STELLA SIMULATION PROJECT ON SANTA CLARA VALLEY HOSPITAL ISE 222 ADVANCED SYSTEM ENGINEERING Presented to: Prof. Mahdi Yaqub TABLE OF CONTENT 1. Abstract 2. Introduction 3. Methodology • What is System Dynamics? • Stella Simulation Model 4. Background to the Problem 5. Nurse Scheduling
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nature of the relationships between these components and (2) refine our understanding of the multilevel nature of the phenomenon. Using analytic induction, we examined data from three case studies of clinical information systems implementations in hospital settings, focusing on physicians’ resistance behaviors. The resulting mixeddeterminants model suggests that group resistance behaviors vary during implementation. When a system is introduced, users in a group will first assess it in terms of the
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I. Introduction Columbia Memorial Hospital is a 300-bed acute care hospital that employs 160 staff physicians. Columbia is one of 75 hospitals owned and operated by Health Services of America, a for-profit, publicly owned company. In addition to inpatient and outpatient services, Columbia operates an emergency department within the hospital and a stand-alone walk-in (urgent care) clinic two miles from the hospital and near a major shopping mall. Due to its superior facilities, outstanding
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care and psychiatric services” ("Overlake Hospital services," n.d.). The Affordable Care Act is a recent legislation that is changing our current health care system. One of the most noticeable changes that we are seeing is the addition of the Health Insurance Marketplace. The marketplace will help uninsured people obtain health coverage. This change to health care will give all Americans access to health insurance. As a current employee of Overlake Hospital we talk about how our organization will
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Ethical Dilemma Annie O’s habitual use of the hospital emergency department and complete disregard for her own health makes the hospital decision on whether or not to treat her difficult. It is evident that Annie O’s living conditions and health are self-inflected. The patient has been hospitalized 41 times over a period of three years. The hospitalizations ranged from 4 to 21 days. On several occasion Annie O has signed herself out of the hospital against medical advice. Not to mention, the patient’s
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Differences in Organizations In a situation such as specialist shortages, for-profit and not-for-profit organizations in the general hospital setting do not have many differences. A large scale not-for-profit healthcare system may have the funds to pay stipends to specialists to take call at their facilities. A small stand-alone for-profit hospital may not have the funds to pay such stipends. “…study cites financial and legal disincentives that might make specialists reluctant to stay
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As a Chief Operating Officer of New Guinea Medical Campus, I am responsible for the 15-bed Emergency Room (ER) and its performance. There have been many complaints within the last year regarding inadequate patient care, poor ER management, long wait times, and patients being sent away because of lack of space, staff, or physicians to provide appropriate care. I have come up with a strategic plan that would allow the ER to overcome the shortcoming and to increase performance. 1. Diagnose the
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During the past several months officials and staff at a Michigan hospital have found themselves at the epicenter of spiraling fungal meningitis outbreak that has turned the facility into a learning laboratory and tested it emergency preparedness. They scramble to manage a virulent infection that has not been seen in humans. In a recent article “Anatomy of an outbreak” written in Modern Healthcare, St Joseph Mercy Ann Arbor hospital has found itself at the center of a national outbreak of fungal
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Other hospitals only cost $15,000 per surgery 2. OHIP tries to pay less – rebursement/payment 3. UIHC is the only hospital which can do transplants and valve replacements 4. UIHC has the monopoly position in transplant and valve replacements but not in bypass 5. “Privatizing” hospital services Problems/Issues 1. Needs to know the actual cost for each procedure 2. The choice of cost driver (many alternatives provided) 3. Privatization (it means the hospitals can decide
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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
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