...Case report: Paediatric Orthopaedic Clinic 1- What is capacity utilization at every step in the process? What is the direct resource utilization? Using the data provided in the case, we are able to compile all data necessary to compute the capacity utilization at the clinic. Activity | # of Staff | Available time | Activity time | Number of Patients | Time needed | Utilization10 | | | /Staff | Total | N | F | N | F | N | F | Total | | 1. Front Desk | | | | | | | | | | | | a. Registration | 3 | 180 | 540 | 5 | 5 | 32 | 48 | 160 | 240 | 400 | 74 % | b. Verification | 3 | 255 | 765 | 9 | 4 | 32 | 48 | 288 | 192 | 480 | 63 % | 2. Radiology Department | | | | | | | | | | | | a. X-ray imaging | 6 | 240 | 9603 | 11 | 11 | 32 | 40.8 | 352 | 448.8 | 800.8 | 83 % | b. Development of X-rat | -1 | 240 | 9604 | 7 | 7 | 32 | 40.8 | 224 | 285.6 | 509.6 | 53%8 | c. Diagnostic reading and comments | 3 | 240 | 4805 | 5 | 5 | 32 | 40.8 | 160 | 204 | 364 | 76% | 3. Hand-off X-ray to Clinic | | | | | | | | | | | | a. Collection of X-ray | 3 | 2556 | 7657 | 2 | 2 | 32 | 40.8 | 64 | 81.6 | 145.6 | 19% 9 | b. Filing/exam room prep | 1 | 255 | 255 | 2 | 2 | 32 | 48 | 64 | 96 | 160 | 63% | 4. Examination Room | | | | | | | | | | | | a. Surgeon | 1 | 255 | 255 | 7 | 4 | 32 | 14.4 | 224 | 57.6 | 281.6 | 110% | b. Resident | 1(2)2 | 255 | 255 | - | 7 | - | 33.6 | - | 235.2 | 235.2 | 92% | c. Cast technician...
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...Nevertheless, starting a clinic may not be simple as it takes numerous procedures that may include; sourcing supplies, legal arrangements, recruiting of volunteers, identifying viable funding raising mechanisms and identifying a reliable consultancy team that will help in accounting, insurance and legal matters. This however depends on whether the clinic will be individually owned or collaboration with organizations such as Volunteers in Health Care (VIH) and Volunteers in Medicine that assist societies to start free clinics. Economic status and its effect on health care: Low socioeconomic status (SES) has its links to low income. People with low income lack medical insurance covers, have poor quality health care and seek health care less often or when they do it’s an emergency (Swartz, 1994). Taken together, current research suggests that, although numerous issues affect patient gratification of the healthcare system, SES is among the most significant factor simply because it commands a great deal of the health care system where people receive care. Research also shows that while...
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...Obligations and Responsibilities of Kachia Local Government and Areas where Kachia LGA has failed in fulfilling its obligations and responsibilities. Obligations and Responsibilities of Communities and Areas where Communities have failed in fulfilling their obligations and responsibilities Obligations and Responsibilities of Tulsi Chanrai Foundation and Areas where TCF has failed in fulfilling its obligations and responsibilities. • On Project Activities to meet Objectives Page 20 Organization of health services Staff disposition Range of services provided at health facility Ward Health System Project Map Major health problems Essential Drugs Exemptions and Deferments Referral programme. (including Ambulance Service) Essential Equipment Health...
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...Background Norway is a Nordic country in northern Europe with a population of 4.6 million (similar to South Carolina, Alabama, or the city of Philadelphia), a landmass of 324,220 km2 (about the size of New Mexico), and a population density of 13 people/km2 (ranks 213 out of 244 countries). Norway’s Gross National Product (GNP) per capita is $51,810 (rank #2, US with $41,440 ranks #4) and a GNP per capita based on global purchasing power parity (PPP) is $38,680 which ranks it third behind Luxembourg and the US (at $61,610 and $39,820 respectively)1. Using any number of measures Norway ranks as one of the richest countries in the world. Another factor is the amount of income that the oil industry generates for the government, which is not directly reflected in the above numbers. Norway is the world’s third largest exporter of oil (behind Saudi Arabia and Russia), the bulk of which is funneled back into the government. Norway’s unemployment rate is 2.8% which ranks it 5th lowest in the world (behind Qatar, Thailand, Singapore, and Vietnam)2, while the US unemployment rate is 9.1% (near the top of the major economic countries of the world. In 2001, the proportion of the population with a university education, among 30 to 39-year-olds, was 29% for men and 36% for women. In all, 57% of the population over the age of 16 had completed secondary education. In total, therefore, the enrolment level in secondary and tertiary education amounts to more than two-thirds of Norwegians...
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...Clinic Thomas R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for patients to access health care. These clinics typically schedule appointments...
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...organizational design of the clinic. The Internal Forces and the External Forces Affecting the Organizational Design of the Clinic The external forces that act on the organization in this case, a group practice family medical clinic, exerted a greater effect on reshaping the organizational design of the practice than has been true of the internal forces that also drive changes in organizational design. The two most important external forces, when considered in relation to effects on organizational design, have been, in the opinion of this writer, (a) technological innovations that directly affect the acquisition, presentation, interpretation, access, and storage of patient-related information, and (b) the accountability movement in health care delivery in the United...
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...the Gundersen Health System to become energy independent by the year 2014. Most healthcare organizations do not include the upper management in the process of business. This paper will discuss how to do a change of process to reach the goal of being energy independent, it will show how the change will be a Six Sigma Process. It will look at Capability Maturity Model (CMM). It will touch on Porter’s three – phase process. A current diagram and a change process diagram. The paper will also touch on goals to be placed into affect. It will state the tasks and measurements for the goal. Introduction to Gundersen Health System Gundersen Health Systems was first named Gundersen Lutheran Hospital and was founded in 1902 by the primary Doctor, Adolf Gundersen. It was renamed Gundersen Clinic and Lutheran Hospital, and in 1995 it was name Gundersen Lutheran Inc. It is now known as Gundersen Healthcare Systems. The system is made up of 24 Medical Clinics, 4 Worksite Clinics, 2 Express Care Clinics, 4 Podiatry Clinics, 8 Behavioral Health Clinics, 12 Eye Clinics/Institutes, 2 Sport Medicine Clinics, 4 Reproductive Clinics. It has 3 Affiliated Hospitals, and 4 Affiliated Nursing Homes. This healthcare system serves 19 counties in three states, (Minnesota, Wisconsin, and Iowa. (Fast Facts, 2013). The mission and vision statements go with the core values of Gundersen Health System. They are to be number one in patient care, education...
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...healthcare sectors to ensure that effective healthcare policies are being implemented. In the late 2010, IOM released a special report “The Future of Nursing: Leading change, Advancing health”. The report contains three messages related to nursing, which focus on the following sections: transforming practice, transforming education and transforming leadership. This paper focuses on the IOM report and how it impacts nursing education. This paper will also discuss the role of a nurse as a leader and their practice, particularly in primary care. Lastly, this paper will disclose how I would change my practice to meet the goals of the IOM report. Firstly, the IOM report also stated that it is crucial that a nurse must have training from an accredited institution system to so they can be ready contribute at their work (IOM, 2010). Educational standard has influence perceptions about nurses. Academics and professionals have hotly debated the minimum education needed by nurses for several decades. The IOM report also discuss and offer the reason why nurses having a higher level of education is a must; Nursing practice have expand greatly, they will now need knowledge of leadership skills, public health, health policy, evidence base practice etc. Based on the IOM report for changing nursing education system, the impact will upturn and increase the baccalaureate degree nurses, masters and doctorate graduation rate to eighty percent by 2020. It will inspire the nurses that obtain an AND to...
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...Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for patients to access health care. These clinics typically schedule...
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...Health Care Access Options Nicole Manske HCS 490 April 25, 2016 Professor Green Health Care Access Options There are many health care centers throughout the community that offer many different health care needs for patients. Health care organizations are found in varies places throughout the community. You can find walk-in clinics, retail clinics in grocery stores, and no appointment physician offices. These different types of health care centers impact the variety of demographics throughout the community and within the health care community. These clinics effect different generations too. Also, when you know the targeted audience of the clinic based on demographics you will find a center that best suits your needs. Along with the audience, knowing that social media networking can have a large impact on consumer choice will also help determine the best suited health care center for your needs. The Changing Landscape of Health Care Systems Health care systems will forever change. The systems must change in order to stay relevant with what the community wants and needs. The system is working towards creating affordable center for everyone to receive the care and treatment they need while also keeping the treatment affordable (Department of Health and Human Services, 2015). There are various places health care is delivered. There are many walk-in clinics that all patients in need of immediate attention to receive the help they need. These walk-in clinics are convenient...
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...qwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwer...
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...Change and Culture Case Study I Mergers occur almost every day in the business world for one reason or another. In health care two or more facilities may merge because of lack of staff, budget cuts, or poor administration that causes pending closures of one or more facilities. When mergers of two healthcare facilities occur, top line management and administration are normally always the first to get the axe from the healthcare facility that needed the bailout. This leaves middle management with the task of effectively aligning the staff of the healthcare facilities without causing conflict that would undermine the good nature of the newly formed health care facility. The scenario calls for acting as a middle manager in a healthcare facility that has just merged with a previous competitor. Each facility will come with their own set of flaws and flourishes. This paper will address how middle management can form a bond with employees of both facilities. It will also give best practices on how to jointly implement inpatient and outpatient services and correct flaws and continue to flourish as one health care facility that provides the best service to their patients. The usual reason for two health care facilities merging is because one facility is not doing well and is in danger of being shut down. The not doing so well can be attributed to budget, quality of service, employee retention, training, space, or a takeover in board members. There are other reasons for mergers...
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...Private and public purchasers, health care organizations, clinicians, and patients should work together to redesign health care processes in accordance with the following rules: 1. Care based on continuous healing relationships. Patients should receive care whenever they need it and in many forms, not just face-to-face visits. This rule implies that the health care system should be responsive at all times (24 hours a day, every day) and that access to care should be provided over the Internet, by telephone, and by other means in addition to face-to-face visits. 2. Customization based on patient needs and values. The system of care should be designed to meet the most common types of needs, but have the capability to respond to individual patient choices and preferences. 3. The patient as the source of control. Patients should be given the necessary information and the opportunity to exercise the degree of control they choose over health care decisions that affect them. The health system should be able to accommodate differences in patient preferences and encourage shared decision making. 4. Shared knowledge and the free flow of information. Patients should have unfettered access to their own medical information and to clinical knowledge. Clinicians and patients should communicate effectively and share information. 5. Evidence-based decision making. Patients should receive care based on the best available scientific knowledge. Care should not vary illogically from...
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...of healthcare, and harm healthcare workers financially both reflect a complex issue and a compromise is needed. There are serious flaws with the current state of healthcare in America, and the side that supports The Affordable Healthcare Act has valid points as to why the current healthcare policy should be changed. In 2010, almost fifty million Americans were uninsured (Lazarus, 2011). Healthcare is unaffordable to many people in its current state, therefore, many individuals can potentially be denied quality treatment for serious illnesses such as cancer or diabetes. Additionally, if somebody gets sick and cannot afford health insurance, the medical bills are expensive enough to bankrupt an individual. If The Affordable Healthcare Act is put into effect, no American citizen will be denied care because they cannot afford it, since taxes will pay for one’s care. Supporters of The Affordable Healthcare Act reference other countries...
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...MKU-VIRTUAL CAMPUS RESEARCH METHODS CATS I &II QUESTION ONE Using the knowledge acquired on literature review, answer the following questions; Compile a literature review on “why we should carry out research in our society” INTRODUCTION. In the broadest definition of words research includes gathering of data, information and facts for the advancement of knowledge. In meaning research is an organized and systematic way of finding answers to questions. It is systematic because there is a definite set of procedures and steps which you will follow. (There are certain things in the research process which are always done in order to get the most accurate results.) Organized in that there is a structure or method in going about research.( It is a planned procedure, not a spontaneous one. It is focused and limited to a specific scope.) Finding answers is the end of all research. (Whether it is the answer to a hypothesis or even a simple question, research is successful when we find answers. Sometimes the answer is no, but it is still an answer.) Questions are also central to research.( Whether it is the answer to a hypothesis or even a simple question, research is successful when we find answers. Sometimes the answer is no, but it is still an answer.) Research is arguably an important aspect of life especially in our society. The main importance of research is to produce knowledge that can be applied outside a research setting. Research also forms the foundation of program...
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