...(CON) for open-heart surgery. However, their application has been rejected due to the following nonconformities with the CON application. The first nonconformity exists with §1715 (1). The capacity utilization of the open-heart surgery by the 12th quarter in a 12-month period should be at least 50% which means Jackson County Hospital needs at least 200 procedures Harris, D. (n.d.). Instead, Jackson County Hospital projected a capacity utilization of 195 procedures which does not meet the 50% requirement Harris, D. (n.d.). This means that Jackson County Hospital needs to project at least 50 procedures in the 12th quarter instead of the previously projected 45. The second nonconformity exists with §1715 (5) due to Doctor’s Hospital’s historical utilization not being high enough in order to open another open-heart surgery service in the same geographical area Harris, D. (n.d.). In order to open an additional open-heart surgery within the same area as Jackson County Hospital, the current facility that has an open-heart surgery needs to have a utilization of at least 80%...
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...E ROLE OF LAW IN THE U.S. HEALTHCARE SYSTEM USING THE LAW TO PROMOTE OUR POLICY GOALS AND ETHICAL PRINCIPLES The study of law is more than simply memorizing a list of activities that are illegal, such as Medicare fraud or price-fixing. It is more than memorizing the penalties for particular violations, such as the number of years in prison one can receive for a class B felony or the fine for driving 50 miles per hour in a 35 mile per hour zone. It is more than trying to remember the names of court cases or the citations to statutes and regulations. Instead, law is a policy discipline and a social science. Moreover, the law is not cast in stone, but is subject to change. For hundreds or perhaps thousands of years, people have reconsidered and changed the rules that govern their activities. In a democratic society, we have the power to make further changes in the laws by which we live. Therefore, as students and scholars of law, we not only study the current state of the law, but also what we think the law should be. In particular, we consider how we can use the law to accomplish our goals of public policy. We begin this type of analysis by identifying a practical problem. For example, we may want to focus on discrimination, violence, environmental pollution, or inadequate access to healthcare services. Then, we try to figure out how to use the law and the legal system to solve that particular problem by creating a new law or by changing an existing law. ...
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...Financial Review Simulation on Elijah Heart Center (EHC) By Karen Boldger-Willey HCS/405 Marjorie Ramano May, 14, 2012 Financial Review Simulation on Elijah Heart Center (EHC) My strategy will be to review the simulation on Elijah Heart Center (EHC), and evaluate the capital shortage, the funding options given, and the funding options given for capital expansions, I will analyze the three phases of capital shortage, funding options for acquiring medical equipment, and the expansion options for the Elijah Heart Center. Focusing on the goals of the hospital, but for the long and short term goals set for EHC. “Built to function as an advanced coronary care unit, Elijah Heart Center (EHC) is a 140-bed cardiac care hospital, based in New York. This 120,000 square foot specialty hospital contains cardiac catheterization laboratories, surgical suites for open-heart surgery, ancillary equipment for radiology, laboratory, nephrology, pulmonology, and other services needed to provide support to the full spectrum of cardiovascular patients. EHC also provides a full range of outpatient cardiac diagnostic services and rehabilitation programs to patients recovering from heart attacks, open-heart surgery, and coronary angioplasty.” (University of Phoenix, 2011) According to Gilbert Sanchez, Chief Executive Officer there has been an increase in patients, and a drop in profits. He has given two years to create a solution to all three phases for the center, including short and...
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...Technology Article Review Evelyn Barnum HCS/212 Monday, April 6, 2015 Deatrice Willis Health Care Experience The famous question, should we welcome or fear new technology? Surgeons can replace a heart valve with a plastic and metal one that unfolds once threaded through arteries. These are repairs that used to be made by cracking open the chest, and a very major surgery, now it is a simple surgery. In recent years cancer meds make the promise of diseases treatable (Skinner, 2013). Technology makes storing all the records in electronic systems easily accessible and highly convenient. However not all new technology is electronic based. So we will look at some different technological discoveries and how they differ from our normal thoughts of technology and still bottom line save lives. Looking at all the studies and ways of technology are important as it makes a difference on how and what the patient needs. Studies show that the category with the greatest benefit is low-cost antibiotics for bacterial infections, a cast for a simple fracture, or simply an aspirin and certain medications for heart attack patients (Skinner, 2013). CPR or cardiopulmonary resuscitation is simply human based and that saves as many lives as open heart surgeries ever have. Not all treatments in this category are inexpensive, things like antiretroviral drugs for people with HIV (Aids) may cost as much as $20,000 per year, but they are still an awesome technology based treatment because...
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...1. Abstract Coronary Heart Disease and Chronic Coronary Artery Disease are severe diseases that cause the build up of plaque in the artery that reduces the blood flow to the heart and accounts for more than 15 million worldwide deaths each year. Coronary Artery Bypass Grafting (CABG) is a procedure whereby a healthy artery is taking and grafted to the heart to increase the flow of blood. In the early 1900s it became a huge procedure reaching an all time high in the 1990’s. However due to our advances in technology/medicine and the high risk associated with this procedure the number of patients undergoing this procedure dropped by the start of the 2000s. At this point people are now undergoing procedures such as stents instead. Could the development of minimally invasive CABG allow this procedure to become a popular treatment method for these...
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...Competence. Course Outcome 1, 3, and 4 are demonstrated. I had a meeting with my Unit Manager, Rose Valderrosa, regarding my Amiodarone Project. I laid out my plan in detail to Ms. Valderrosa and inform her that this is very critical especially for the patients who will be having open heart surgery in our unit. She listened attentively to the...
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...Speeding up team learning Cardiac surgery is one of medicine’s modern miracles. In an operating room no larger than many household kitchens, a patient is rendered functionally dead—the heart no longer beating, the lungs no longer breathing—while a surgical team repairs or replaces damaged arteries or valves. A week later, the patient walks out of the hospital. The miracle is a testament to medical technology—but also to incredible teamwork. A cardiac surgical team includes an array of specialists who need to work in close cooperation for the operation to succeed. A single error, miscommunication, or slow response can have disastrous consequences. In other words, surgical teams are not all that different from the cross-functional teams that in recent years have become crucial to business success. We studied how surgical teams at 16 major medical centers implemented a difficult new procedure for performing cardiac surgery. What we found sheds light on one of the key determinants of team performance: a team’s ability to adapt to a new way of working. In corporate settings, teams frequently have to learn new technologies or processes that are designed to improve performance. Often, however, things get worse—sometimes for a long time—before they get better. Team members may find it hard to break out of deeply ingrained routines. Or they may struggle to adjust to new roles and communication requirements. When a product development team adopts computer-aided design tools, for...
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...Simulation Review HCS/405 September 2, 2013 Elijah Heart Center (EHC) is a healthcare organization that focuses on patients with heart problems. This 140 bed cardiac care hospital located in New York function as an advanced coronary care center, 120,000 square feet cardiac catheterization labs, surgical suits for open heart surgery, ancillary equipment for radiology, labs, nephrology, pulmonology and service for full spectrum of cardiovascular patients. There is also a full range of outpatient cardiac diagnostic services and rehab programs for patients recovering from heart attacks, open heart surgery, and coronary angioplasty. Although the organization is having some financial problems the patient volume is stable and increasing. As the senior financial consultant I will be working to get things financially under control, I will present a few plans for short and long term goals. I will be working with a great team that includes Gilbert Sanchez, Saiku Takeuchi, Zachary Macholz, and Dr. Brenda Lopez. The Elijah Heart Center has managed to stay focused and in operation do to the satisfied patients that need the services. There is a great team that provides great patient care but there has been a lot of poor decision making in the past that is resulting in a lot of profitable problems. In May 2x03 the financial department reported facing a potential working capital shortfall. In an emergency the hospital might not have enough cash to sustain itself...
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...one of Americans Top 20 Hospitals. Los Angeles’s own heart and soul of the city, the Ronald Regan UCLA Medical Center, Ranked BEST In The WEST 1990-2013 and No. 3 in the Nation. The mission of the Ronald Reagan UCLA Medical Center is to provide excellent patient care in support of the educational and scientific programs of the schools of the UCLA Center for the Health Sciences. ("About UCLA health," 2012) | This nation is full of hospitals with caring and loving doctors, nurses, nursing assistants and other medical staff, but a hospital that stands out from the crowd is California’s own Ronald Reagan UCLA Medical Center. This hospital is located right in the heart of Los Angeles’s metro area, serving over one million outpatient visits and eighty-thousand hospitalizations and countless interactions with the community physicians. The Ronald Reagan Medical Center is one out of four of UCLA’s medical facilities located in California, that serve its’ patients with the most comprehensive and advanced health care systems in the world. For over fifty years the UCLA Health System has provided the best in health care and the latest in medical technology to the people of Los Angeles and the world. Comprised of the Ronald Reagan UCLA Medical Center its wide-reaching system of primary care and specialty care offices throughout the region have earned this hospital a number one in patient satisfaction. In the 2011 performance review, Ronald Regan UCLA Medical center received a 95% of...
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...and treat diseases and conditions of the heart and cardiovascular system, including the arteries. Cardiologists are not surgeons; doctors that actually perform the surgery are known as cardio-thoracic surgeons and will complete a surgical residency program, where a cardiologist does an internal medicine residency. There are a number of different specialty cardiologists that perform different procedures depending on the amount of training and specialty they have completed (Santiago, 2010). Some of the different cardiologist specialist includes the interventional cardiologist (UAB Health, 2008) that specializes in catheter-based treatment of the structural heart diseases and pediatric cardiologists (UAB Health, 2008). A cardiologist will review medical history and do a physical examination that may include checking your blood pressure, weight, heart, lungs, and blood vessels. Cardiologists usually serve as a consultant to other doctors (American College of Cardiology Foundation, 2010). Some conditions treated by a cardiologist are (American College of Cardiology, 2010): * Echocardiogram: sound wave picture to look at the condition of the heart. * Ambulatory ECG: is a recording during exercise to look for abnormal heart rhythms. * Exercise test: is a study measuring the heart’s performance and limits. * Cardiac Catheterization: is a test that a small tube is put in or near the heart to take pictures, to see how the heart is working, check the electrical system...
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...Exercise and Obesity in Adults Cynthia M Somers Grand Canyon University: UNV 104 May 15, 2013 Obesity, which stimulates open concern, is a normal health issue in America. With the impact of quick nourishment and disregard of the significance of activity, the greater parts of Americans are overweight. Keeping in mind the end goal to shed pounds, individuals will consume fewer calories when others will attempt to utilize diet pills to assist in shedding the pounds. Exercising can accelerate positive outcomes incorporating a healthier heart, a healthier form and an improved state of mind. Being overweight or obese isn’t just a cosmetic problem; it’s very much a health problem as well. These conditions significantly raise your danger for other health issues. Some overweight and obesity-related health problems in adults consist of Coronary Heart Disease, High Blood Pressure, Stroke and Type 2 Diabetes (Neff, 2013). The point when contemplating mental self-view, we can consider how obese individuals have a tendency to adapt to their physique disappointment. According to Burke and Wang (2011) Myers and Rosen discovered that people who utilized more maladaptive adapting methods (e.g. negative self-talking, hollering, separating themselves, keeping away from or leave scenario) communicated higher rates of form disappointment. Be that as it may, individuals who used positive adapting techniques (e.g., seeing scenario as others' issue, declining to shroud their physique, being obvious...
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...growth of science in bariatric nursing, there is that need of information to support both the patient that is receiving the care and the physician that is providing the care and the support. In this time of continues growth in this bariatric procedures, it is a most that all healthcare providers initiate and Evaluate necessary changes in practice that will enhance the well-being and health of patients that undergo this procedure. With the current increase in the rate of obesity, people have now turned to bariatric surgery because they have tried all the other methods and find it not that helpful. Statistic shows that adults are obese or overweight with a percentage of 68.8%; 35.7% are obese. 31.8% of children and adolescents are obese of overweight; 16.9 are obese. (Olden et al.,2012). Death is a risk factor for patient undergoing this surgery and also co-morbidities like hypertension, diabetes, sleep apnea and heart problems that can affect the outcome of the surgery. After the surgical procedures, some of the problems that were identified were the lack of adequate pain management and social support system. This study shows that education of nurses on the continues need of assessment, implementation and evaluation on both the physical and psychosocial outcome of this patient is imperative to fully meet their needs. Purpose and Research Questions The reason or purpose of this study was to develop an understanding of women experience post- surgically after undergoing a surgical...
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... Next, I detach the aorta from the heart by cutting the aorta at the aortic arch. The aorta is opened longitudinally and the interior examined for atherosclerosis, other pathologies and any medical devices. Then, I cut the esophagus from the larynx and bluntly dissect the esophagus away from the organ block, leaving it attached to the stomach. Next, the spleen is detached, weighed and serially sectioned perpendicular to the long axis. Next, I locate the kidneys and remove them from their capsule. I make sure to comment on how the capsule removes from the external surface of the kidney. I then weigh each kidney and bivalve them. Each kidney is serially section...
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...METHODOLOGY The objective of this chapter is to define nursing research, analyse methods of research and outline methodological process used to find articles on which to base this extended literature review. In this hypothesis, the reason for literature review is to ascertain whether or not gastric banding is an effective treatment for obesity in young adults as measured by physical functioning. The research process is the step-by-step procedure of developing research paper (Boje, 2001). It normally consists of following stages: detection of the research problem; preparation of search plan; searching and assessing the literature; data collection and evaluation; formulating a research design; and presenting the research findings (Cormack, 1996). The ability of nurses and other health care professionals to locate and identify existing literature on a relevant topic is an essential nursing skill (Burns & Grove, 2003). The sources where they can gain and expand research knowledge from may include personal or specialist experiences and clinical procedures and guidelines (Eccles & Mason, 2001). Before they can be made assessable to health care workers, guidelines and procedures are required to go through rigorous process of dissemination, before they can be made assessable to health care workers to be used in practice (Craig & Smith, 2007). Some of the organisations responsible for underwriting and implementation of clinical guidelines into clinical practice...
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...First Name Last Name, RN, BSN City, State Zip phone, email SUMMARY Hard-working, goal-oriented, compassionate skilled professional nurse with 1 year experience on a fast-paced, 34-bed telemetry unit seeking a position that will utilize outstanding assessment skills, excellent communication skills, and provide exceptional patient care. PROFESSIONAL EXPERIENCE Hospital Name, City, State Staff Nurse – Heart Failure Unit * Provided direct patient care to patients requiring continuous telemetry monitoring including LVAD, transplant, and medical patients on the heart failure unit * Participated in coordinating discharge planning and home care with doctors, social workers, case managers, physical therapists, nutritionists * Served as a patient advocate and recognized for patient satisfaction * Monitored daily weights, intake and output, and reported symptoms and changes in patients’ condition * Actively participated in codes and rapid responses on the unit * Participated in Performance Improvement projects and activities * Provided written and teaching/demonstration skills for extensive patient education * Counseled patients a family members on the promotion and maintenance of health and disease prevention through health teaching EDUCATION College Name, City, State Bachelor of Science Degree in Nursing LICENSES/CERTIFICATIONS * New Jersey Registered Professional Nurse * New York Registered Professional Nurse * Basic Life...
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