...Economics of an Urgent Care Center in a Market of Emergency Departments One of the contributors to the rising cost of Healthcare can be attributed to the over use of emergency departments (EDs) for non-emergency needs. In the greater Capitol/First/Beacon Hill area there are three major hospitals (Virginia Mason, Harborview, and Swedish) with emergency rooms and no urgent care centers with the exception of Group Health which is restricted to Group Health insurance members. The question I asked myself is, “Why does Group Health have urgent care for their insurance plan members and the major hospitals in Seattle do not.” Urgent vs. Emergency Care A study by the CDC showed that approximately 70 % of emergency department visits can be treated in a typical primary care or urgent care setting and another study by National Center for Policy Analysis demonstrated that only 13% of patients that sought treatment in the emergency department were clinically appropriate. Reasons for non-emergency visits to the ED range from access issues to primary care providers (wait times, no primary care provider assigned, or no insurance) to a lack of knowledge that they could have been treated at an urgent care or primary care setting. There are good reasons to visit the emergency department: * Trauma due to an accident or assault | * A wound that will not stop bleeding | * Shortness of breath | * Vomiting blood | * Chest pain | * Sudden loss of consciousness...
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... MARCH 21, 2016 ORGANIZED LABOR AND HUMAN RESOURCES PLANS ORGANIZED LABOR AND HUMAN RESOURCES PLANS ABSTRACT Health care organizations are labor intensive; the costs of staff are about two thirds of total expenses. This makes human resources the most significant input component in delivery of health services. Heath professions occupations are highly fragmented by skills area. About 100 different types of positions are required to staff a general acute care community hospital. Acquiring and retaining a qualified work force are among the most significant tasks facing health care management (Longest & Darr). In this paper I will discuss what I have learned throughout this course, and develop a plan in the human resource department for an urgent care clinic and include information that was learned from this unit. ORGANIZED LABOR AND HUMAN RESOURCES PLANS Developing a human resources plan for an urgent care clinic includes how urgent care clinic can staff, recruit, retain, develop and provide compensation to their employees. Urgent care clinic has establish a phase for its...
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...Wee-Care Urgent Medical Website Plan 1909 Oak Bluff Trail Austell, Georgia 30122 770-942-3199 weecare.com Monifa Mwangi January 4, 2011 Executive Summary One of the top complaints of individuals seeking non-critical emergency services is wait time. For emergency room visits, a patient may spend 2-3 hours in an emergency waiting room for non-critical treatment such as fever, cough, sprains, etc. Quick2treat is an online concept developed to allow consumers access to WeeCare’s current office wait times and allows the patient to schedule an appointment, or hold their place in line for urgent care treatment. Once the patient has confirmed the appointment time, the patient is guaranteed to be seen within 15 minutes upon arrival. Internet registration for non-life threatening emergency department services that allows patient and family to avoid dreaded time in a waiting room. The concept of Quick2treat follows current technology for real-time online status reporting used by the airport industry, amusement parks “fast pass” system and online reservation services in restaurants. The market indicates that there is a significant need for quality “urgent” care other then emergency services provided by area hospital’s emergency rooms. Currently, the clinic employs competent, well-educated physicians and support staff to respond to the current needs of patients, however, there is room for growth. WeeCare has developed an excellent reputation with many of patients, through...
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...Emily Auerswald and her children need care for minor illnesses or injuries, they head to a shopping center near Annapolis that has a Starbucks, a Five Guys hamburger joint and an urgent care center. Such centers treat the most common injuries and illnesses -- including colds, ear infections, cuts and back pain -- in addition to taking X-rays and performing simple blood, urine and drug tests. Doctors Express in Edgewater is open nights and weekends, and accepts walk-ins without an appointment. Since 2008, the number of facilities has increased from 8,000 to 9,300. That includes about 400 in the District, Maryland and Virginia -- and that's not counting smaller and more limited walk-in clinics in pharmacies...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
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...Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at PrimaryPlus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients at Primary Plus Cynthia D. Schaefer MSN APRN, FNP-BC Maysville, Kentucky Associates Degree in Nursing, Lincoln University, 1995 Bachelor’s Degree in Nursing, University of Missouri St. Louis, 1998 Master’s of Science in Nursing, Northern Kentucky University, 2008 An Evidenced-Based DNP Project Report presented to Frontier Nursing University in partial fulfillment of the Degree: Doctor of Nursing Practice September 16th 2016 Dr. Jana Esden Committee Chair Name and Credentials of the chair None Committee Co-Chair (if applicable) Name and Credential of the co-chair Dr. Adit Ginde Content Expert Name and Credentials of the content expert Due in the Registrar’s Office for Graduation September 16th 2016 Abstract Title: Decreasing the Incidence of Non-Urgent Emergency Department Visits in Patients...
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...Transforming an Electrophysiology Practice To Impact Timeliness of Care Studies of the U.S. healthcare system have indicated that timely access to appropriate providers improves the delivery, quality, and outcomes of care. Conversely, delayed or limited access contributes to patient/provider frustration, poorly coordinated care, unnecessary emergency room visits, and potential increases in the burden and cost of disease. A recent high-profile crisis in health care focused on prolonged and unfair wait times at Veterans Health Administration (VHA) facilities that led to potentially preventable morbidity and mortality. In response to this, the Institute of Medicine (IOM) was commissioned by the VA to understand experiences and opportunities throughout the nation related to the scheduling of and access to health care. In a very recent publication from October 2015, the IOM summarized their findings and established that inappropriate scheduling practices are a systemic problem across the entire nation and called for an end to arbitrary scheduling standards, for more transparency, more accountability, and for more attention to be paid to the “corrosive culture” that led to the manipulation of data in the system (1). The report also concludes that opportunities exist to implement enhanced practices and strategies. Appropriate Access To Care Within 48 Hours has been identified as one of the top priorities of the Spectrum Health System. To measure access, Spectrum Health uses...
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...Urinary and Bowel Elimination Case Studies Urinary Elimination Bob Clark is a 70-year-old patient who had a total hip replacement today; he is now on the orthopedic unit in stable condition. Mr. Clark had been having pain in his hip for the past 6 months and took NSAIDs for pain. He has a history of hypertension that is treated with a combination antihypertensive and diuretic drug. He also takes a multivitamin daily. He has been using a walker for the last 2 months to help him ambulate. Mr. Clark has an order for morphine 2 mg IV q4h prn. He had a dose 30 minutes ago. Jared Carr is a student nurse who has been assigned to Mr. Clark. Jared works as a nursing assistant at the organization. Jared assesses Mr. Clark and finds that his pain is now rated a 3 on a scale of 1 to 10. He has an IV running at 100 ml/hr. Jared asks Mr. Clark if he has urinated since he returned from surgery, and Mr. Clark tells him that he has not. Jared asks him if he feels the need to urinate. Mr. Clark tells Jared that he does not. 1. What assessment should Jared do to determine whether Mr. Clark has a full bladder? Palpate the abdomen over the bladder and feel for distention Rationale: Immobility, supine position, anesthesia, and surgery can all lead to urinary retention. The bladder can be palpated. If it feels distended, then there is a large amount of urine in the bladder. 2. Jared finds that Mr. Clark does have a distended bladder and wants to help Mr. Clark urinate. What interventions...
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...CASE STUDY, 4/2009 VENICE FAMILY CLINIC: Improving capacity and managing patient lead times PREPARED BY Professor Kumar Rajaram, UCLA Anderson School of Management Karen Conner, MD, UCLA David Geffen School of Medicine A case by the Johnson & Johnson/UCLA Health Care Executive Program and the UCLA Anderson School of Management Dr. Susan Fleishman, Medical Director at the Venice Family Clinic (VFC) returned to the clinic after her early morning meeting with CEO, Elizabeth Forer. It was a typically warm and sunny Southern California day as she approached the front door of the clinic. She walked past a line of six to eight people waiting to check in at security and then proceeded upstairs to the waiting room. Almost every seat was taken. The room was full of elderly people, homeless men and women, young mothers, babies, toddlers with runny noses, school-aged children watching TV and adult men and women dressed for work. Some clutched papers indicating they had been seen by either registration or a provider, but most were holding only their color-coded cards given to them as they passed through security. As she headed towards the patient rooms, she noticed two resident doctors holding charts and chatting about their upcoming ski trips, one attending physician talking to a medical assistant about lab work and another on the telephone impatiently waiting on hold. A quick walk by the patient rooms showed that despite the crowd in the waiting room, only about half of the rooms...
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...Case Study Carrol Godwin Southern New Hampshire University HCM 500 1. What if the study had shown the emergency department (ED) was implementing a lab information system rather than an EMR, How would that impact patient flow? Explain. 2. What would have changed if the implementation was planned for the early summer or late spring? 3. What elements are needed in order to ensure patient safety? 4. Depending on your discipline, address one of the following questions (you may respond to both, if desired): As a nurse manager, what would you like to have seen done differently with the implementation? As the office manager, you oversee the staffs who admit patients to both the ED and overflow clinic. What could you have done differently to make the implementation go more smoothly? 5. The next phase of the EMR implementation plan involves the ICU and NICU. What recommendations would you make to modify the implementation plan based on the ED experience? Explain. 6. After reading this case, how will you use the lessons learned to implement your group project? In my case study I will discuss the impact on the workflow in the Emergency Room (ER) when lab information system is implemented. I will discuss any impact on the patient flow thru the ER and the turnaround time (TAT) for lab results and any effects on the patient’s length of stay (LOS). I will discuss patient safety issues and what is needed to insure the institutions goals are met. I will look at the implementation...
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...HOW TO USE CLASSICAL MANAGEMENT APPROACH IN UTILIZING ACCIDENT &EMERGENCY DEPA RMENT? BY ZAHRA AHMED EBRAHIM Master in Business Administration General Management Organization and Business Management Open Asia e University 2011 Introduction Background of the Study A number of approaches to the structure and management of organizations developed during the late 1800s and early 1900s .The early philosophies are traditionally labelled classical theory while the later approaches include systems theory and contingency theory. The classical approach to organization focuses efficiency through design. Eleanor and Phillip (2009) kept four elements to build classical theory: division and specialization of labour, chain of command, organizational structure, and span of control. The first element emphasised about dividing the work reduces the number of task that lead to proficiency and specialization. The second element is the chain of command which is meant the hierarchy of authority and responsibility within the organization. However, the collaboration between staff and there managers improve the efficiency and productivity of the unit. Moreover, the third element is organizational structure that describes the arrangement of the work group. The design of the Organization is intended to faster the organization survival and success. Finally, the span of control addresses the pragmatic concern of how many employees a manager can effectively supervise. The later approaches...
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...Ethics case study Ashley Bruckman March 12, 2013 HCS/335 Introduction Jerry McCall is Dr. William’s office assistant. He has received professional training as both a medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. He says that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time. What should he do? In this case study I am going to answer a few questions and give some advice to jerry. Jerry is just on call while Dr. Williams is away; even though he has had medical assisting and LPN training does not qualify him to refill the prescription. LPN’s do see patients while the Doctor is out but for prescriptions the doctor must authorize it. The fact that the medications are to make the patient comfortable while he is flying is not an urgent matter. If the situation were more impotant I could see where it would be hard for jerry to tell the patient he can’t refill him prescriptions; nevertheless he is not authorized. It would not make any difference if the medication was for high blood pressure or something that had to be taken daily, jerry is still not licensed to prescribe anything so his hands are completely tied in this situation...
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...iTrust Database Software Security Assessment Security Champions Corporation (fictitious) Assessment for client Urgent Care Clinic (fictitious) Amy Wees, Brooks Rogalski, Kevin Zhang, Stephen Scaramuzzino and Timothy Root University of Maryland University College Author Note Amy Wees, Brooks Rogalski, Kevin Zhang, Stephen Scaramuzzino and Timothy Root, Department of Information and Technology Systems, University of Maryland University College. This research was not supported by any grants. Correspondence concerning this research paper should be sent to Amy Wees, Brooks Rogalski, Kevin Zhang, Stephen Scaramuzzino and Timothy Root, Department of Information and Technology Systems, University of Maryland University College, 3501 University Blvd. East, Adelphi, MD 20783. E-mail: acnwgirl@yahoo.com, rogalskibf@gmail.com, kzhang23@gmail.com, sscaramuzzino86@hotmail.com and Chad.Root@gmail.com Abstract The healthcare industry, taking in over $1.7 trillion dollars a year, has begun bringing itself into the technological era. Healthcare and the healthcare industry make up one of the most critical infrastructures in the world today and one of the most grandiose factors is the storage of information and data. Having to be the forerunner of technological advances, there are many changes taking place to streamline the copious amounts of information and data into something more manageable. One major change in the healthcare industry has been the implementation...
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...------------------------------------------------- (Slide 1) ------------------------------------------------- Today, our topic is mental illness: schizophrenia. ------------------------------------------------- (Introduce the group member.) ------------------------------------------------- During our presentation, there are some MC question. Now, we divide you into two groups. The group who answer the correct answer more quickly can add one score. We’ve prepared some prizes for the winner. Now, we start our presentation. ------------------------------------------------- ------------------------------------------------- (Slide 2->Skip it!) ------------------------------------------------- ------------------------------------------------- (Slide 3) ------------------------------------------------- When you see the term- schizophrenia, what’s the first word comes from your mind? Please give me one adjective each group.(1 min) ------------------------------------------------- ------------------------------------------------- (Slide 4) ------------------------------------------------- Schizophrenia belongs to Psychosis. Psychosis includes a lot of disease. Today, we only focus on Schizophrenia, which is a serious mental illness. Another term, Early Psychosis, has similar symptoms comparing with the Schizophrenia. Before introducing more deeply about today’s topic, let’s answer some MC questions first to see how much you know about Schizophrenia. ------------------------------------------------- ...
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...Jason’s Case Study Abstract Jason, a twenty six year old male, is seen in the urgent care clinic with a laceration to his arm. He cut his arm on roof sheeting while at work. While assessing the laceration on Jason’s arm, the nurse notices that he has a sunburn, freckles and moles on his skin. While Jason is still in the urgent care, the patient’s wife calls and asked if the medical staff would assess a mole on her husband. The nurse also educated Jason regarding sunburns, changes in freckles, moles, and lesions. His complexion, hair and eye color puts Jason at a higher risk for cancer and complications of being in the sun. The nurse also reminded Jason to make an appointment to have his family doctor check the laceration on his arm to make sure no infection or complications have developed. Jason’s Case Study After the nurse introduces herself to Jason, she gets his vital signs, height and weight. The nurse or the doctor per facility protocol should cleanse the wound to remove any dirt or debris from the laceration site. The nurse measures the laceration in length and width. The nurse checks the laceration for foreign bodies or debris in his arm. The doctor may order an x-ray of his arm to rule out any foreign bodies that may be in Jason’s arm. Saline gauze should be placed over the laceration site until the doctor comes into the examination room to see the patient. The nurse asks Jason if he has had a tetanus shot in the past five years. Jason should...
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