...went beyond their wildest expectations: They became millionaires. Thompson even included some retirees and widows in his plan. What’s more, he paid the taxes on those proceeds—about $25 million. 3Employees were so flabbergasted that the wife of an area manager tearfully said: “I think the commas are in the wrong place.” The commas were right where they belonged. Thompson had made sure of that, had made sure, too, that not one of the workers would lose his or her job in the buyout. 4I sat at the breakfast table stunned. I just don’t know too many people or companies that would do something like that. Sure, many employers offer profit-sharing and stock-option plans. But outright giving? Nah. Employees rarely share in the bounty when the big payoff comes. In fact, many end up losing their jobs, being demoted, seeking transfers, or taking early retirement. Insecurity—or better yet, the concept of every man for himself—is a verity of work life in America. 5Yet here is one man defying all of the stereotypes. I search for clues in his life, but find nothing out of the ordinary, nothing that stands out. He started the business in his basement with $3,500, supported by his schoolteacher wife. He has owned the same modest house for 37 years. His wood-paneled office has no Persian rugs or oil paintings, only photos of three children and five grandchildren. He admits to an indulgence or two: a...
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...use of hospital or office of physicians. The system allows storage, modification and retrieval of patients’ records. This is efficient because it eliminates the records being paper based and doctors can record data at the moment they are talking to the patient. The effectiveness of electronic medical record errors is less likely to happen because everything will be electronic. By law health care providers are to have patients’ records for seven years. When a provider has to look up information on patients’ history al there information well be in one place, instead all over the place with paper based records. The electronic medical records are becoming more common means of recording information of patients. It has not been easy from transition of paper charting to the use of electronic medical records. There are people in the health care profession who find it time consuming and difficult to use; however, electronic medical record present advantages to their paper counterparts. The advantage to electronic medical record includes that repetitive information can decrease. The healthcare professional remotely can access the information. When information have been up-to-date all healthcare provider have access to it. The information is less likely to be destroyed or lost. Depending on the condition of the patient’s the program can include specific protocols. The charting of the patients’ can be done in a timely manner. The healthcare providers are more likely to have stronger communication...
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...With no change in volume (utilization), is the clinic projected to make a profit? Currently the clinic sees about 45 patients per day and they have capacity to handle 85. If they continue how they are operating the clinic is looking at a loss of $3,173. At this rate the clinic will not be able to make a profit in spite of inflation over the next couple years. #2 How many additional daily visits must be generated to break even? There is an average of 1,230 visits a month, bringing in 47,037 a month in net revenue. Figure one tells us that in order to breakeven without the new marketing program the clinic will need to see 22 more patients per day, which brings it to a grand total of 67 patients that will need to be seen per day. #3 Answer the same question as in question 2, but this time assume the marketing program has been implemented. According to figure 2 in order to breakeven with the new marketing plan they would need to see 28 patients per day which is 6 more than without the marketing plan. The total of patients needing to be seen per day with this marketing plan is 73. #4 How many incremental daily visits would it take to pay for the marketing program, irrespective of overall clinic profitability? Now according to figure 3 in order for the clinic to pay for the marketing plan it would need to have 22 consecutive days in operation seeing 73 patients per day. #5 Which items in the statement were easiest to project and why? Which were the most difficult and why? What...
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...Affects of IT on the Healthcare Industry Laboratory Information System (LIS) There has been numerous technological advances in the past decade that have affected the healthcare industry. With the networking and communication systems development, the amount of information exchanged between healthcare professionals has also risen dramatically. IT has had a significant impact on the healthcare delivery system in all areas and it is believed that it will continue to do so into the next century. In this research, I will only discuss the Laboratory Information System (LIS) and also briefly explain the Hospital Information System (HIS), that are being used in the healthcare industry. Laboratory Information System A laboratory information system (LIS), is a type of software that handles receiving, processing and storing information generated by Medical laboratory processes. These systems must interface with instruments/analyzers and other information systems such as hospital information systems (HIS). An LIS is a highly configurable application which is customized to facilitate a wide variety of laboratory workflow models. Deciding on an LIS vendor and installing of an LIS software could take a lab from a few months to a few years, depending on the complexity of the organization. LIS’s are complex software applications. There are as many variations of LIS’s as there types of lab work. Disciplines of laboratory science include many aspects such as hematology...
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...bio-psycho-social model is the one that I most relate to. I believe in the power of prayer and healing, and also that ones beliefs can affect their health, physical, mental, and emotional. 3) I feel that I take a very mindful approach to my nursing practice. Mindfulness is defined as “a state of mind or mode of practice that permits the questioning of expectations, knowledge, and the adequacy of routines in complex and not fully predictable social, technological, and physical settings. Mindfulness does not exclude or oppose the idea of routines, but may in fact build upon routinized action”. (Rerup, 2005; Levinthal and Rerup, 2006). I try to maintain this state of mind when I am working, in doing this, I feel that I provide better patient care, and it also helps me with my working relationships. It also allows me to adapt easier to new situations. B. Personality Preferences: 1)Kiersey Temperament Personality Test Results: [pic] 2) Analyze Test results: a) My personality test results indicate that I am a Guardian. I believe this to be...
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...co-workers and patients and how I can bring mindfulness into my own life. Professional Presence and Influence Professional Presence Larry Dossey discusses three eras medicine in his book, Reinventing Medicine. Era I is a time period which began in the 1860’s and focused on the physical body as the reason for illness. The body was treated with surgical procedures and drugs. Era II focused on the body also, but it was realized that emotions and feelings could influence the body’s functions. The third Era, Era III says that “the mind is not confined to the body, that the mind is boundless and unlimited” (Dossey, n.d.). Era I equates to a purely “physical body” model of health and healing. This model does not view the person as a whole, but rather the ailment independent of the person. If a person had an intestinal disorder, medications may be prescribed, but there may be no discussion as to how the disorder came to be. In this era, we would not look at the patient’s nutrition or life situations which may have precipitated their illness. Era III, the modern era of health and healing, looks at the patient as a whole person. If this patient sought healthcare for their intestinal ailment, we would assess the patient as a whole person. We could use drugs or a surgical procedure to aid in alleviating their symptoms, but we may also inquire as to their nutritional status, any stressors in their lives or find out if perhaps another body part hurts, causing the patient to take meds...
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...Professional Presence and Influence Dina L. Bredeau, ARNP Western Governors University Society has progressed both socially and technologically as has medicine. This includes our understanding of health and healing as evidenced by Dossey’s three eras of medicine. Era 1, beginning in the 1800’s, reflected the prevailing view that health and illness are totally physical in nature and therapies included surgical procedures and drugs. Era 2, starting in the 1950’s, related to the mind and body. Practitioners began to realize that emotions and feelings can impact health. Era 3, still developing today, began in the 1990’s and builds on the previous eras by adding the spirit and proposes that consciousness is not confined to one’s individual body. The mind is boundless and may not only affect a person’s body, but the body of another person at a distance, even if that person is unaware (Dossey, n.d.) A. Professional Presence As the three eras of medicine have evolved over the years, it is apparent that they are intertwined, yet very different as evidenced by Era 1 and Era 3. Era 1’s main focus is on the body and addresses the health and healing of humans based on bodily functions and how they can be treated. Era 3 takes a more holistic approach by incorporating the body, mind and spirit. This includes Watson’s theory of human caring which discusses “human caring consciousness, administering ‘human care essentials’, which potentiate alignment of mind body spirit...
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...in the early 1900 with the use of frontal lobotomies to cure hysteria. The thought was that performing a surgical procedure on the brain will remove the area that is causing the Hysteria. Era I focuses on performing a procedure or providing a medication to fix the body physically, while Era III takes into account the patients perception of health, their stats of mind and their support structures around them. It focuses on the realization that your mental state of mind can affect the physical state of your body. In addition, Era III considers the influence of other humans through the use of prayer and the influence that can have on the body even without the patient being aware that they were being prayed for. Era III is referred to as the “Boundless Mind Era”. It takes the belief from Era II that diseases are influenced by a person’s feelings and emotions and goes a bit further to say that disease can be influenced by the mind of another person at a distance through the use of prayer. (Dossey, “A Conversation about the Future of Medicine”: Larry Dossey’s 3 Era’s in Healthcare). Research has been done on the influence of prayer on disease processes and patients receiving prayer had fewer side effects than those that were not prayed for. 2. I have been an Emergency Room and Critical Care nurse for 16 years. I feel my professional presence model is a mixture between Era I, physical body and Era III body-mind-sprit, depending on the situation. In both the critical care...
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...Presence and Influence Western Governors University “Being human means being whole physically, mentally, emotionally and spiritually” (Koerner, 2011). I believe that these are important aspects that contribute to our life as human beings. As a nurse, part of our professional presence is to be able to understand other people by putting ourselves in their situations. When we understand, value and respect others, we are able to provide the healing that they need. A1. Differences Between Two Models of Health and Healing Larry Dossey, a medical theorist and physician, developed a theory of health and healing which incorporates three different eras in healthcare. In 1800s, Era I medicine considered consciousness a mechanical entity like the physical brain (Dossey, 1996). This era looks at the body and the mind as purely physical, as purely pursuing the blind laws of nature. The therapies that shake out of that approach are medications, surgery, radiation and so on (Dossey, 1996). Era II, which is known as the “mind-body medicine, emerged in the 19thcentury, when scientists began to understand what is known today as the mind-body connection. In Era II, consciousness is believed to have an influence on i individual health (Dossey, 1996). Era III medicine adds a spiritual dimension to health, according to Dossey, and captures the idea that consciousness can extend beyond the body. Dossey uses the term “non-locality”...
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...Running head: PROFESSIONAL PRESENCE AND INFLUENCE 1 Professional Presence and Influence Esther Lopez Western Governors University PROFESSIONAL PRESENCE AND INFLUENCE 2 Over the last one hundred years there has been a great change in the way nurses, doctors, and others in the medical field, as well as the general public, have come to view health and wellness. Where once health was thought to only be comprised of our physical body and the physical things that affect it, we now know that health encompasses so much more. We know that who we are is made up not only of the physical body, but also of mind, and spirit (Koerner, 2011), and that this not only affects each of us individually but also those around us and that we are part of something much bigger(Dossey, n.d.). It is so very important for each one of us to truly get to know who “I” am, to understand my strengths and weaknesses, what “makes me tick”, and truly motivates me. It is only then that I can begin to move through the process of becoming the best person and nurse that I can be. That is the process each one of us is in, and as we all move through this process of better understanding ourselves and making the changes due to the new understanding, we can truly begin to affect all those around us, also known as the “ripple effect”. Section A: Professional Presence A1. In the course of this class we discussed three models of health and healing-Era I, Era II, and Era III...
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...ethical implications involved in healthcare decisions, it is nearly impossible to define the “right” amount to be spend in healthcare. As our nation is debating what the appropriate amount to be spend on healthcare is, this project aims on understanding the drivers for this high cost and possible ways to control them. One of the important drivers for this high healthcare cost that we identified and will discuss in this paper is unnecessary care. Although there are number of factors contributing to unnecessary care, this paper focuses on four key issues mainly sterilization, hospital acquired infections, medical errors and hospital readmissions. Sterilization: Background of the issue Hospitals are hygienic paradoxes. It is where patients are cured from diseases and acquire a new one. Hospital hygiene is difficult to achieve. According to the World Health Organization estimates, “more than 1.4 million people worldwide are affected by infections acquired in hospitals” (Cleanhospitals.net). Why are there so many unclean hospitals and what body of people holds them accountable for medical negligence? How do you eliminate hospital-acquired infections (HAIs) and improve hospital hygiene standards? Current status and challenges Currently, many hospitals clean, disinfect, and sterilize hospital equipment. While hospital staff and nurses may be able to be trained on the proper cleaning procedures, equipment sterilization is not a part of the nursing staff’s core competencies...
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...that we have come one full circle to integrate and merge spirituality, alternative and complimentary medicine with traditional practices to enrich patient care. In today’s world that is so commercialized, this integrated approach revitalizes the very intension of the medical mission by considering the subject as a whole person. It does not renounce the modern medicine but recognizes the spiritual components of healing and wholeness. None of us would disagree with the fact that compassionate care is a golden thread for complete cure. Characteristics of Healing Hospital:(components of healing hospitals) ‘Healing Hospital’ is a formalized approach to healing and it has three vital components as follows: 1.A healing physical environment 2.Integration of work design and technology and 3.A culture of radical loving care. This is a holistic approach that meets not only patient’s physical needs but their emotional and spiritual needs as well. As per wftv.com news(Feb, 2008), Parrish Medical Center was the #1 Healing Hospital for third straight year, and its CEO George Mikitarian was awarded too. According to Erie Chapman the President of the Baptist Healing Trust, the Trust uses six criteria to define a Healing Hospital as follows. 1. Work is done out of a passion to care for others. 2. Every employee, physician and volunteer treats patients with respect, dignity and loving care. 3. Every single leader, physician, director, manager or supervisor treats employees, volunteers and each...
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...Death with Dignity Act Kleta Shinn HSC/430 September 26, 2011 Professor Smith Death with Dignity Act In Washington State, the people voted and passed a law to legalize assisted suicide, called Death with Dignity Act in 2009. This law is for terminally ill patients, diagnosed by their physician to have less than six months to live. There are several steps before the patient is allowed to receive the medication for assisted suicide .“The patient must be a resident of the state, be at least eighteen years old, declared mentally competent to make the request, and two doctors have to certify that he or she has less than six months to live” ( Medical News Today, 2009 ). The representative for Compassion and Choices, an aid in dying advocacy group for assisted suicide, is very supportive of the new law, which gives terminally ill patient other option and helps he or she decide how they wish to live their last days. The Death with Dignity Act allows physicians to prescribe lethal doses of medications to the terminally ill patient. Barbara McKay is terminally ill from advance ovarian cancer and she said “I have watched both my parents suffer with few choices at the end of their lives. I want to be able to decide what time and the way I wish to die.”(Medical News Today,2009). Death with Dignity Act has placed a considerable load of ethical and unethical consequences of emotions on the health care professionals, who will be performing this request. Death with...
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...every practice, hospital, healthcare facility in the United States will be using Electronic Medical Records to keep track of a patient’s information. These facilities will still need to keep a paper record of a patient’s information for those times when the power may go out, and the system is not available to input what the doctor has said about the patient. Electronic Medicals Records are the same as a paper file in the sense that we input information in different sections, like a patient’s personal information, medications, vital signs results, lab work, x-rays, physician notes, diagnosis, etc. Major Features and Benefits of EMR No more repetitive typing, once an individual’s information is entered into the system it will automatically be on any documents or forms. Any information the physician puts in a progress note – such as medications, vital signs results or lab results – will be updated automatically to an individual’s chart. Some of this information can be added to an individual’s chart while the physician is seeing that individual, which I believe can give the physician more time with each patient and the patient won’t feel anxious or scared about going to the doctor. How many of you misplace or forget to take your prescriptions to the pharmacy? You don’t have to worry about that happening, the physician can send them straight to the pharmacy whether it is a new prescription or a refill. It...
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...Education); and nurses should partner in full with doctors and professionals in health care in the redesigning of practices (Transforming Leadership). Impact of Report on Transforming Education The report recommends five core competencies to be integrated in the nursing education. They are, patient centered care, working with other interdisciplinary teams, emphasize practice based on evidence, seeking improvement in quality, and informatics. Computer skills and information management are required for nurses in order to keep up with the technological advancement in the medical field. The need for highly educated nurses and improved and improved education system are a must to keep up with the drastic changes and challenges the healthcare field in the United States has shifted in this century. Patient care in the 21st century is not the same as last century. The need and patient care have become more complicated and complex so nurses have to obtain competencies and skills in order to deliver high quality care. The need for expansion in their roles for higher levels of education and an improved system of education are required for nurses now for meeting the diverse needs of the patients and to provide better care. Improving the education system and achieving a more educated work force is increasing with nurses having baccalaureate degrees, that is, a traditional Registered Nurse to Bachelor of Nursing program or a traditional 4 year Bachelor of Nursing program or a program that...
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