From the time the project was introduced, organizational inertia was present in the way physicians responded to the changes that would be required to implement the new system. Board members had a lack of belief in the project and did not believe it could be done in 18 months. To help ease the anxiety over the implementation of the project, it would help for board members to see step-by-step plans for implementing the CPOE. It would also be beneficial to include any problems anticipated as well as ways to overcome them. Having a plan of action shows the board members that every aspect has been considered.
Memo Date: August 8, 2011 To: SVP, Tenet California From: Jason Chang Subject: Posada Surgery Center Posada Surgery Center has notified Twin Cities Community Hospital that it intends to apply for a Medicare Provider Number and become an in-network Ambulatory Surgical Center for the major commercial managed care providers in San Luis Obispo County. Posada Surgery, located at 322 Posada Lane in Templeton is a four suite ambulatory surgery center owned by 8 surgeons, managing partner William Sima, David Bolivar, James Carr, Steven Herron, Lauren Prewitt, N. Birrell Smith, Mareeni Stanislaus and Shan Thomas. The operating model of Posada Surgery has been as a non-par provider electing not to hold any payor contracts. Historically,
1. Contact staffing agencies that specialize in placing technicians 2. Organize a job fair and invite local professionals to attend 3. Offer a $1,000 signing bonus to those who stay longer than 180 days The biggest challenge so far for this hospital and many hospitals across the nation is ensuring that they have the specialized doctors and technicians fully staffed in each department. Right now the hospital is understaffed due to budget cuts, so doctors, nurses, techs, who specialize in certain medical fields, are being placed in
Nurse-Patient Staffing Ratio For decades, it has been reported that there are not sufficient nurses to provide high-quality care. Previous researches have shown that for each patient added to nurses, the workload increases resulting in increased mortality. In my experience, the nurse-patient ratio is an important key factor in quality care, patient safety and outcome. I previously worked at the Medical-Surgical unit where 7 to 8 patients were allotted to nurses. Sometimes the unit has no unit clerk to input doctors’ orders in the computer or to call a doctor for consultation.
The term internal market become common within the NHS this was where the hospital authorities ceased to run the hospitals but purchased care from their own or other health authorities this applied to GP's also which could purchase care for their patients. The New Labour as it was deemed came to power in 1997 where Tony Blair declared that the internal market will be abolished, in a further speech he rapidly changed his tune, he thought it best to strengthen the internal market to what he saw as modernisation. Labour created NHS Direct though it is quite a success and not very well published, patients who really need to see a doctor out of hours, results in numerous calls just to speak to a
Each state as a whole is losing much needed money and it is going down the drain due to these physician owned practices. The amount of compensation fees that they must pay the workers are off the charts and most of the employees work overtime and with a large group of patients. Many people also argue the benefits of physician owned physical therapy services and the other side of the argument must be presented as well. Some may say that the quality of care is better with joint services. A greater role by the physician may be played in order to help the patient.
Other political factors could be education and how we are in such a shortage of nursing but nursing school is so expensive and getting funding to send individuals to school and for the schools to have the funding to create competent nurses. All of these issues affect nursing and nurses all around the world. I feel like sometimes we lose our drive to some of these issues we face, whether it be ethical or political we became nurses to help people and take care of people and having to deal with issues that we weren’t prepared for makes it that much harder to want to work at places that don’t allow you to nurse how you want
With the unemployment rates so high; more and more Americans have to go on a government funded plan. These plans are very time consuming for the doctors which again takes away from patient care time. Yes, the incentives were out of hand before with the drug companies, but now the regulations for such are very strict and very limited, why can’t we find a happy medium. Now, with the healthcare reform benefits, premiums, and services covered will be a lot worse. Guidelines and limitations on prescriptions, tests, and specialists will be even more stringent.
I interviewed Sonia Clare a nurse assistant, she gave me information on the facility, and her job responsibilities. Sonia informed that the nursing home operates 24/7, 365 years. The 280-bed long-term care facility is designed and dedicated to serving the elderly in Polk County. The home is spit up by halls, from A to D.
There are good nursing homes, and there are some elderly that need them. Another thing that the article mentions is how some senior citizens need regular monitoring due to their conditions that assisted living can not provide. The writer states that “those whose use of blood thinners involves regular testing to adjust the dosage. Assisted living doesn’t provide much health care, so residents risk becoming ‘frequent fliers’ — they’re going in and out of hospitals for conditions that could perhaps be treated in a nursing home.” The main purpose of assisted living is to reduce clients from going in and out of hospitals. If professionals that are involved in assisting the elderly cannot fulfill that need of providing health care, then the best thing for the senior citizens is to place them in a nursing home.