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, …show more content…
Julian is able to recognize which patients, and which of the three divisions: gastroenterology, cardiology, and oncology is using more of a variety of resources, since some patients do require more medication, lab work, and therapeutic treatment, based on the patient’s diagnoses. The information from the third system will provide Dr. Julian the ability to recognize and distinguish that not all patients require the same amount of care, some patients due to their diagnosis require different level of nursing care, some more than others. With this third approach Dr. Julian will be able to have a more precise cost of care service given to the different patients based on their necessities. The information provided by both second and third system will provide Dr. Julian with a more efficient way to control costs. She will now able to see the differences in costs among the divisions using the second and third approach. Depending on which approach is being used the cost for bed/day, medical treatment and nursing care can be higher and lower. With this new
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This also gives them greater control over finances and decisions over their care. All models of care are needed due to people having different needs or some having capacity where others don’t. One
The Sky Lakes Medical Center chart note from February 2, 2014 (an ER note). It states that Ms. Harris was restrained front seat passenger in a vehicle traveling at an estimated 25 mph when it was struck on the front driver’s side by a vehicle traveling at an estimated 40 mpg. It was described as a somewhat glancing blow, not a head on collision. Ms. Harris was restrained with lap and shoulder belts, no airbags deployed and she was not thrown from the vehicle. She did extract herself from the vehicle and she was not knocked unconscious.
Antelope Valley Hospital, a 420-bed district hospital located in the city of Lancaster in northern Los Angeles County, has been serving the community for more than 60 years. The area’s only full-service acute-care hospital, AVH provides a full array of medical/surgical services, pediatric treatment, NICU, mental health, cancer care and more. It is a Level II trauma center, Accredited Chest Pain Center, Advanced Primary Stroke Center and Comprehensive Community Cancer Center. https://www.avhospital.org/About/Index As the local healthcare leader, Antelope Valley Hospital: • Provides care to more than 218,000 patients each year.
Implementation will need to increase by medical staff to decrease disadvantages
Shoreview VA Hospital is one of the VA facilities that solely serves the Miami-Dade County. This county is found in the lower eastern part of Florida, but the facility is found in Homestead, Florida. Nearby, is the Homestead Air Force Base, one of 21 Military bases in Florida (See Appendix A for a map). Demographics. Miami-Dade County, has an estimated population of 2.66 million people according to the U.S Census which makes it the most populous county in Florida.
Regulations, Standards, and Ordinances The Vet Center is a rental property that is being use by their employees to conduct their daily operations. The facility falls under Charleston VA Medical Center and must adhere to their Standard Operation Procedure (SOP) and local ordinances. The VA Medical Center security inspects the property on an annually basis. If requested, security personnel will visit the site for any issues or problems. RECOMMENDATION: The facility does not have any written regulation posted or available on site other than their SOP.
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.
Edson Healthcare Centre Auxiliary A friendly smile can make all the difference when you 're not well and for 60 years the Edson Healthcare Centre Auxiliary has given generously of their smiles, time, and spirit. Past and current members of the Edson Healthcare Centre Auxiliary gathered at the hospital recently to celebrate their 60th anniversary. The Auxiliary operates on the generosity of volunteers and plays a vital role supporting the hospital, patients, and their families.
Throughout this paper, I will explore both the pros and cons of mandated nurse-to-patient ratios in order to resolve the question, does nurse to
Dr. Jean Watson’s theory of care addressed the nurse to patient ration, according to the method “nursing is positioned with caring of the sick, prevention of sickness, restoration of health and promotion of health. This process includes the process of assessment, plan, intervention, and evaluation. On the review, the nurse observes, identifies, review problem(s) and forms a care plan that will be used in appropriate nursing care. When the nurse to patient ratio is low, the nurse will not be able to perform this assessment. This will result in a reduction of patients’ outcomes, medical errors, frequent re-admissions, patient deaths.
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.
Decision makers will need to determine how to best utilize nurses, technicians, and other professionals to close the gap in providing services to patients. Nurses require less time to train, are less expensive to train, cost less to employ, and can increase the efficiency and productivity of physicians who provide care to patients. The increase in the use of health care services as well as the increase in the number of venues where health care is provided has also increased the job opportunities for nurses and other members of the healthcare workforce. The demand for primary care services has stimulated the training of nurse practitioners, physician assistants, and certified nurse
Liability Issues Primarily, Caring Memorial Hospital will be held liable in this malpractice case under the premise of respondeat superior. “Under respondeat superior an employer is liable for the negligent act or omission of any employee acting within the course and scope of his employment” (Thornton, 2010, para. 2). The risk manager Susan Post, JD and the quality assurance director Amy Green were both aware of the potential for increased risk on the Oncology unit. They had been making observations several months prior to incident that related to deficiencies in staffing and safety standards. Per, ASCO and ONS (2012) new staff are required to demonstrate competency and receive comprehensive chemotherapy education.
Mifflin-Dunder Regional has private patients and public patients. For the public patients, all funding is provided by government. Mifflin-Dunder Regional is likely to make no profit if they underestimate the treatment days for patients. Hence, analyzing existing data and making estimations about bed days are crucial. The data of different illnesses such as treatment methods, treatment durations, the frequent occurrences in every year and the doctors that in charge of treatment should be recorded before analyzing and making decisions.
Surgical procedures are the main constituents of the hospital activity. Surgical procedures are applied on patients waiting in wards or intensive care unit from where the patients are moved to the recovery space. The operating theatre is so a core method that impacts on the complete hospital, as bed capability as an example is additionally needed for treatment, which would not lead to operation. That specialize in the overall flow perspective, scarce human and physical resources for surgical procedures need to be allotted in an optimum trade off so as to empower the hospital to work with efficiency. Several resolution techniques are applicable to search out the optimum work load, however primarily resolution techniques aims on optimising the schedule in unpredicted demand environments and optimising the patient flow, for an example, by eliminating extra waits between surgeries caused by occupied recovery areas.