...Statistical Information Paper I will describe the use of statistic at Veterans hospital in Loma Linda that has 142 Hospital beds and 108 beds of Community Living Center. Employs 2,436 staff. The VA hospital Provided 546,017 outpatients visits in 2008.In 2010 Outpatients visits 584,028 it is increase 38011 or increase 1.07%. Statistics is data use to compare and analysis. Hospital statistics Includes current and historical data on utilization revenue, expenses, person and mush morel Will describe numerical data, numerical count, statically analysis, and four levels of Measurement. Numerical data. Bennett, Briggs, and Troika (2009). Numerical Numerical data is identified, measured, and numerical scale. Numerical data can be Displayed using charts, tables, and graphs. Example I work at medical floor is a busy floor. The Physician is always order many test for the new admit patient. Such as Order the patient, take X-Ray, EKG, CAT scan, GI lab so on. For example, if the patients come back for GI lab.Nurse has To take vital sign every 15 minutes times four, every 30 minutes times two, and one-hour time One. This Vital sign was taken to compare how the vital sign are difference between them. If the vital Sign Drop too low or too high that will nurse alert nurse to check the patient and report to the Physician right away. This entire vital sign nurse has to record in the computer that will show in Line graph. The line graph is easy to...
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...case of Mr. Clark, frail 79 year-old male who was brought to emergency department (ED) when his neighbor found him unconscious in diabetic coma. Mr. Clark has end-stage pancreatic cancer which he has been treated at VA hospital. Mr. Clark has stated he would like to seek treatment as long as possible and declined palliative care from VA and its physician. According to Cancer Research UK, advanced stage of pancreatic cancer, such as the one Mr. Clark has, survival rate is two to six month(Cancer Research UK, 2015). When Mr. Clark was brought to ED, he also had heart failure and his kidneys are not functioning properly. There are no financial situations available but considering his age, Mr. Clark is eligible for Medicare for his medical needs. The only existing family Mr. Clark has is an estranged sister in California. Mr. Clark’s primary care giver has been her neighbor, Sonja for 20 years. Mr. Clark has been seeing in the VA hospital in metropolitan for over 25 years and he refused to find primary care physician in his area. The VA would not accept Mr. Clark’s transfer...
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...The concept of modern day Emergency Medical Services (EMS) care is widely noted to begin with the academic paper, "Accidental Death and Disability: The Neglected Disease of Modern Society", (or "White Paper") in 1966, according to EMS textbooks and relevant academia in the field. This paper detailed the statistics of highway accidents resulting in injury and death in the mid 60's, as well as other causes of injury and death, and used the statistics to confirm that reform was needed in the United States, especially concerning public education and the amount of CPR and BLS/First Aid training received by police officers, firemen, and ambulance services at the time. The EMT program in the United States began as part of the "Alexandria Plan" in the early 70's, in addition to a growing issue with injuries associated with car accidents. Emergency medicine (EM) as a medical specialty is relatively young. Prior to the 1960s and 70s, hospital emergency departments were generally staffed by physicians on staff at the hospital on a rotating basis, among them general surgeons, internists, psychiatrists, and dermatologists. Physicians in training (interns and residents), foreign medical graduates and sometimes nurses also staffed the Emergency Department (ED). EM was born as a specialty in order to fill the time commitment required by physicians on staff to work in the increasingly chaotic emergency departments (EDs) of the time. During this period, groups of physicians began to emerge who...
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...In 2008, they did a survey; the Government Accountability Office put the rate of sexual assault at 7 percent of women and 2 percent of men. As women make up about 15 percent of the military, most victims are male. “Sexual assault on military men is much more prevalent than people imagine,” said VA psychologist David Sutton, a former Air Force pilot and Vietnam vet who counsels male sexual assault victims at a VA hospital in Big Spring, Texas. “In basic training, it's easy to exert one's power over a young recruit. And even if they do report it, there is an attempt to disregard it or an attempt to cover it up.” (See article: Male (and Female) Rape in the Military http://www.refusingtokill.net/rape/malerapinthearmy.htm). According to the article, Male sexual trauma victims have labeled officers or older enlisted men gang raping recruits, soldiers “sodomizing victims with gun barrels and forcing young enlistees to perform oral sex.” One victim of this dreadful incident was a retired navy diver, Paul Branesky, was raped in the summer 1967during submarine training school in Groton, Connecticut, The four took turns sodomizing him; another victim is Greg Helle, a veterinary hospital administrator from Ankeny, Iowa, said he was raped by his fellow soldiers during his tour in Vietnam. Jack Williams He can't stand to have people come up behind him. That's what his rapist, an assistant drill sergeant in the Air Force, did almost 50 years ago. It happened to Williams 3 times after the...
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...from. The evolution of technology affected a lot of things and some of those are information exchange and health care. Health information technology has enormous potential in reducing health care cost and improving outcomes by changing how healthcare is delivered. According to World Health Organization (2008), “The health information system collects data from the health sector and other relevant sectors, analyses the data and ensures their overall quality, relevance”. In 2010, when the Patient Protection and Affordable Care Act and HITECH Act was signed into law by President Obama, health care IT became the central component for a safe, high quality health care system. The goal is to have a nationwide healthcare system transformation. Hospitals, health care providers and other health care institutions are mandated to adopt electronic health records (EHR) system to improve safety and quality and contain cost and inefficiencies. The government even has incentive programs for those institutions and providers that have become “meaningful users” of the EHR system. Soon the government will also penalize those who will not adopt the system (Glaser, J.P., Lee, F.W., & Wager, K.A., 2013). While everyone is trying to reach the deadline of getting the EHR system that is right for their organization, Veteran Health Administration (VHA) has been using their electronic health record system for over 20 years. VHA healthcare system use advanced health information system and integrated...
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...Descriptive Statistics Pain Study “The kappa opioid nalbuphine produces gender-and dose-dependent analgesia and antianalgesia in patients with postoperative pain” was a study that was performed to observe gender-specific patient response to varied doses of nalbuphine, an opioid pain medication, following oral surgery (Gear, Miaskowski, Gordon, Paul, Heller, & Levine, 1999). In this study, the researchers asked participants to rate their pain on a 10 cm visual analog scale (VAS) just before drug administration to obtain a baseline measurement, and again at 20 minute intervals thereafter (Gear et al., 1999). The demographic characteristics and descriptive statistics of the 131 participants are provided in Table 1 of the study (Gear et al., 1999). To aid in interpretation of the data collected in the research experiment, the researchers provide the reader with information using both ratio and ordinal data measurements. The weight of the participants is given as a mean, or average, and is considered ratio measurement. This is important data because weight is a variable that is considered when calculating dosage requirements. For each dose of pain medication given, as well as the placebo, the weight in kilograms for both men and women is averaged in the table. The data appropriate and meaningful since the average weight of participants in each dose category is similar save for the weight differences between men and women. Ratio measurement is considered the highest...
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... Name: Edward Hamilton 1. Year for which data is presented 2013 Total dollar amount for expenditures $ 2.9 trillion (1 pt) | 2. Explain how national health expenditures vary from governmental spending on health care. (2 pts) National health expenditures (NHE) comprise of all expenditures from all payer sources (individual and institutional) of which governmental spending is just one component of the NHE total. For example, an insured’s copay as well as a hospital’s new cancer center construction costs all count towards the NHE total. Governmental spending is limited to expenditures from the public sector (i.e. Medicaid, Medicare, VA and single disease funds) ( | The Nation’s Health Dollar 2013: Where It Went(Expenditures Table) | Category of expenditure | % allocated to this category (1 pt each) | | Answer the questions below including citations to your sources. (3 pts each) | Program administration and net cost | 3a. 7% | | 3f. What does this category include? “Administrative costs of the health insurance system include (a) spending by public and private health insurers other than actual payments to providers and (b) costs incurred by other system participants, including providers, employers, and consumers, in dealing with insurers” (Merlis, 2009, pgs. 2-5). The net...
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...of treatments that the department of veteran affairs currently provides to veterans. Veteran’s are a specific demographic of individuals that need specific and specialized treatment for their recovery. It is essential to keep researching newly developed research within the OEF and OIF veterans. It is also essential for clinicians within the department of veteran affairs to explore new research as well. Conclusively, it is so important to also ask veteran’s in the community what is working for them. Being able to provide services for returning veterans is held to the highest importance. This vulnerable demographic of individuals are in high need of support and could truly value for more accessible type of treatments and services within the VA...
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...“Nursing Future” Education Impact on Nursing Practice Grand Canyon University: NURS-430V 6/4/2016 “Nursing Future” Education Impact on Nursing Practice The Institute on Medicine (IOM) released a document in 2010 entitled: “The Future of Nursing: Leading Change, Advancing Health.” The group that arranged this report were made up of professionals who recommended and helped shape legislation and health care policy (“Professional Accountability,” 2011). The document guided health care improvement by advancement of the nursing profession as the number of insured Americans rose to over 32 million in 2010 (IOM, 2011). This report has resulted in “The Future of Nursing: Campaign for Action,” whose purpose is to put into effect the proposals started by “The Future of Nursing: Leading Change, Advancing Health” report (Future of Nursing Campaign for Action, n.d.). The goal of most healthcare organizations is to improve nursing practice by hiring more educated nurses, as stated in the IOM’s report. This paper will discuss the impact of the IOM’s report about advancing nurse education and the role of leadership. IOM’s Report Impact on Nursing Education “Nurses should achieve high levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2011). The IOM report discusses the effect of having a baccalaureate or higher degree in nursing, and its correlation to positive patient experiences. The American Association of Colleges...
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...Abstract It is very obvious that the government has stepped up to the plate to start what could be a very successful venture. But, at this point continued intervention is needed. It is recognized that there are still technical issues related to functionality and interoperability. The problems appear to be due to sociological, cultural, and financial problems. But, in the end most would agree that the issues are related to managerial more than technological problems. Experience and research implemented by those with failures have identified the most important concerns being,” what constitutes success and what is failure?” Their question is what contributes to making successful or unsuccessful systems? How do these companies use their system failures to enhance learning opportunities for continued company improvement? How should they study this success or failure? The determination was related at workshops directed by the AMIA to enhance opportunities for future successes, with a research agenda and recommendations. The AMIA was convicted to take a leadership role and come up with practical projects that would likely succeed in a health care setting. Introduction In February 2009 Congress appropriated $20 billion for health information technology as a part of the President’s stimulus package. Then the United State joined with other countries to benefit from healthcare technology. Because of the changes made to Medicare and private insurance...
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...Hospital Services Industry Hospital Services Industry The hospital services industry has grown exponentially in the recent decades to become a major employer and income generator that can also effect the local and regional economic scenes. This extremely fast-growing sector of the United States has every reason to continue the current trend. This paper will analyze the current hospital services industry from an economic perspective and focus on potential points of improvement. Discussion The United States increased expenditures in the hospital services industry is growing at a concerning rate and isn’t showing any signs of slowing down. According to the National Health Center for Statistics, the national health expenditure as a percent of gross domestic product (GDP) has grown from 12.1 percent in 1990 to 17.4 percent in 2013 (National Health Center for Statistics, 2014). Economic growth can be measured by using the GDP and the United States’ GDP ratio allocated to health care has continued to rise faster than most other developed nation (Hockenberry & Thorpe, 2014). The continuous growth and comparison to other developed nation is the primary concern for economists. In order to obtain a clear picture of the growth it is beneficial to analyze health care data over the course of several decades. In the table below several data components are analyzed including: the total health expenditures, per capita health expenditures, health as a percent of GDP, health sector...
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...Administration has one of the most comprehensive health care systems for military veterans than any other country. In 1930, the US government budgeted over $73,000.00 to take care of the country’s veterans. The fiscal budget for the Veteran’s Administration continues to grow every year. There are several reasons the budget changes every year. First, the continuing number of veterans rises every year. Second, the budget needs to account for inflation and the consumer price index. Finally, Congress and the President may approve new programs that will help service members cope with medical or mental issues. This paper will discuss the history of the VA; budget preparation; constant dollars and current dollars, increasing budget in percentages and dollars the past 20 years; five year fiscal plan; and a conclusion. HISTORY OF THE VA BUDGET The United States has been caring for service members since the early 1600’s; the first law passed stated that disabled soldiers would be supported by the colony. During the Revolutionary War in 1776, the Continental Congress prepared a budget that provided a pension for soldiers who were disabled during the war. In the 19th century, the Nation's budget expanded when veteran’s assistance programs were expanded to include benefits and pensions to a veteran’s widow and...
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...STUDY ON PUBLIC SPONSORED HEALTH INSURANCE SCHEMES IN INDIA Abstract The main of this study is to analyse the public sponsored health insurance models in India. The main aim of government sponsored health insurance schemes is to assist the BPL families in catastrophic health expenditure and thereby provide them access to quality health care. This report goes through the working procedure of health insurance schemes, especially Rajiv Aarogyasri (Andhra Pradesh), Vajpayee aarogyasri (Karnataka) and Chief Ministers Comprehensive health insurance scheme (Tamil Nadu) and analyse how far they succeeded in their respective aims. Introduction Health insurance as a measure to uplift the living standard and improve the status of the poor has become popular recently in India. The health care system in India was dominated by private sector, which accounts for about 60% of hospitalisation and 80% of outpatient treatment as per NSSO survey on health care (60th round). This can lead to huge out of pocket expenditure by households on health care. Even though the idea of health insurance was an earlier concept, to use this as a measure to ease the burden on health expenditure by public (especially the poor) became popular from last five-six years, when both central and State governments introduced various publically funded health insurance schemes. This is evident from the fact that there is a steep increase in population covered under insurance from 75 million in 2007 to 302 million in...
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...INSTRUCTIONS FOR WRITING THE RESEARCH PROPOSAL 1. Use the template below in drafting your capstone proposal. Remove the italicized instructions contained in each section box and replace them with your written proposal text. Do not alter the formatting (boxes and fonts) of the template. 2. Important: Have someone read/proofread/edit your work. 3. Please make sure you address the points listed in the instruction boxes. 4. Once completed, upload the file to the appropriate link in Moodle. 5. Your proposal is a living document. We will be using and refining this document once we as the term progresses. 6. Remember – this is a DRAFT proposal at this point. As such, its contents will still need significant improvement and revisions as you use its contents in writing your capstone in MM598. 7. Submit the complete proposal via Moodle. CAPSTONE PROPOSAL MM 514 – Practical Research Name(s): | Danny Shipman | Proposed Research Topic/Title: | Do Southern Oregon Veterans Face the Same Challenges as Veterans Across the Rest of the Nation When Transitioning from Military to Civilian Life | Executive Summary: | This section essentially provides the reader of your proposal an informative abstract, giving the reader the chance to see the essentials of the proposal without having to read the details as written in the following sections. The executive summary should include a brief statement...
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...changing overtime. Next, the paper will discuss the roles that research and statistics play into clinical psychology. Lastly, the paper will include the differences between clinical psychology and other types of health professions, such as clinical psychology versus social work, clinical psychology versus psychiatry, and clinically psychology versus school psychology. History and Evolving Nature of Clinical Psychology Clinical psychology has changed over the last 25 years. For starters the DSM-III was published as well as the APA standards were revised. The American Psychological Society was founded, as well as the APA published the findings from the Presidential Task force for evidence-practice. Two of the main evolved approaches would be the Cognitive-Behavioral Approach as well as the Humanistic Approach. The Cognitive-Behavioral Approach was popular in the 1970s and they were used for depression as well as “treatment focusing on changing thinking, feeling, and expectations became as important as the goal of changing overt behavior” (Plante, 2011). The Humanistic Approach was more based off of philosophy and the theory that humans can grow from understanding experiences and behaviors. The humanistic approach believed in understanding empathy as well as unconditional positive reinforcement. In regards psychology evolving, “following World War II, over 40,000 veterans were hospitalized in VA hospitals for psychiatric reasons. The overwhelming need...
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