... an oncology surgeon, during his rounds, I was able to sit in on a multidisciplinary clinic that consisted of a diverse gathering of doctors, nurses, and social workers. After this meeting, which lasted approximately 50 minutes, he took my friend and I into a free room in the Cancer Center to inform us of what was actually happening in the clinic and answer any of our questions. I briefly met Dr. Blair before he led us into a small conference room crowded with people all of which were intently listening to the central speaker sitting at a table in the middle of everything. I later found out that this was a meeting referred to as a multidisciplinary clinic that consists of specialists from a variety of areas. Because this clinic was discussing oncology patients, the people there were all somehow related to this field of study. There were radiologists, radiology oncologists, oncologists, oncology surgeons, general surgeons, psychologists, nurses and social workers to name a few. The whole reason for this variation in the people was because it is an attempt by the health care system to make diagnosis more efficient for everyone involved, especially the patient. Without these multidisciplinary clinics, a person newly diagnosed moves through a step-work system in the health fields. For example, a person normally visits his or her primary-care doctor first. If a disease is possibly developing, the primary-care doctor refers him or her to a more specialized physician in the field...
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...Faculty of Health and Wellbeing Advanced Diploma in Adult Nursing. Summative Assessment Submission. Collaboration in Professional Practice – January ’08 Intake Date of Submission: 20th April 2009 Assignment Title: "Effective Inter-professional Collaboration is key to providing good quality *patient/client/service user centred care"...Discuss. Student details: Name Student Number Word Count: 2,976 Module Tutor: The aim of this assignment is to discuss the importance of working inter-professionally within a multidisciplinary team to achieve the best patient-centred care. It will demonstrate developments achieved, and the knowledge gained around this area throughout my training and practice to date. The assignment will focus on the inter-professional care for adults within a hospital environment, as ‘Advanced Diploma in Adult Nursing’ is my course area. Interprofessional collaboration looks at teamwork, communication, professionalism and modern issues which influence practice at present. Various health care professionals have a range of expertise and skills different to others, their experiences and insights into situations capture dissimilar care needs, therefore enabling the patient to receive the best care. Through working in a multidisciplinary team, different professionals can collaborate with each other in order to benefit the patient and deliver person-centred care. The Royal College of Nursing (RCN 2007) describes person centred care as; care which...
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...ZENITH International Journal of Multidisciplinary Research Vol.2 Issue 1, January 2012, ISSN 2231 5780 RIGHT TO SIGHT: A MANAGEMENT CASE STUDY ON ARAVIND EYE HOSPITALS DR. BHUPINDER CHAUDHARY*; DR. ASHWIN G. MODI**; DR. KALYAN REDDY*** *Assistant Professor, Department of Hospital Management, H.N.G. University, Patan (Gujarat)-384265. **Co-ordinator, Department of Hospital Management, H.N.G. University, Patan (Gujarat)-384265. ***Assistant Professor, Department of Hospital Management, H.N.G. University, Patan (Gujarat)-384265. ABSTRACT With the aim of providing affordable eye care services to a country which has about 20 million blind citizens and 80% of it due to curable cataracts, at the age of 58, Dr. V. Started, the Aravind Eye Hospital. Popularly known as the McDonald‘s of cataract surgery, with a bed strength of more than 4000 beds and serving 0.25 million patients every year, this is one of the world‘s largest eye care systems catering largely to the poor population. Poor people with cataract can regain their eye-sight at a price as low as $40 or even free, if they can‘t afford. It was demonstrated by this non-profit system that it is practically possible to combine high quality, low cost, world scale and sustainability. It has been seen as a unique business model by many Organizations and has proven that care provided at low cost can also yield sustainability and even profitability. Aravind system's successful manufacturing unit, Aurolab, has produced 6%-7% of...
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...Holistic care - Long Term Conditions Assignment. Throughout this paper I will analyse the epidemiological data of my area of clinical practice; Slough. I will create a health profile with briefly analyses different areas of variation within the community including deprivation, housing and the structure of the population focussing on the different nationalities that reside within Slough. Following this I will briefly discuss the various long-term conditions that are prevalent within this area before ultimately choosing the most prevalent amongst them to discuss in detail. Along side the discussion of the long-term condition I will focus upon the group of people who are seen to be the most inclined to suffer from that ailment, focussing on the factors that impact upon their trajectory or path travelled with the illness. I will then go onto discuss the possible interventions that will assist patients with the long term condition to cope with their illness, drawing upon national policies developed especially for sufferers of that long term condition. In order to fully encompass the trajectory of a person with a long-term condition I will produce a case study that looks at the history of the patient’s condition and the current health problems with which they face, including the symptoms and experiences during the process of care. Frameworks for affective holistic care will be discussed, ensuring that they take into account the patient’s social needs, cultural needs and their...
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...Abstract The health care system is a complex part of the economy that emphasizes cost efficient methods of addressing the dynamic health needs of today’s population. The baby boomer generation is aging, and the cost of health care is at the forefront in the news. Case managers facilitate the process of navigating through the health care system to attain the proper treatment necessary for the patient, thus integrating a complex multidisciplinary health care system. Preparing new nurse case managers in this specialized field requires an advanced professional background based on education and experience. Keywords: case management, case manager, health care system The Growing Need for Case Managers The 65 years and older cohort in the United States will reach 20% of the population, reaching an estimated number of 80 million by the year 2050; while by the year 2020, a severe professional nursing shortage of two hundred and eight hundred thousand nurses is projected to occur. The discrepancy between the supply of nurses and the demand of health care services for an aging population is driving much emphasis on issues related to health care coverage, health promotion and prevention, and treatment of escalating chronic diseases that afflict this country, such as diabetes and dementia. The underlying message of this emphasis is the containment of health care cost, a burden patients will have to face when undertaking medical services, and revisions in...
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...“A System Approach” Jennifer Garrett Principles of Health Care Administration Earl Greenia August 18, 2014 “Texas Health Harris Methodist–Cleburne, located in Cleburne, Texas has 137 acute care beds and over 80 physicians on its medical staff. It is part of Texas Health Resources, a large, nonprofit health care delivery system in north Texas that oversees 14 hospitals (Lashbrook, A. 2009).” In this paper I will summaries the systems approach of Texas Health Harris Methodist–Cleburne with a very brief over-view of the organizational theories, analyze how Texas Health Harris Methodist-Cleburne is a learning organization, explain the organizational structure displayed in this case study, describe the leaders involved in this case study, and discussing the role of the leaders in this case study. Organizational Theories The organizational theory described in this article treats organizational as a commitment to implementing an organizational change providing recommended treatment related to surgical care. This way of thinking about organizational is best suited for examining the performance improvement department and data management department that provide support for quality improvement activities at the hospital level (Lashbrook, A. 2009). Texas Health Resources makes three contributions to organizational theory. First, the article begins by talking about the improvement measure of success depends on the all-or-nothing approach. That Texas Health is not accepting...
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...For years, there has been research supporting the implementation of enhanced recovery (ER) processes into the care plan for surgical patients.1-7 By definition ER care protocols are multidisciplinary evidenced based recommendations that have been bundled together to improve surgical outcomes.1-7 Positive ER outcomes reported in the literature are decreases in length of stay in hospital, complication rates, use of analgesia, cost for patients as well as increases in patient comfort, satisfaction and return to pre-op functionality. 1-7 There are different models of ER pathways studies such as the four-step Rapid Recovery process to the sixteen-element ERAS pathways published by the ERAS Society formed 2003.1-7 Regardless of how simple or complex the enhanced recovery programs (ERPs) incorporate best practice essentials aimed at attenuating the stress response to surgery with guidelines for before, during and after surgery care. 1-7 The...
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...issues, development of organizational protocols for system use, and strategies to promote interprofessional collaboration). 1 Department of Surgery, 2Division of Continuing Professional Development and Knowledge Translation, 3Division of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada. Key words: clinical telehealth, videoconferencing, literature review, quality of service Introduction Abstract Videoconferencing technologies can vastly expand the reach of healthcare practitioners by providing patients (particularly those in rural/remote areas) with unprecedented access to services. While this represents a fundamental shift in the way that healthcare professionals care for their patients, very little is known about the impact of these technologies on clinical workflow practices and interprofessional collaboration. In order to better understand this, we have conducted a focused literature review, with the aim of providing policymakers, administrators, and healthcare professionals with an evidence-based foundation for decision-making. A total of 397 articles focused on videoconferencing in clinical contexts were retrieved, with 225 used to produce this literature review. Literature in the fields of medicine (including general and family practitioners and specialists in neurology, dermatology, radiology, orthopedics, rheumatology, surgery, cardiology, pediatrics, pathology, renal care, genetics, and psychiatry), nursing (including...
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...1.1 Introduction Multiple sclerosis is a disease of the central nervous system, harms the brain's ability to send and receive signals. It is considered one of the common diseases of the central nervous system. It affects in most cases the children and people aged between 20-40 years. Multiple sclerosis (MS) is an inflammatory disease of the central nervous system. The central nervous system is made up of the brain, spinal cord, and optic nerves. The exact reason(s) for the inflammation that occurs in MS are not yet known, and this remains an active area of research. We do know that the inflammation damages both neurons and the myelin that protects neuronal processes (called axons). The effect of multiple sclerosis (MS) on the individual and...
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...Running head: REHABILITATION CARE IN A SPECIALIZED SETTING Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis Dorota M. Loney University of Texas at Arlington school of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Rhonda Mintz-Binder, RN, MN, DNP April 29, 2012 Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis First we need to understand what Rehabilitation is to be able to focus on its concept analysis. It is a part of the continuum of care as it focuses on increasing a patient’s function for self care and mobility. The need for a rehabilitation care concept in a specialized rehabilitation hospital increases as the length of stay decreases in acute hospitals after surgery or procedures due to the financial burden on insurances, Medicare, Medicaid, and the acute hospitals themselves. No longer do we see in the United States two week long acute hospital stays after major surgeries, strokes or other injuries that affect the activities of daily living (ADL). The hospitals discharge patients back home much sooner than before or transfer them to facilities for further recovery. Unfortunately some of these facilities are long term acute care hospitals or nursing homes where continuing daily therapy is very limited. The fortunate ones get admitted to a specialty hospital called a rehabilitation (rehab) hospital that this paper will focus on. Here, nurses, occupational...
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...Uyanga N Chapter 3: Case Study 4: “Worst Case Scenario” – The Nightmare 1. Overview of the issue: Small acute care hospital CEO received call from night supervisor. The four-bed intensive care unit (ICU) was full and the supervisor asked the CEO if one of the ICU patient could be transferred elsewhere to receive car accidents victim from Emergency Department (ER). One of the ER patient’s injuries was so severe that she had to get into the ICU in less than two hours because only the ICU had the necessary technology to keep this patient alive. Since there are no funds to add ICU beds, what steps should the CEO of this hospital take to plan for the worst case for a full ICU bed scenario? (Longest, & Darr, 2008) 2. Statement of the questions: 1) Steps CEO should take in the planning process Systems and processes are critical in decision making process for the worst case for a full ICU bed scenario (Hick, Barbera, & Keken, 2009) . First of all, CEO should have a meeting with all managers to discuss the issues and develop strategic plan to solve this problem. Planning the worst case for a full ICU bed scenario is affected by many variables. There are four key interdependent factors that contribute to an effective full-bed response: system, space, staff, and supplies (Hick, Barbera, & Keken, 2009). Moreover, managers should consider the underlying system components during their planning process such as command, control, communication, coordination, continuity of operations...
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...maximum security forensic mental health hospital. Incorporating organisation structure, change management, multidisciplinary working, staff motivation and retention, legal and ethical implications for nursing practice. Executive Summary: In this essay we discuss the transformational and transactional leadership styles in the management of violence and crisis situations within the clinical setting and in mental health units. We begin our discussion with studies on the need for disaster management teams and structured command system within hospitals to help ensure that patients receive proper care when needed. We then briefly discuss the differences of transformational and transactional leadership styles and suggest that both personality patterns and attitudes towards these styles determine care and change management within the hospitals. Introduction: Leadership styles within the nursing practice can be evaluated by understanding the relationship between management and planning, change operations and organisation structure. As Zane and Prestipino (2004) point out, hospital disaster manuals and response plans lack formal command structure in most cases and the hospital authorities rely on the presence of certain individuals who are familiar with hospital operations or hold leadership positions and abilities during the routine operations and management of the hospital. Management of emergency situations, especially in case of mental health patients who are prone to violence...
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...McCarthy, Organizing the U.S. Health Care Delivery System for High Performance (New York: The Commonwealth Fund Commission on a High Performance Health System, Aug. 2008). 2 Information about Kaiser Permanente was synthesized in part from a presentation by CEO George Halvorson to a Commonwealth Fund Commission on a High Performance Health Care System meeting in San Francisco, and from the Commission’s site visit to the Kaiser Permanente San Francisco Medical Center in March 2007. Additional information was obtained from presentations, telephone interviews, or e-mail communications with the individuals named in the acknowledgments; from information and documents available on the organization’s Web site (www.kp.org) and from regulatory filings; and from other presentations and publications cited below. 3 A summary of findings from all case studies in the series can be found in D. McCarthy and K. Mueller, Organizing for Higher Performance: Case Studies of Organized Delivery Systems. Series Overview, Findings, and Methods (New York: The Commonwealth Fund, 2009). 4 For examples, see A. C. Enthoven and L. A. Tollen, “Epilogue,” in Toward a 21st Century Health System, edited by A. C. Enthoven and L. A. Tollen (San Francisco: Jossey-Bass, 2004). 5 The Colorado region developed an EHR in collaboration with IBM Corporation that was fully functional by 1997. Physicians in the Northwest region had access to an EHR (from Epic Systems Corp.) starting in 1994; exam...
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...Patient and Family Centered Care Kimberley Masterson WGU0713 Stacy Stratton-Mentor Practice Setting Wellington Regional Medical Center is located in Wellington, Florida. It is a 233-bed, acute-care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected, healthcare management organization. Wellington Regional Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc.(UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation. Wellington Regional is proud to have provided high-quality healthcare("About Wellington Regional Medical Center - Palm Beach, FL | Wellington Regional Medical Center," n.d.) services to the residents of Palm Beach County since 1986.The Village of Wellington has an approximate census of 60,000 in 2013. (Census.gov). Wellington is located in western Palm Beach County and borders the Florida Everglades. Initially, the land area known today as Wellington, Fl. was developed in 1953 to provide drainage and flood control suitable for agriculture. The area was once the world’s largest strawberry patch. Nevertheless, over time the land has been purchased and sold until 1985 when Lennar homes built on 500 lots. Today, Wellington is an affluent and thriving community that is willing to stake its future on being different.(“Wellington/History of Wellington”.nd) Wellington is recognized as the winter equestrian capital of the world. Wellington...
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...Public Health Nursing Vol. 22 No. 4, pp. 354—359 0737-1209/05 # Blackwell Publishing, Inc. SPECIAL FEATURES: PRACTICE CONCEPTS The Child Welfare System: Through the Eyes of Public Health Nurses Janet U. Schneiderman ABSTRACT Objective: This qualitative descriptive study investigates how public health nurses working within the child welfare system view the organization and the organizationÕs effect on their case management practice. Design: Semistructured interviews were conducted utilizing the Bolman—Deal Organizational Model. This model identifies four frames of an organization: symbolic, human resources, political, and structural. Sample: A purposive sample of nine nurses and one social worker was selected to participate in comprehensive interviews. Results: Data analysis identified two main themes. The first theme was the presence of organizational structural barriers to providing case management. The second theme was the lack of political influence by the nurses to change the structure of the organization; hence, their skills could be more completely utilized. Conclusions: Public health nurses who work in child welfare will need to systematically analyze their role within the organization and understand how to work in Òhost settings.Ó Nursing educators need to prepare public health nurses to work in non-health care settings by teaching organizational analysis. Key words: child protective services, organization, public health nursing. The purpose of this exploratory qualitative...
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