Capstone Preceptorship Experience Xenia Garcia South Texas College Abstract Starr County Memorial Hospital provides quality healthcare and services for the overall wellbeing of individuals in the community. No one individual is denied care because of their race, religion, sex, age, nationality, economic status, and insurance status. Starr County Memorial Hospital gives back to the community by providing health education in preventive medicine. The organizational structure at Starr County Memorial Hospital follows the chain of command, beginning with the charge nurse and ending with the board of hospital. Problems that arise are presented in writing within 3 days of the alleged situation. Written complaints are usually taken to the immediate …show more content…
Starr County Memorial Hospital aims at continuous growth and advances in technology. The hospital has doctors coming from different places of the world that come serve our community. They want to be able to adapt to the changes and challenges of a pending reformation of the healthcare system. In order to be able to adapt, they must become a part of a successful integrated system of networking in order to meet all the healthcare needs of the community in a most effective, efficient, and economical manner. Above all, the mission at Starr County Memorial Hospital is to serve the community. There is a chain of command that must be followed at Starr County Memorial Hospital. The chain of command starts with the charge nurse, then proceeds to the house supervisor, director of nursing, assistant administration, administration, and ends with the board of hospital. The chain of command is followed when there is a problem, conflict, or grievance that needs to be resolved to ensure employees are practicing safely. The chain of command should always be followed, and one should never go straight to the director of nursing or board of …show more content…
There are times when they have no choice they deliver the baby because either the physician with a patient in the clinic or they are attending to another emergency. This does not fall under the scope of practice of the nurse. At the OB department in Starr County Memorial Hospital they have no CNAs that they can delegate tasks to. RNs are the ones that do vital signs, change the linen, and assist patients when getting up. According to the BON, the scope of practice for the RN is defined as, “the legal scope of practice for professional registered nurses (RNs). “Professional nursing” means the performance of an act that requires substantial specialized judgment and skill, the proper performance of which is based on knowledge and application of the principles of biological, physical, and social science as acquired by a completed course in an approved school of professional nursing. The term does not include acts of medical diagnosis or the prescription of therapeutic or corrective measures.” (bon.texas.gov,
Week Eight Response to Jurgensen Michael, I chose the Clinical Nurse Leader (CNL) role in the emergency department (ED) for my project as well. However, the CNL facilitating the implementation of care for the ED boarded psychiatric patient is brilliant, and not something I had considered. Likewise, our ED boards psychiatric patients, frequently for numerous days prior obtaining inpatient placement for them. In various facilities a physician assistant (PA) assumes the responsibilities for establishing ED boarded psychiatric patient care, however, the CNL stands as a considerably superior individual to expedite care during the transitional period for the ED psychiatric patient boarding for extended periods (Jayaram, 2006).
The existing law also has the ability, to give the board powers to put him or her on probation depending on the conditions. Therefore, information obtained from the MBC, in fiscal year 2015-2016, received 8,679 complaints against physicians and surgeons and unlicensed individuals alleged to be practicing medicine without a license. These complaints include allegations including excessive prescribing, gross negligence/incompetence, licensee self-abuse of drugs or alcohol, convictions of a crime and general unprofessional
Describe your organization, include the organization's mission, and identify the various stakeholders. Grinnell Regional Medical Center (GRMC) is structured on a hierarchical basis that is comprised of the nurse or clinic manager who oversees the day to day work, the department heads who are responsible for the communications between the department and the executive leadership team and ensuring that the goals of the department are achieved, the vice president who answers directly to the CEO, the CEO who answers directly to the board. The organization is subdivided into acute care and outpatient services. Each of these service areas have been further divided into different departments such as emergency, surgery, radiology, and intensive care in the acute care subsection and urgent care, internal
Background statement: Heritage Valley Medical Center has had a wonderful reputation for providing excellent health care services to their community. Initially, their community was 80% Caucasian, 40% African American, and 5% Hispanic. However, in the last 5 years, the population has changed to more minorities and the whites have moved out to the suburbs. This caused the Center’s occupancy rate to go down 40% because many of their traditional, more affluent, private-pay patients had left the neighborhood. To bring in revenue, they campaigned to bring in more Medicaid patients.
Overview. As one of Southern California's leading full service medical facilities, West Anaheim Medical Center has served its Orange County community for more than 50 years. Now in its 51st year, this facility is comprised of 219-licensed hospital beds, with a focus on acute care. The medical center operates under a functional type of organizational structure. Similar to a large hospital organization, the functional structure exhibits a hierarchy of personnel, with numerous channels of authority and responsibility.
Notably, the VHA is not happy with the lack of control they have over the situation. The VHA claims this is because private physicians do not always bother to share or obtain information regarding a patient’s health. The third theme is distance to acute and emergency services, which is seen as potentially life threatening situation for veterans and a complex burden for primary care clinics. Finally theme four, which is CBOC’s that appear to be a positive step towards providing primary care access points, though many would like them to provide a larger array of
Complaints are to be made in writing, signed and sent to the
Healthcare Reimbursement Healthcare is made up of many factors. Among those factors are provider reimbursement and the different types of financial methods used by the patients to acquire healthcare services. Provider reimbursement is important and necessary in order to maintain the continuation of healthcare. Like every organization, including non-profit organizations, require revenue in order to pay their healthcare providers, expenses accrued, and to obtain the supplies needed to aid in rendering services. With that said, this is why there are many financial methods such as third-party payers, government agencies, private health insurance, and patient payments.
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
In 2005, a family friend by the name of Randy Birdsong was a patient at Audie L. Murphy Memorial VA Hospital located in San Antonio, Texas. The Veteran Affairs (VA) medical staff was performing surgery on his abdomen. After the surgery, he was notified that there was insufficient space to accommodate his continued care. The V.A. advised him to keep his wound clean with a fresh roll of gauze, and sent him on his merry way. A few days later, Randy was back at the V.A. hospital with a noticeable infection taken place in his abdominal region.
Regardless of the events leading up to treatment, it is my duty as a future physician to provide equitable healthcare and friendship to those in need. Many of the most vulnerable people in society face multiple barriers when trying to gain healthcare access due to the lack of a stable address, insurance, or transportation. By volunteering my time and effort, I will work to bridge these gaps and ensure that those in need have access to the appropriate
Western State Hospital (WSH) is one of two state-owned psychiatric hospitals for adults in Washington and is the location of my field placement. WSH patients are referred to the hospital either through their county’s Behavioral Health Organization (BHO), the civil court system when individuals meet the criteria for involuntary treatment (i.e. Danger to self, danger to others, and or gravely disabled) or through the criminal justice system (i.e. Competency evaluation, and not guilty by reason of insanity) (Western State Hospital, n.d.). WSH is a patient-centered hospital utilizing a progressive medical model, emphasizing the best chance for recovery is through a collaborative effort made interdisciplinary treatment team consisting of a; psychiatrist, psychologist, social worker, medical doctor, pharmacist, registered nurse, and rehabilitation staff. Although, WSH emphasis collaboration, the hospital operates independently within their own system, rendering their collaboration to internal sources only making the hospital partly integrated (Crawford, 2012). Researchers Heslin and Weiss (2015) stated facilities which are partly integrated have a higher recidivism rate compared to facilities who are fully integrated, 20%
In collaboration with other medical personnel, nurses engage in the development and enactment of patient care plans. Furthermore, they provide education to families and groups on various health issues such as disease prevention, among others. Scope of Practice The nursing scope of practice gives a precise definition of the strict duties of a registered nurse practitioner. It is obligatory for these professionals not to engage in medical activities that go beyond their scope of practice.
Metropolitan Hospital is in need of a new, expensive, piece of technology. This technology, the brain electrical activity mapping(BEAM), is in increased demand from staff radiologists and local neurologist. Metropolitan Hospital will use the new technology to enable physicians to significantly improve their ability to localize an abnormality in the brain. Due to concerns of reimbursement, an assessment for the need and the cost of the technology will be mapped out. Consequently, political and economic complications are likely to be present in the decision-making process.
Based on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,