They believe that it would be better if nurses only practice under the guidance and supervision of the doctor. They believe that allowing them to practice independently would be detrimental to their patients (Mills, 2009). They would be prone to some misdiagnosis, failure to attend to less obvious, but potentially life-threatening problems as well as prescriptive errors. In fact, they maintained that many deaths in the hospital would be realized due to errors made in prescriptions. According to them, nurses however much trained and experienced lack skills to manage and deal with complex living with multi-system diseases.
When patients only seek healthcare from an emergency provider their care is more expensive and may be disjointed because emergency providers do not have access to a patient’s complete medical chart. In this situation, duplicate testing is done and medications may be prescribed that are not safe for the patient. The use of the emergency room as a primary care provider and the disjointed care of patients in the emergency room are two of the many challenges that healthcare providers and governments face when a patient with chronic health problems loses their healthcare coverage. One step that may assist governments in providing safe and effective care for patients who do have chronic health issues but do not have health insurance is to provide a healthcare insurance program where the premium cost for the
HCA 250 | Change and Innovation | By: Roger Hart | Instructor: Carolyn Hart | University of Phoenix | 10/30/2011 | At times change can be a scary thing, special when you have an office filled with employees who have been used to doing things one way for so long that the thought of having to learn something new is more of a frustration more than anything else. I have planned an office meeting with my employees to explain the (EMR) electronic medical record computerized style and why it is so important to change to this form from the old way, because now we can store, retrieve and modify patients records and share them all over the world to other doctors and specialist by a click of a button. By allowing the employees
People have reported that since electronic medical records have come to surface, that just as crashing with computers occur that medical records as well can be lost or permanently not recovered. Being without records of medical histories can cause riffs between the Hospital and the patients as well as loss of money within the practice itself. Doctors often complain that the electronic systems are clunky and time-consuming. Time consumption is within learning the system configurations and formatting itself amongst the staff and medical doctor. It’s said that Doctors using the computer to input data then interviewing the patient will cause them to hasten their pace and not read a true diagnosis for proper treatment.
That one receptionist can change the whole mood of the patient, which continuing on into the visit with the physician. This can make it hard for the physician to treat the patient because the patient may feel closed off now or less receptive to advice from the physician. So I would find interdependence very important knowledge to have in any health care field. Sensitivity is something that is necessary to have when dealing with others. In the health care field one needs to be aware of others feelings
Case Study - Analyzing Managerial Decisions: Interwest Healthcare Corp. MBA 540 – Managerial Economics May 8, 2014 What are the potential sources of the problem? The staff at Interwest seems to be suffering communication and follow-through problems. On one hand, the hospital staff feels as though Singh is a bureaucrat who does not care about patient services and Singh feels as though the staff do not know the importance of accurate reporting (Brickley, Smith, & Zimmerman, p. 38). When you take a step back and look at the whole scenario, you will also find that both Manzoni and Singh failed to create an action plan, follow through on the problems, and/or train the staff on proper reporting. Without knowing exactly how the conversation went during the summer retreat, one can also assume that the problem with reporting or resolution was not communicated in an effective manner.
Arbitrarily creating metrics for number of patients seen on specific wards coupled with the amount of supplies utilized and time spent on administrative functions, then using those metrics to determine when personnel needed to be fired (as a parallel to what Nardelli did to measure store’s performance) would lead to changes in the way people treated patients. This is not conducive to a Health Care setting. Most businesses could handle that if they are factory driven, or create a specific product away from the customer. When dealing with people, however, there has to be some flexibility with controls. Nardelli’s style does not lend itself well to a customer service environment overall.
The first source could be the data entry system the company is using. Data systems in hospitals are meant to make the organizing and calculating of information easier, however, at many times these system can have a glitch or be improperly set up to meet the company needs. The second source would be the administrators of each hospital. As history and chapter 2 explains that integrity and bonuses can play a major role in the thought process of an individual. Could administrator’s change financial and data entry to look successful or to receive more funding?
In this day and age when people's mantra is "I need my privacy", not many people are comfortable about having their entire medical history recorded and digitized for almost just anybody to see - in other words, incursion into people's privacy. EMRs can lead to loss of the human touch in health care. In the process of digitalization, the interpersonal aspect in health care may be lost. In handwritten hospital charts, doctors and other health care practitioners may write what they think and they feel based on their personal observations in their very own words. EMR is simply about ticking off boxes and crossing out things in electronic forms.
This creates unnecessary high cost for the hospital. The emergency department becomes over crowded with non-paying patients leaving no space for patients with private insurance. Majority of ED visits from the uninsured could be better served by a primary provider the problem is the uninsured does not have the means to receive such service from primary physicians. One solution is to create a case management program that focuses on serving individuals with a history of using the Emergency Department for non-emergent issue. The program would use case managers and a database tracking system to enhance patient access to regular healthcare services, connect patients to regular healthcare services and help combat logistical interference in getting the right care.