... the Cleveland Clinic is ready to celebrate the opening of two buildings characterized as monuments to 21st-century thinking in health-care delivery. The Sydell and Arnold Miller Family Pavilion will be home to the Clinic's signature cardiovascular program and a new grand entrance at the corner of East 93rd and Euclid Avenue. Tucked behind Miller on the 166-acre campus is the Glickman Tower, the new 12-story headquarters of the Urological and Kidney Institute, which has bragging rights as the Clinic's largest surgery center and one of it fastest growing programs. Fronted by reflecting pools and rows of tulip trees that stretch to Chester Avenue, the glassy, C-shaped Miller Pavilion gives the Clinic a dramatic new look. But the buildings symbolize more than an investment in capacity and aesthetics. Tracy Boulian/The Plain DealerThe new Sydell and Arnold Miller Family Pavilion at the Cleveland Clinic. Patients first The Clinic promises the buildings represent a new era of patient care. The buzzword these days is "patient-centered care." It encompasses everything from moving doctors closer to hospitalized patients, to piped-in music and patient rooms that are described as "comfortable as a well-appointed hotel room." The emphasis on customer service coincides with a new era of patient expectations. It's also tied to growing demands for accountability of hospital performance. In a first-ever release of patient-satisfaction scores by Medicare, the Clinic this year scored...
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...CHRISTINE HARRIS-VAN KEUREN ELIOT SHERMAN Cleveland Clinic Dr. Delos “Toby” Cosgrove, cardiothoracic surgeon and president and CEO of Cleveland Clinic, emerged from the operating room on a January afternoon in 1996 having just changed the way he, and subsequently the world, approached heart surgery. A trip to Stanford University Medical School had convinced him it was possible to operate on the valves of the heart through a three-inch incision instead of the nearly foot long incision that was standard practice before splitting the patient’s breastbone with a saw to reach the heart.1 After refining the technique in the lab, he had successfully performed the first such operation. Eight months later, Cosgrove performed two of these surgeries back-to-back, broadcasting his work live via satellite to 4,000 surgeons in 40 cities around the world. The Cleveland Clinic’s broadcasting capabilities facilitated this demonstration of the substantial benefits of his minimally invasive method of heart surgery, which reduced the risk of infection and involved less bleeding, pain, and trauma, significantly reduced the amount of time needed for recovery, and could be used in about three quarters of the heart valve surgeries performed in the United States.2 So compelling was this exhibition that within a year use of the technique had “exploded” throughout the medical community.3 Such innovation had been the lifeblood of Cleveland Clinic since its founding in 1921. Even as he continued early...
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...complications including reproductive health problems, fetal and perinatal problems, and cancer. Complications are seen more frequently in women than in men (insert healthy ppl ref). Economic, behavioral, and social factors play a role in the spread of STDs. Infection rates among African Americans and Hispanics are higher in comparison to Caucasians. Economic status is correlated to these increased rates. Those of low economic status are less likely to have access to healthcare and/or other preventable measures. Generally speaking Americans have a discomfort about discussing sex and this is one of the most pressing social factors that contribute to the spread of STDs (insert healthy ppl ref). Chlamydia is one of the most prevalent STDs. It is a bacterial infection transmitted through oral, anal and vaginal sexual interactions. It is most prevalent amongst younger adult’s ages 15-29, but the highest segment at risk is ages 15-19( hp2020 ref). Healthy People 2020 is an initiative managed by the U.S. Department of Health and Human Services. It sets a 10 year agenda each decade aimed at improving overall health in Americans. In 2008, 7.4% of females ages 15-19 who were seen at family planning clinics in the past 12 months, tested positive for Chlamydia. Healthy People 2020 used this as a baseline to set their 10 year goal to reduce the rate of Chlamydia infection to 6.7% in this population (hp 2020). According to the Ohio Department of Health, in 2008 44% of all new...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
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...topic that deserves to have more light shed on it as well as have more supporters be open and outspoken about it. Nowadays, it is fairly simple for someone wanting an abortion to receive the proper medical care that they need in order to maintain their health; however, it was not always like this. Under common law, abortion was legal in the United States leading up to the 19th century. Early laws only banned the use of toxic substances to cause miscarriages after a woman...
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...Abstract This report seeks identify and evaluate key Organisational Development (OD) issues, suggest possible interventions and provide recommendations for a case study of traditional and nontraditional team-based patient care. The author opted to focus on the team-based operations as it initially proved to be more effective than the traditional method. Although the team based care was more effective, there were several key OD issues that were identified by using OD diagnosis tools and models. Some of the issues highlighted and is the focus of this analysis was HRM, Leadership and Culture. From the case study, one can identify the lack of proper leadership and correlate this to other OD issues such as, no cooperate strategy, no vision or mission and cultural barriers within the organisation. Several known models and strategies were use to select the appropriate intervention and relevant methods for implementation. The intervention and implementation strategies are categorized to match appropriate management of change techniques such as, hard and soft, for a better transition of change within the organisation. The methods of communicating change were also systematically defined to channel only the appropriate contents to the organisation. Strategic SMART recommendations were outlined as short, mid and long term goals to accomplish the objectives of the organisation. Additionally, as part of the recommendations and any OD strategy, there should be a measurement and monitoring...
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...Ethical Considerations in Marketing, Product Safety, and Intellectual Property Legal 500 Professor Carter Introduction In the book Pharmaceutical Ethics, Jon Merrills’ defines ethics as: * Ethics is the systematic study of what is right and good with respect to conduct and character. * The beliefs and behaviors to which members of the profession subscribe. * A critical evaluation of assumptions and arguments. * A discussion about what ought to be done or ought not to be done. Using Merrill’s’ definitions as a rough guide we can evaluate the legal and ethical decisions of PharmaCARE’s use of the diabetic drug AD23 in slowing the progression of Alzheimer’s disease. The drug was reformulated to maximize its effect on Alzheimer’s treatment however, PharmaCARE took actions to avoid the Food and Drug Administration in the reformulated drug for Alzheimer. PharmaCARE setup its own pharmacy company CompCARE to sell the new formulation to the public. CompCARE was able to take advantage of PharmaCARE’s databases, networks, and sales and marketing expertise to create a high demand of the product. Once the high demand was there, CompCARE started to advertise AD23 directly to consumers and marketing the drug directly to hospitals, clinics and physicians. After the success of AD23 CompCARE was sold to WellCO. Two weeks later AD23 was linked to 200 cardiac deaths. Research three to five (3-5) ethical issues relating to marketing and advertising, intellectual...
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...Thank you! For Case Western Reserve University, I am interested in the Molecular Medicine program. I will be doing research in the Cleveland Clinic, Lerner Research Institute. I first heard about this program when I was helping my sister move into her college two summers ago. I was born in Ohio and haven't visited the state since so I was intrigued by the city. After I helped my sister move in, I also made time to walk around the college town, museums, and hospitals. It was an eye-opening moment for me, personally because I didn't expect myself to move out of Oregon till then. Although CWRU seemed like a small private college, it had so many research labs and numerous projects operated my renowned researchers who are also professors, doctors, and advisors. I've also done research on professors and research projects and there are numerous projects and studies I would like to learn more about. There are many departments in this program, including Cellular and Molecular Medicine, Stem cell biology and Regenerative medicine, Cancer Biology. I am still in the process of trying to find what I would like to work on specifically and although I...
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...Layman, PhD, RHIA, CCS, FAHIMA Copyright ©2006 by the American Health Information Management Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or otherwise, without the prior written permission of the publisher. ISBN 1-58426-070-X AHIMA Product No. AB202006 Ken Zielske, Director of Publications Susan Hull, MPH, RHIA, CCS, CCS-P, Technical Reviewer Marcia Loellbach, MS, Project Editor Elizabeth Lund, Assistant Editor Melissa Ulbricht, Editorial/Production Coordinator All information contained within this book, including Web sites and regulatory information, was current and valid as of the date of publication. However, Web page addresses and the information on them may change or disappear at any time and for any number of reasons. The user is encouraged to perform his or her own general Web searches to locate any site addresses listed here that are no longer valid. AHIMA strives to recognize the value of people from every racial and ethnic background as well as all genders, age groups, and sexual orientations by building its membership and leadership resources to reflect the rich diversity of the American population. AHIMA encourages the celebration and promotion of human diversity through education, mentoring, recognition, leadership, and other programs. American Health Information Management Association 233 North Michigan Avenue, Suite...
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...agency where I obtain my internship hours is at St. John Health Care Services located at 1333 Palmdale Road Victorville, CA 92392; (760) 241-4917. The agency’s website is www.stjohnofgodhcs.org. The agency provides services in the following areas a 90 day inpatient residential recovery program for men, women and parents and their children ages 0-5. The agency offers a detoxification program a seven day social model program. The outpatient program provide treatment services three times a week. The aftercare program provides social events and entertainment for recovering individuals and their families instead of using substances. The hospitality resource center is service that provide AA and NA meetings and job...
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...Single-Payer Healthcare Reform in the United States Not long ago, Tina Bachtel, a beautiful thirty-five-year-old women from Ohio walked into a local healthcare clinic seeking treatment. Tina was pregnant and having health issues. She had visited the clinic prior to that day while uninsured which resulted in her having a large unpaid balance. Bachtel was denied treatment. She was told she could only be granted service if she paid one hundred dollars per visit. Tina Bachtel did not have the money to pay upfront. Shortly after leaving the hospital, Tina Bachtel and her baby died (Krugman). Healthcare nightmares like these are not uncommon in the United States. Reform of the American healthcare system is crucial for a healthier and more financially...
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...Healthy Communities Cross-sector partnerships are sparking widespread action to improve community health COATESVILLE , PA SEATTLE, WA Access to healthy foods Access to preventative care and healthy housing LOS ANGELES , CA Quality early child care and education CHICAGO, IL Data and evidence to build health into all policies and practices MIAMI , FL Opportunities for physical activity and healthy living health community development • community development finance • community planning • early child care/education • human services • housing Introduction “ Building a healthier America is feasible in years, not decades, if we collaborate and act on what is making a difference.” —Robert Wood Johnson Foundation In 2008, the Robert Wood Johnson Foundation convened a commission of nonpartisan leaders to identify opportunities to improve the health of all Americans by creating environments that protect and actively promote health. Their report, Beyond Health Care: New Directions to a Healthier America, included 10 recommendations for improving the health of our communities, several of which focused specifically on the health of children. Because of the large role that social and economic factors play in shaping the health of communities, the Commission issued a call for collaboration that emphasized the need for leaders from all sectors— not just health...
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...Issues in the Time of HIPAA Margaret M. Richards Cleveland Clinic Children’s Hospital With the application of the Health Insurance Portability and Accountability Act (HIPAA) in the medical community, new issues arise for psychologists in keeping documented records of patient visits. Confidentiality limits have broadened, making use of the electronic medical record more complicated for the psychologist practitioner, particularly when serving as part of a multidisciplinary team. As the electronic medical record (EMR) has become more prevalent in multiple settings, various researchers have examined the effectiveness of this record keeping system, with a focus on improving patient outcomes. The risks and benefits of implementing an EMR will be discussed, focusing on specific considerations for psychologists in regard to confidentiality and interdisciplinary collaboration. Keywords: Health Insurance Portability and Accountability Act (HIPAA), electronic medical record (EMR), confidentiality How much information is appropriate to place in an electronic medical record (EMR), especially when that record is accessible to professionals throughout an organization (i.e., a hospital setting)? This question has become an important topic of discussion and research as EMRs become more prevalent in larger institutions, such as academic medical centers and community mental health centers. With the implementation of the Health Insurance Portability and Accountability Act (HIPAA), psychologists...
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...In order to preserve a human cadaver embalming fluid, which is a mixture of chemicals is used. Usually embalming fluid contains formaldehyde, glutaraldehyde, methanol, and other solvents. Gross Anatomy classes in most medical schools will last up to three times longer than most first year courses. With this in mind the U.S. Occupational Safety and Health Administration (OSHA) set guidelines for formaldehyde levels that are as low as two parts per million. This in turn has caused schools to have to install expensive million dollar ventilation systems (National Geographic,...
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