...The Primary Care Clinic Student’s Name Instructor’s Name Course Title Date The Primary Care Clinic Introduction A primary care clinic is located twenty-five miles outside the minor city with a population of the fifty thousand individuals. The primary care clinic is operated by five family physicians, two physician assistants, two nurse practitioners and twenty clinical support staff entailing LPNs, RNs, and CMAs. The clinic offers primary care to various individuals from the community who lives and work outside the city limits. Initially, the locality was a rural area, but the community has grown and has various opportunities for education, employment and ample living spaces for youthful families. This paper addresses the management of the small primary care clinic through the manager. The paper also addresses five major topics concerning clinic. First are the economic, social and political factors that might have influenced the development of the clinics over the past two or three decades. Second is the clinic’s comprehensive mission statement that shows the focus of the clinic. Third are directions that the clinic can take to enhance its business. The fourth is the discussion of the measures that can be taken to determine the effectiveness of the clinic’s performance. Finally is the determination of how opportunities for improvement can be addressed and processes that can be put in place. Social, Political and Economic factors that have resulted...
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...THE PRIMARY CARE CLINIC Your name here Professor’s name here School name here Date The Primary Care Clinic Patients in today’s busy world demand convenience which has lead to the rise of local centralized primary care facilities. The purpose of this paper is to look at forces that have influenced the development of the clinic, a mission statement, key performance indicators to measure effectiveness, decisions regarding clinic expansion, the role of the clinic in the community, and influences of public healthcare policy on outpatient clinics. Discuss the key political, economic, and social forces that may have influenced the development of the clinic. Politics can hamper development of private healthcare organizations by compromising quality, limiting accessibility or feasibility, or increasing the cost of healthcare through laws, regulations, policies, requirements of private practice, and monitoring of services (Griffith & White, 2007). The primary care clinic must balance the requirements and regulations of private practice while creating a market for quality healthcare in the community marketplace. The clinic model has advantages over other models in that it allows practitioners a level of economy in sharing their medical facilities, equipment and staff with others, minimizing overhead and allowing them to keep the rising cost of healthcare lower by sharing equity. Improved patient quality is...
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...The Primary Care Clinic Discuss the key political, economic, and social forces that may have influenced the development of the clinic. Politics have always had an influence on our healthcare. In the United States, people benefit from our health care system. There are many politicians that are being “paid” in order to keep our health care system the way it has been for years. Obamacare forces people to have health insurance, so it caused those who do not agree with it to make the choice to not get any type of health insurance. For those who did obtain health insurance, it makes it difficult for health care facilities to accept new patients with pre-existing health conditions because there are many insurance companies who do pay for health care for pre-existing health conditions. This can cause problems for health care facilities to obtain payment for services from the insurance companies. Other political forces that may also influence the development of the clinic are the state’s budget that could be distributed among the healthcare industry and where the money is being used, what clinical staff positions are going to be funded, and which programs will be implemented and which ones will be terminated. Many facilities determine what services they are going to be providing by where their facility is located. The economic location of our clinic is in a rural area, which determines what services we will provide to our patients, what type of patients we will accept, and what type...
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...The Primary Care Clinic Page 1 Economic and social conditions that affect people’s lives determine their health. People who are poor are less likely to seek proper medical care, as opposed to people who are of middle-class status and above. Citizens with more social status, money, and education have an abundance of choices and control over things, such as the neighborhoods, their salaries, occupational opportunities, etc. The development of clinics has become increasingly more important since the passage of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. Politics influence clinics because when laws such as these are put in place, federal funds will follow. These acts will make healthcare more accessible to millions of people in the United States. Other influences would be how much of the state’s budget is allocated to healthcare and how that money is distributed amongst the state. It can also determine what positions will be funded, what equipment will be purchased, what programs should be adopted, and which current programs should be dropped. Social forces that can influence the development of this clinic could include; traditions, values and social trends of its community and patients. Its location could also have an influence because if it is in a poor location where the population is small, services may not be in high demand. It is very important that the stakeholders continuously assess the...
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...In the United States Army, I managed a primary care clinic for 1,600 Soldiers, and the staff included 20 healthcare specialists, 1 nurse case worker, 3 physician assistants, 1 medical officer, 1 preventative medicine doctor, and 1 surgeon. The complexity was significant and involved knowledge of ICD codes, electronic health records (EHR), health computer networks and databases, primary care diagnosis, patient flow, pharmacological procedures, Army medical discharge and casework procedures, medical and facility purchasing, and local, state, federal and Army regulations regarding healthcare and healthcare facilities. Being the clinic manager, I was required to be a subject matter expert on operations except primary care diagnosis, train others,...
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...atrial fibrillation in a primary care setting. I will discuss the patient’s original presentation, including analysis and interpretation of his 12 lead electrocardiogram (ECG), diagnosis and subsequent management. Throughout the assignment I will discuss local and national guidelines and the evidence behind the chosen management for this client. For the purpose of this assignment the client will be referred to as Mr. Jones. Cardiac arrhythmias affect more than 700,000 people in England is one of the top ten reasons for hospital admission (Department of Health 2005). Atrial fibrillation (AF) is the most common and important cardiac arrhythmia, it the most common of all the arrhythmias seen in general practice. AF affects 5% of the UK population over the age of 65 years, rising to 10% in those over 75 years of age (Kirby 2005). The principal significance, both to the patient and the healthcare system is the increased risk of embolic stroke. Atrial fibrillation is associated with 15% of all strokes and with 36% of strokes in patients over the age of 60 (Hobbs 1999). Having a diagnosis of AF increases the risk of stroke five fold. It is an arrhythmia associated with serious morbidity, mortality and health service utilisation. AF and its complications now consume 1% of the United Kingdom National Health Service budget (Watson, Shanstila, and Lip 2007). Despite this it is an area that frequently remains unrecognised in general practices. Within primary care AF is an area that has...
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...RESEARCH ARTICLE Open Access Reduction of missed appointments at an urban primary care clinic: a randomised controlled study Noelle Junod Perron1*, Melissa Dominicé Dao1, Michel P Kossovsky1, Valerie Miserez1, Carmen Chuard1, Alexandra Calmy2, Jean-Michel Gaspoz1 Abstract Background: Missed appointments are known to interfere with appropriate care and to misspend medical and administrative resources. The aim of this study was to test the effectiveness of a sequential intervention reminding patients of their upcoming appointment and to identify the profile of patients missing their appointments. Methods: We conducted a randomised controlled study in an urban primary care clinic at the Geneva University Hospitals serving a majority of vulnerable patients. All patients booked in a primary care or HIV clinic at the Geneva University Hospitals were sent a reminder 48 hrs prior to their appointment according to the following sequential intervention: 1. Phone call (fixed or mobile) reminder; 2. If no phone response: a Short Message Service (SMS) reminder; 3. If no available mobile phone number: a postal reminder. The rate of missed appointment, the cost of the intervention, and the profile of patients missing their appointment were recorded. Results: 2123 patients were included: 1052 in the intervention group, 1071 in the control group. Only 61.7% patients had a mobile phone recorded at the clinic. The sequential intervention significantly reduced the rate of missed appointments:...
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...vomiting. After a few hours, the nausea had subsided somewhat, but the gastric distress persisted through most of what proved to be a long night. On the following morning, the Professor called the office of his primary care physician, Dr. Martin. Dr. Martin’s nurse, Betty, came on the line. The Professor detailed his physical problems of the previous night. “Betty, the nausea is pretty much gone, but the gastric discomfort is quite severe. I really feel that I need to see a doctor.” Betty replied, “Dr. Martin is booked solid all day, so it would be hard to see him.” “Betty,” the Professor said, “I really feel that I need to see a doctor. Suppose I go to the HealthCheck Clinic. It’s close by, and I’ve always gotten good service there. Could the doctor refer me so that the University’s insurance would cover the visit?” Betty’s voice took on a doubtful and clinical tone. “The doctor would not refer you to the clinic. However, I can ask him to prescribe something for the diarrhea. We’ll call your pharmacy and place the prescription.” Slightly perturbed, the Professor said, “But I don’t understand. My wife and I have always gotten good service at HealthCheck. Why can’t he refer me there?” Betty’s clinical tone sharpened. “The doctor would not refer you to the clinic. The medicine should help you, though. I will call it in to the pharmacy.” It was obvious that it would do little good to continue the conversation, and as he was getting a little upset by the tone...
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...Summary of Findings The Professor felt ill and decided to go home but during the drive he experienced discomfort and in the succeeding hours experienced severe diarrhea and persistent nausea and vomiting. Eventually the nausea ceased but his stomach was still upset. The following day he called Dr. Martin, his primary health care physician. Betty, the doctor’s nurse assisted him over the phone and after the professor explained his condition she told him that Dr. Martin cannot see to him because of his packed schedule. The professor asked for a referral to go to the HealthCheck Clinic but the nurse declined claiming that Dr. Martin is not willing to send him there and was instead prescribed with medicine for the diarrhea. The prescription was placed in the pharmacy for the professor to pick up. Unsatisfied, the professor called up Candy, the director of the Employee Benefits Office, but Wendy picked up and relayed everything to Candy who then expressed her surprise and distress over the situation. She too did not understand that the request for a referral was denied as the professor asked for it. The professor picked up the medicine from the pharmacy, drove home, took a pill, and went to bed. The following day the diarrhea was under control but the gastric discomfort was still a problem. He decided to go to work but in the afternoon he gave up and went home. He called Dr. Martin’s office and once again Betty answered the phone. She informed him that the doctor is out all...
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...Health Promotions: Primary, Secondary and Tertiary Beth Fleming Grand Canyon University April 03, 2014 For many years, health promotions and prevention has been the focus for healthcare providers, especially nurses. Health promotion seeks to improve a person or population’s health by teaching about and helps people become more aware of risky behaviors associated with different diseases. It encourages individuals to take preventative measures to prevent onset or worsening of a disease or illness. It encourages a healthier lifestyle (Edelman & Mandle, 2010). The strategy is to help people make health improvements or prevention before illness occurs. Health promotion is one way in addressing health determinants such as developing personal skills, strengthening the action of communities and providing a supportive environment for health. Health promotions help to address issues that are controllable by individuals. In redirecting illness financial burdens can be reduced keeping patients and the government from having to pay to cure the illness or disease. Nurses work in all three levels of promotion and prevention (Edelman & Mandle, 2010). Nurses teach to prevent illness, work with the specialist to help lesson further illness and work in the hospital at the bedside caring for patients that have developed a chronic illness. In many areas of the world there has been a lot of evolution in the nursing field. Nurses...
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...for profit, 100bed hospital, acute care, and teaching facility based in Northwest Washington, DC. It is a medium sized private hospital in the nation’s capital and among the top 30 teaching hospitals in the United States. The Hospital Center was founded in April 1990 and is the flagship facility for the DMV Healthcare System. It offers primary, secondary and tertiary care to adult and neonatal patients. The clinic is owned by DMV healthcare System but operates independently of the parent organization. The facility provides inpatient and out-patient care and located at 1210 Johnson Street, NW, Washington DC, 20012. The culture of the organization is “Patient first” and the promise is to embody the concept in all aspect of care. The building houses the hospital, a primary care and a subspecialty care section with eighteen (18) examination rooms with a total of approximately six (6) attending doctors and three (3) nurse practitioners at any one time, approximately twenty (20) residents serving for at least three years at a time. A Registered Nurse serves as the director with the help of an administrative manager. Three (3) nurses serve as supervisors with one charge nurse for each section. Below the nurses in terms of hierarchy of twenty (20) medical assistants (MAsclinical), approximately eight (8) medical office assistants (MOAsclerical). The doctors and nurse practitioners provide diagnostic and therapeutic services, interdisciplinary care coordination, patient education and...
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...After a few hours, the nausea had subsided somewhat, but the gastric distress persisted through most of what proved to be a long night. On the following morning, the professor called the office of his primary care physician, Dr. Martin. Dr. Martin’s nurse, Betty, came on the line. The professor detailed his physical problems of the previous night. “Betty, the nausea is pretty much gone, but the gastric discomfort is quite severe. I really feel that I need to see a doctor.” Betty replied, “Dr. Martin is booked solid all day, so it would be hard to see him.” “Betty,” the professor said, “I really feel that I need to see a doctor. Suppose I go to the HealthCheck Clinic. It’s close by, and I’ve always gotten good service there. Could the doctor refer me so that the University’s insurance would cover the visit?” Betty’s voice took on a doubtful and clinical tone. “The doctor would not refer you to the clinic. However, I can ask him to prescribe something for the diarrhea. We’ll call your pharmacy and place the prescription.” Slightly perturbed, the professor said, “But I don’t understand. My wife and I have always gotten good service at HealthCheck. Why can’t he refer me there?” Betty’s clinical tone sharpened. “The doctor would not refer you to the clinic. The medicine should help you, though. I will call it in to the pharmacy.” It was obvious that it would do little good to continue the conversation, and as he was getting a little...
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...the abstract of the document here. The abstract is typically a short summary of the contents of the document. Type the abstract of the document here. The abstract is typically a short summary of the contents of the document.] Electronic Discharge Summary EXECUTIVE SUMMARY Electronic Discharge Summary EXECUTIVE SUMMARY S. CHANDE, C. CHAHAL, N. GANDHI, A. HUSSEIN, K. MANOHARON. N. NURU S. CHANDE, C. CHAHAL, N. GANDHI, A. HUSSEIN, K. MANOHARON. N. NURU THE PROPOSAL There were 15 million discharge summaries produced for admissions into hospital last year. A staggering 80% of these were found to be inaccurate or incomplete and another 70% of these were reported as being severely delayed on a regular basis. This compromise to clinical care and patient safety is simply unacceptable. Our empirical market research has found that the majority of junior doctors, the principal users of discharge forms, were unhappy with the current systems in place. It has also been reported that on average junior doctors spend more time carrying out admin duties than in formal training and teaching sessions. There are electronic discharge systems present however, these have been described as insufficient as they lack comprehensive coding and in some circumstances have actually lengthened the process. The current problems with discharge summaries have resulted in extended patient stays with consequent unnecessary bed blocks. The national programme for IT had a vision for standardising...
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...When reviewing and discussing Williams situation from the perspective of traditional psychology, I can't help but be focused first, on improving the problems that exist in Williams daily life that cause him to feel that his life is pointless. In Williams' case just from the reading, it would be safe to say that William needs help in improving these symptoms. According to the reading, William suffers from many different symptoms. These symptoms include rarely seeing his two daughter due to a divorce, having issues with weight gain, and his appearance-which have caused decreased energy with no motivation to fix it on his own, he suffers from the lack of sleep due to worries about business problems, along with no social life outside of work. To top it all William has just recently been diagnosed with high blood pressure. As you can see William is at a very low point in his life and if I had to be the one to diagnose William, I would say that William suffers from a major depressive disorder along with an anxiety disorder. In my recommendations, I feel that it would be in Williams best interest if he were treated for his problems with some intensive therapy for his personal issues that he is battling along with some medication for the anxiety and sleepless nights. I further feel that maybe William could try some over the counter vitamins for his lack of energy. In doing so, I feel that William will begin to feel a lot more self-sufficient in his social life as well as his...
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...Health Care Name: Institution: Healthcare ( (or human services) is the finding, treatment, and avoidance of malady, disease, harm, and other physical and mental weaknesses in individuals. Access to health awareness shifts crosswise over nations, gatherings, and people impacted by social and monetary conditions and, in addition, the wellbeing strategies set up. Nations and wards have distinctive policies and plans in connection with the individual and populace based social insurance objectives inside their social orders. Medicinal services frameworks are associations made to meet the wellbeing needs of target masses. Their definite setup fluctuates in the middle of national and subnational elements. In a few nations and wards, health awareness arranging is disseminated among business sector members, though, in others, arranging happens all the more halfway among governments or other organizing bodies. In all cases, as per the World Health Organization (WHO), a well-working health care system requires a stable financing ; a uniquely prepared and satisfactorily paid workforce; solid data on which to base choices and approaches; and decently kept up wellbeing offices and logistics to convey quality pharmaceuticals and advancements. Health awareness can add to a critical piece of a nation's economy. While the meanings of the different sorts of human services fluctuate relying upon the distinctive social, political, authoritative and disciplinary viewpoints...
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