...Memo District Hospital A Lesson in Governance Executive Summary Barclay Memorial Hospital (BMH) has been an important asset to their community. The hospital has been around for over 50 years and has been known to provide excellent patient care. There have been many changes that have taken place within the hospital’s organization over the past years. BMH has faced a merger with a physician group that ended negatively. Barclay Memorial Hospital did recover from this and since has went back to being a public tax district hospital, now BMH is facing many new challenges internally and externally. BMH is not reaching is full patient census. There are many departments within the hospital that need to be reevaluated since they have the potential to bring in additional profit. Many of the current physicians are against listening to changes within their departments and are threatening to leave the organization. Financial projections show the hospital will soon be losing $2 million a month. The current CEO has left this organization. Many employees are in fear of the hospital becoming a for-profit hospital. This will change the culture of the organization. Employees also fear this will lead to layoffs, benefits cuts, and frozen salaries. Communication amongst board members is poorly managed. They are in fear of many physicians. There is a lack of leadership and teamwork. Many members of the board and physicians have lost the best interest of the hospital. They are not focusing on the...
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...Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program Project Advisors Maureen Carr, M.B.A., Project Director, Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is failure to include an organization name, product, or service to be construed as disapproval. © 2010 by The Joint Commission Permission to reproduce this guide for noncommercial, educational purposes with display of attribution is granted. For other requests regarding permission to reprint, please call (630) 792-5954. Suggested Citation The Joint...
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...Social Responsibility Strategy for Metropolitan Hospital Every industry has the duty to do the right thing, or be socially responsible, but this is especially true in healthcare where the very foundation is preserving life and doing no harm. This report will consider environmental, ethical leadership, organizational viability and legal aspects pertaining to Metropolitan Hospital and make recommendations for a corporate social responsibility (CSR) strategy in each area. A.1. Environmental Considerations and Recommendations Healthcare has a tremendous impact on the environmental footprint. Consider the amount of waste the healthcare industry produces; the EPA estimates that hospitals produce 7000 tons of waste per day (Sustainable Healthcare, n.d.). This waste includes regulated medical waste (infectious, biohazardous or red bag waste), solid waste, hazardous waste, recycling, pharmaceutical waste and construction or demolition debris. Some of these wastes have a direct effect on global warming by releasing harmful greenhouse gases into the atmosphere. Harmful greenhouse gases (GHG) that hospitals produce include carbon dioxide, methane, nitrous oxide and fluorinated gases such as sevoflurane, isoflurane and desflurane. Incineration and landfill disposal of solid waste causes carbon dioxide to be emitted into the atmosphere. Methane, with six times the global warming capacity of carbon dioxide, is also a by-product of landfills. Nitrous oxide and fluorinated gases are common...
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...of communication and interruptions are barriers to the effective handoff and can be a detriment to successful implementation of an effective communication strategy. The inquiry for this investigation is attempting to reveal that implementation of a systematic tool for communication as well as performing the handoff at the bedside are considered best practices in decreasing adverse patient events. It is necessary to perform an investigative research using quantitative and qualitative studies to help describe a problem that is an important clinical issue in health care. Defining the elements to a process change through a systematic research study will help to find solutions for best practice. Implementing successful communication strategies will help to reach out to the patient community who seeks out best care practices and who know more from technological advances. The problem faced by health care personnel is the lack of a standardized tool for communication. When nurses attempt to give report to another nurse without a systematic way of providing the information, elements in patient care information are omitted leaving room for errors. Handoffs that do not occur at the patient’s bedside are faced with inefficiencies due to noisy environments, and communication exchange in this type of setting includes interruptions. Report will occur that may not necessarily paint a complete...
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...Applications of Epidemiology – A Case Study Shaneil White July 19, 2015 hSA505 Dr. Chad Moretz July 19, 2015 hSA505 Dr. Chad Moretz Analyze Good Health Hospital’s records and itemize recent nosocomial infections that occurred within the past year. In your report, categorize the different parameters (i.e., person, time, place, ethnicity, and gender) used in the compilation of data into the nformation summative. Currently at the Good Health Hospital, there’s a nosocomial outbreak of E. coli on Ward 10 on the second floor. Four cases have been identified so far linked to spoil food from the cafeteria, with two more cases pending. After meeting with chief administrator Joe Wellborn, one patient could possibly been symptomatic with the bacteria prior to admission. Parameters discussion below: * Person: 4 identified cases. (1. Male, age 23), (2. Female, age 21), (Male, age 15), and (Female, age 42). * Place: Good Health Hospital, Ward 10, second floor; Good Health Hospital cafeteria. Also research has indicated that other area hospitals around Tampa Bay has been contaminated with E. coli as well. * Time: Within the past week. Propose at least six (6) questions for the health care administrator at Good Health Hospital, regarding potential litigation issues with infections from the nosocomial diseases. Rationalize, in your report, the logic behind your six (6) questions. Traditionally, nosocomial infections have generally been viewed as an unavoidable risk of hospitalization...
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...Accountability Office GAO For Release on Delivery Expected at 10:00 a.m. EDT Thursday, May 26, 2005 Testimony Before the Committee on Ways and Means, House of Representatives NONPROFIT, FOR-PROFIT, AND GOVERNMENT HOSPITALS Uncompensated Care and Other Community Benefits Statement of David M. Walker Comptroller General of the United States GAO-05-743T May 26, 2005 Highlights Highlights of GAO-05-743T, a testimony before the Committee on Ways and Means, House of Representatives Accountability Integrity Reliability NONPROFIT, FOR-PROFIT, AND GOVERNMENT HOSPITALS Uncompensated Care and Other Community Benefits Why GAO Did This Study Before 1969, IRS required hospitals to provide charity care to qualify for tax-exempt status. Since then, however, IRS has not specifically required such care, as long as the hospital provides benefits to the community in other ways. Seeking a better understanding of the benefits provided by nonprofit hospitals, this Committee requested that GAO examine whether nonprofit hospitals provide levels of uncompensated care and other community benefits that are different from other hospitals. This statement focuses on, by ownership group, hospitals’ (1) provision of uncompensated care, which consists of charity care and bad debt, and (2) reporting of other community benefits. The hospital ownership groups were (nonfederal) government, nonprofit, and for-profit. To compare the three hospital ownership groups, GAO obtained 2003 data from...
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...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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...Health Human Resources Planning: an examination of relationships among nursing service utilization, an estimate of population health and overall health status outcomes in the province of Ontario November 2003 Gail Tomblin Murphy, PhD(c) Linda O’Brien-Pallas, PhD Chris Alksnis, PhD Stephen Birch, PhD George Kephart, PhD Mike Pennock Dorothy Pringle, PhD Irving Rootman, PhD Sping Wang, PhD Decision Maker Partners: Lucille Auffrey, RN Jean-Marie Berthelot Tom Closson Doris Grinspun, RN Mary Ellen Jeans, RN, PhD Kathleen MacMillan, RN, MA, MSc Barbara Oke, RN Judith Shamian, RN, PhD Barb Wahl, RN Funding Provided by: Canadian Health Services Research Foundation Nova Scotia Health Research Foundation University of Toronto Principal Investigators: Gail Tomblin Murphy Professor, School of Nursing Dalhousie University 5869 University Avenue Halifax, Nova Scotia B3H 4H7 Linda O’Brien-Pallas Professor and CHSRF/CIHR Chair, Nursing Human Resources Unit Co-Principal Investigator, Nursing Effectiveness, Utilization & Outcomes Research Unit Faculty of Nursing University of Toronto 50 St. George Street Toronto, Ontario M5S 3H4 Telephone: (416) 978-1967 Fax: (416) 946-7142 E-mail: l.obrien.pallas@utoronto.ca Telephone: (902) 494-2228 Fax: (902) 494-3487 E-mail: gail.tomblin.murphy@dal.ca This document is available on the Canadian Health Services Research Foundation Web site (www.chrsf.ca). For more information on the Canadian Health Services Research Foundation, contact the Foundation...
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...For exclusive use IIM Kozhikode - EPGP Kozhikode Campus, 2015 Harvard Business School 9-396-027 Rev. February 29, 1996 Apollo Hospitals of India (A) Dr. Prathap Reddy's office was filled with flowers. The tags conveyed birthday greetings from employees of Apollo Hospitals Madras and former patients, including the vice president of India. Reddy greeted a steady parade of well-wishers and paused to chat warmly by telephone with a former janitor who had called from the United States. Throughout the day, employees greeted “the Chairman” with smiles, hugs, and gifts. Dr. Reddy had founded Apollo Hospitals Madras in 1983 as the first corporate hospital in India. It offered sophisticated treatment in a comprehensive range of medical specialties. Stateof-the-art medical technology, operated by skilled technicians, complemented superior doctors, many of whom had left lucrative jobs in Europe and North America to come to Apollo. Other entrepreneurs had followed Apollo into the market, building several dozen corporate hospitals to compete with Apollo and its government-run forerunners. Since Apollo’s founding, the quality of medical care in India had improved substantially for those who could pay. Despite competition, though, Apollo Hospitals Madras remained a leader in the provision of top-quality medical care and had made a profit for 10 straight years. Reddy had been joined at Apollo by his four daughters, who took prominent roles in the company. Having introduced...
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...objectives made during the project’s life. In addition, evaluations are sometimes made relative to other similar projects. The project evaluation, however, should not be limited simply to an afterthe-fact analysis. Rather, it is useful to conduct an evaluation at a number of crucial points during the project life cycle. Because the primary purpose of a project evaluation is to give feedback to senior management for decision and control purposes, it is important for the evaluation to have credibility in the eyes of both senior management and the project team. The control purpose of evaluation is meant to improve the process of carrying out projects. The decision purpose is intended to improve the selection process. Thus an evaluation should be as carefully planned and executed as the project itself. The use of post project evaluation to help the organization improve its project-management skills on future projects means that considerable attention must be given to managing the process of project management. This is best accomplished...
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...Leadership and Inter-professional Team Development The Patient and Family Care Organizational Self-Assessment Tool (PFCC) for current practice setting will be completed as well as the organization in its entirety. The results will be analyzed based on a one to five scoring system with one being the lowest. The areas where the organization could improve its PFCC care will be discussed. The analysis of how business practices and regulatory requirements impact patient family centered care. A strategy will be created that includes goals and an operational plan to increase PFCC of the organization by improving one of the gaps that’s identified. I will discuss financial implications that this strategy may have on the organization. I will identify potential members for the multidisciplinary team who could assist in improving the identified gap. I will discuss the purpose and scope of the team to include the member’s roles, and importance of diversity within the team. The team will focus in a meaningful way using self-assessment, and awareness of self-reflective techniques. I will use PDAC to monitor whether the strategy was effective in increasing patient and family centered care. Self-Assessment Tool The PFCC tool was used to evaluate Medical Center Health System (MCHS) see attached. Setting Description Medical Center Hospital System (MCHS) is an acute care, not for profit regional 402 bed Level II Trauma Center, located in West Texas of the Permian Basin. It serves...
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...Chapter 2 True-False Questions | |Operational management is responsible for directing the day-to-day operations of the business and therefore needs | | |transaction-level information. | | | | | |Answer: True Difficulty: Easy Reference: p. 52 | | |Deciding whether to introduce a new product line is the responsibility of an operational manager. | | | | | |Answer: False Difficulty: Easy Reference: p. 57 | | |Operational-level manufacturing systems deal with the firm’s long-term manufacturing goals, such as where to locate a new | | |plant. | | | | | ...
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.................................................................. 6 V. Scope and Limitations of the Study .................................................. 7 VI. Significance of the Study ................................................................... 8 VII. Methodological Framework .............................................................. 9 VIII. Methodology ...................................................................................... 10 IX. Data Presentation and Analysis ....................................................... 12 a. Interview with Integrated analysis on Survewy report ............. 12 b. Satisfaction Rating on Different Aspect on Hospital ................ 32 X. Conclusion .......................................................................................... 43 XI. Recommendation ............................................................................. 44 XII. Bibliography ........................................................................................ 47 XIII. Appendix ............................................................................................ 48 I. Problem statement Main...
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...Quality Performance – Course Project 3 Name Institution Quality Performance – Course Project 3 Using the course work, it is imperative to understand further the issue facing Ever Event Hospital and measures of mitigating them. It is important to comprehend the cause of the poor quality of care with reagrds to the previous assignment analysis conducted in project-1 and 2. This will be achieved through building on the quality management plan created using the three steps of the Schwart’s Cycle—Do, Check, and Act. It is also crucial to develop balanced scorecard specific to the improvement plan through the description of performance measurement tools. Four categories of measurement will be created; both clinical and financial as well as description and justification of each. For every group, three specific measures will be established together with their calculation with respect to performance measurement as well as an explanation of performance change if the analysis is done for the entire organization. Moreover, during the discussion, there is a need to cover issues to be considered in the implementation of program improvement, collection and analysis of data, and description of desired results of the quality improvement plan. PART I Through the use of Schwart’s cycle checklist, it is possible for one to solve the issue faced within Ever Event Hospital by utilization of ‘Do,’ ‘Check,’ and ‘Act’ categories (Kizer, 2008). Schewart‘s PDCA cycle is usually used...
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...Financial Disclosure Management by Nonprofit Organizations1 Ranjani Krishnan, Michelle H. Yetman, Robert J. Yetman* Eli Broad College of Business, Michigan State University, East Lansing, MI 48824. Tippie College of Business, The University of Iowa, Iowa City, IA 52240 ______________________________________________________________________________ Abstract This paper examines how nonprofit organizations respond to incentives to manage their publicly available financial information. Prior research identifies two operating ratios donors commonly use to evaluate the efficiency and effectiveness of nonprofits (i.e., the program service ratio, defined as the fraction of total expenses committed to advancing the charitable mission of the organization, and the fundraising ratio, defined as the ratio of fundraising expenses to donations revenue). Nonprofit managers have an incentive to over-report the expenses classified as program services and under-report the expenses classified as administrative and fundraising in order to improve these ratios. We examine whether nonprofits respond to these incentives, and we find evidence consistent with opportunistic cost shifting to improve the program service and fundraising ratios. Additional analysis finds that smaller nonprofits that are more reliant on donations revenue manipulate their operating ratios to a greater extent. JEL classification: M4; L3 Key words: Nonprofit organizations, earnings management, disclosure, hospitals. __...
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