced by cells in the pancreas, it is located behind the stomach. It bonds to a receptor site on the outside of cell and goes into the cell through which glucose can enter. Glucose can be saved for later use by converting to concentrated energy sources like glycogen or fatty acids. When there is not enough insulin produced , glucose stays in the blood rather entering the cells. The body will attempt to dilute the high level of glucose in the blood, which called hyperglycemia. Hyperglycemia acts by drawing water out of the cells and into the bloodstream, to dilute the sugar and excrete it in the urine. People with undiagnosed diabetes to be constantly thirsty, drink large quantities of water, and urinate...
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...In my paper regarding communicable diseases I choose to discus HIV/AIDS. In this paper I will discuss HIV, and the different ways HIV is transmitted, to the many complications that are associated with HIV, and discuss how community health nurses can help patients develop a plan for managing the disease process. I will also refer to an agency that can help nurses gather data they need to treat patients physically, and emotionally, as well as resources for patients to refer to when they feel like they need questions answered to their questions. According to (AIDS.GOV) “HIV” stands for Human Immunodeficiency Virus. I will discuss what each letter represents: H – Human – This virus can only infect human beings. I – Immunodeficiency – HIV weakens your immune system by killing off vital cells that help fight the disease and infection. A weakened immune system cannot protect the host or human like it should be able to. V – Virus – A virus can only replicate over and over by invading a cell within the body of its host. HIV is similar to other viruses, such as the flu or the common cold. The biggest difference is that in time, our immune system can destroy most of the viruses in our bodies. With HIV the body’s immune system can't eradicate the virus. In turn once a patient is diagnosed with HIV they have it for the rest of their natural life. Like many viruses, HIV can lay dormant for extended periods of time in the cells of your body that attacks a key part of your immune system, the...
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...relentless. Symptoms can be mild to more severe and can be very unpleasant. These symptoms typically appear one to four months after a person has been infected and this is when symptoms will begin. Symptoms include abdominal pain, fever, joint pain, dark urine, loss of appetite, nausea and vomiting, weakness and fatigue and jaundice. Because the Hepatitis B virus can survive for 7 days outside of the human body and thrive on surfaces, it most likely cause infection in a person that has not been vaccinated from the virus. Exposure to infected blood, saliva, vaginal and seminal fluids are ways for the Hepatitis B virus to be transmitted. What is scary is that this virus can also be transmitted during medical and surgical procedures, and dental procedures. Tattoo and piercing equipment that is not sterile is also another way the virus is transmitted. People that use illicit drugs and do them intravenously, share their needle, not only puts their risk of getting Hepatitis B extremely high, but can infect others as well. Sexual transmission may occur in men having sex with other men, people that have many sexual partners, and people that have sexual relations with prostitutes. Living with someone who is infected with the Hepatitis B virus increases the risk of contracting the virus, as well as having a job that exposes someone to blood and/or bodily fluids, or if you travel to regions of the world...
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...relentless. Symptoms can be mild to more severe and can be very unpleasant. These symptoms typically appear one to four months after a person has been infected and this is when symptoms will begin. Symptoms include abdominal pain, fever, joint pain, dark urine, loss of appetite, nausea and vomiting, weakness and fatigue and jaundice. Because the Hepatitis B virus can survive for 7 days outside of the human body and thrive on surfaces, it most likely cause infection in a person that has not been vaccinated from the virus. Exposure to infected blood, saliva, vaginal and seminal fluids are ways for the Hepatitis B virus to be transmitted. What is scary is that this virus can also be transmitted during medical and surgical procedures, and dental procedures. Tattoo and piercing equipment that is not sterile is also another way the virus is transmitted. People that use illicit drugs and do them intravenously, share their...
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...Admission vitals were: 37C, 98% RA, 116/74, 72, 16. Weight: 54kg. Height: 66in. She was alert and oriented x4. Capillary refill was less than three seconds, bilaterally. Pupils were equal, round, and reactive to light with accommodation, bilaterally. Mucus membranes were pink and moist. Patient was in normal sinus rhythm. The lungs were clear, bilaterally. The abdomen was soft and nontender with no distension. Bowel sounds were normal and active in all four quadrants. No peripheral edema was noted. Patient has no known allergies and a history of chronic UTIs and sinusitis. LV is currently taking daily calcium and vitamin D supplements. TREATMENT: LV’s treatment plan included cyclophosphamide 45 mg/kg IV for four days, followed by four days of total body irradiation (TBI). TBI penetrates areas in the body, where typical chemotherapy is ineffective, such as the central nervous system. The Applied Radiation Oncology Journal (2016) stated, “The purpose of TBI is threefold: to eliminate residual cancer cells, to provide space for stem cell engraftment through bone marrow depletion, and to prevent rejection of donor stem cells through immunosuppression.” After completion of the eight-day cancer regimen, a stem cell infusion was scheduled. On day 0 (considered the stem cell birthday), LV received an allogeneic stem cell transplant. To prevent graft versus host disease, on day +1, LV was given Methotrexate...
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...Financing and Structuring Health Care 1 Financing and Structuring Health Care Lisa Martin Strayer University Professor Tataw July 18, 2011 Financing and Structuring Health Care 2 1. Indentify and describe the three main types of health insurances in the U.S. The main 3 types are the commercial health insurance industry, Blue cross and Blue shield plans and Health Maintenance Organizations. With the commercial health insurance industry there are two distinctions, which are between mutual and stock insurers. Mutual insurance companies, are essentially owned by their policyholders, in contrast to stock insurance companies, which are owned in the more traditional corporate fashion by stockholders. Commercial health insurance companies are either “multiline” carriers or “single –line” insurers. The multiline insurers offer other insurance products like life, auto, homeowners, worker’s compensation, business liability and some offer renters insurance as well. There are some multi-line insurers that also offer a range of financial services, like pension and investment areas. The single-line health insurers offer health insurance ...
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...Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India Indian Public Health Standards (IPHS) Guidelines for Community Health Centres Revised 2012 Directorate General of Health Services Ministry of Health & Family Welfare Government of India CONTENTS Message Foreword Preface Acknowledgements Executive Summary Indian Public Health Standards (IPHS) for Community Health Centres v vi vii viii 1 3 Introduction�������������������������������������������������������������������������������������������������������������������������������������������������������� 3 Objectives of Indian Public Health Standards (IPHS) for CHCs���������������������������������������������������������������������������� 3 Service Delivery in CHCs�������������������������������������������������������������������������������������������������������������������������������������� 3 Manpower����������������������������������������������������������������������������������������������������������������������������������������������������������� 8 Equipment��������������������������������������������������������������������������������������������������������������������������������������������������������� 11 Drugs�����������������������������������������������������������������������������������������������������������������������������������������������������������������...
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...American Healthcare Systems-Research Paper-6th Dec 2013 Medical Tourism By: Mrudula Mynampaty and Swathi Damacherla Introduction “Medical tourism” is the term commonly used to describe people traveling outside their home country avail medical services at lower costs1. Medical tourism is fundamentally different from the traditional model of international medical travel where patients generally journey from less developed nations to major medical centers in highly developed countries for medical treatment that is unavailable in their own communities 2. History The concept of medical tourism has been very pervasive all through the history. The first recorded case of medical tourism describes Greek pilgrims who traveled from the Mediterranean Sea to Epidaurus, a small territory in the Sardonic Gulf. It was said that this small territory was the sanctuary of Asclepius, known as the healing god. Since the 1500s India has enjoyed a rich history of providing yoga instruction as well as Ayurveda healing to patients from around the world. In the 18th and 19th centuries, Europeans and Americans flocked to health spas and sanitariums, sometimes in remote places, in the hope that they would obtain relief from their disabling conditions, such as tuberculosis, gout, bronchitis, or liver diseases 3. What led to Medical Tourism today? The market size for medical tourism is USD 24-40 billion, based on approximately eight million cross-border patients worldwide spending an average of USD 3,000-5...
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...New Medical Devices in the US August 13 2010 Table of Contents 1. Introduction……………………………………………………………………………………………………………………………………2 2. Background and Framework……………………………………………………………………………………………………………4 2.1 Priority Medical Devices for the Netherlands…..……………………………………………………………………4 2.2 The US Vision: From see and treat to predict and prevent……………………………………………………6 2.3 Conclusions…………………………………………………………………………………………………………………………..7 3. Medical device sector in the US………………………………………………………………………………………………………8 3.1 Economic Impact…..………………………………………………………………………………………………………………8 3.2 The Sector by State…..…………………………………………………………………………………………………………10 3.3 Key Institutes: Patent Applications in the Cluster Areas…..………………………………………………….13 3.4 Conclusions…..…………………………………………………………………………………………………………………….20 4. Turning research into novel medical devices………………………………………………………………………………….22 4.1 The Medical Device Development Process…..……………………………………………………………………..22 4.2 CIMIT: A Structure for Medical Device Innovation…..………………………………………………………….23 4.3 Stanford Biodesign: Innovation as a Discipline…..………………………………………………………………..26 4.4 Conclusions and Recommendations…..……………………………………………………………………………….28 5. Summary and Conclusions…………………………………………………………………………………………………………….30 6. Acknowledgements……………………………………………………………………………………………………………………….32 7. References…………………………………………………………………………………………………………………………………….33 Appendices A1 Selection of Key Institutes A2 Results Patent Analysis A3 Research...
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...Aliment Pharmacol Ther 2003; 17: 895–904. doi: 10.1046/j.0269-2813.2003.01543.x A randomized controlled trial of a probiotic, VSL#3, on gut transit and symptoms in diarrhoea-predominant irritable bowel syndrome H. J. K IM, M. CAM ILLERI, S. M C KINZIE, M. B. LEMPKE, D. D. BURTO N, G. M. THOMFORDE & A. R. ZINSMEISTER Clinical Enteric Neuroscience Translational & Epidemiological Research Program, Mayo Clinic and Mayo Foundation, Rochester, MN, USA Accepted for publication 3 February 2003 SUMMARY Aim: To investigate the effects of a probiotic formulation, VSL#3, on gastrointestinal transit and symptoms of patients with Rome II irritable bowel syndrome with predominant diarrhoea. Methods: Twenty-five patients with diarrhoea-predominant irritable bowel syndrome were randomly assigned to receive VSL#3 powder (450 billion lyophilized bacteria/day) or matching placebo twice daily for 8 weeks after a 2-week run-in period. Pre- and posttreatment gastrointestinal transit measurements were performed in all patients. Patients recorded their bowel function and symptoms daily in a diary during the 10-week study, which was powered to detect a 50% change in the primary colonic transit end-point. Results: There were no significant differences in mean gastrointestinal transit measurements, bowel function scores or satisfactory global symptom relief between the two treatment groups, pre- or post-therapy. Differences in abdominal bloating scores between treatments were borderline significant...
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...The Ethical and Legal Complexity of Medical Tourism: Questions of International Justice, Economic Redistribution and Health Care Reform Professor Sarah McBride Toro Longe April 18, 2010 M.J. Thesis in Health Law Abstract This is an essay on medical tourism in the United States of America (U.S.). It includes a brief history of the U.S. health care system, examines the social, cultural, ethical, and legal issues that have affected health care changes in America. With the number of Americans going overseas to seek medical care steadily rising, the American insurance industry expanding benefits, and the Joint Commission accrediting facilities for globalization of the health care marketplace, medical tourism should become increasingly important in the health care industry. While there are many reasons for patients seeking health care outside of their own country, one that is particularly easy to overlook is the outsourcing of health care and its effect in U.S. and around the world. The purpose of this paper is to examine the concept of medical tourism, noting the specific medical tourism destinations, presenting reasons for the recent increase in medical tourism, and examining the risks and benefits, as well as wrestling with the challenging ethical and legal issues inherent in medical tourism. The paper will conclude with consideration of the role of the law in medical tourism. Introduction Over the past 100 years, the United States of America (U.S.) has changed greatly...
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