Utah's Finest Hospital Case Study

With obesity comes many problems and complications, most of which are reversible and preventable with weight loss. In America, 68.8 percent of people are overweight or obese; that’s more than half of our country. Being obese puts people at a high risk for heart disease, high cholesterol, diabetes, and a plethora of other health issues. One misleading fact that I always believed, is that heart

Based on the readings and videos that you read/watched during week one, how would you describe “rhetoric”? What is “the rhetorical situation” and how do you see an awareness of this concept affecting your writing and behaviors?

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,

The “healthy heart is a better start program” is a setting based approach to health. This program aims at preventing Cardio vascular disease for Aboriginal and for Torres straight islander Australians, with a whole system approach. Sitting based approach is addressing the context within which people live in, for Shepherdson college the school is the context and they work as a team, this is more effective then asking individuals to be responsible for their own health because it offers a large amount of support and positive encouragement as well as community support and partnerships. Setting based approaches are effective because individuals are not the only people evolved. it’s the whole community. The “healthy heart better start program” is designed to

Heart failure is a health condition affecting millions of people worldwide. Heart failure readmissions for healthcare agencies continues to be an area of concern due to the cost associated with each readmission. Readmissions to the hospital for heart failure is tied to reimbursement and financial penalties. Developing a plan to combat readmission is a difficult task. Therefore, an phenomena of interest is to investigate how a comprehensive heart failure educational follow- up program will aid in decreasing hospital readmissions within 30 days of discharge?

The Mt. Pleasant State Hospital, located in Mt. Pleasant, Iowa. The hospital was opened on February 26, 1861 under its original name of Iowa Lunatic Asylum. It was constructed between the years of 1855 and 1865. The asylum when it opened, became the first asylum that was public in Iowa. Mt. Pleasant also housed alcoholics and drug addicts. The hospital suffered through a harsh fire that occurred in 1936, where it destroyed almost all of the section where the administration was. They later began to build a much newer structure in the 20th century where now, not much of the original structure exists.

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. Jeffery Chambers, RN was

A medical group that delivers excellent, compassionate and innovative clinical care in order to optimize the health of all our members

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. By the third year, their patient increased from 10% to 40%. Many are African Americans and Hispanics. The staff, however doesn’t reflect the patients’ diversity. The staff is 85% Caucasian, including nurses, laboratory technologies, pharmacists, and therapists. There are two African American and one Hispanic managers. The executive management staff was 100% white and the support and administrative team were 100% Afrincan American. In a recent survey, only 30% of blacks, 10% of Hispanics and 20% of Asians were very satisfied with their services, compared to 80% of Caucasians. They said they didn’t feel welcomed and nobody understood them. The manager staff had a lot to say back, revealing subconscious racism and bias towards the minority patients, and even toward each other. The problem must be addressed.

Arizona’s health care system is somewhat more complicated than that of other states. From 1972 to 1981, Arizona was the only state that had not accepted the federal Medicaid program. Instead, Arizona opted for their own system, where each county in the state was responsible for providing some measure of health care to the poor with their own money. The Arizona Health Care Cost Containment System (AHCCCS) was set up by the Health Care Financing Administration (HCFA) in 1981. AHCCCS was deemed to be “experimental” and was significantly different from the Medicaid system. Originally run by a private firm, the AHCCCS shifted control to the state starting in 1984. Dr. Donald R. Schallar was hired to head the program. By early 1987, 200,469

Congested heart failure (CHF) is one of the leading causes of death in the United States (Centers for Disease Control and Prevention, 2015). There have been research studies conducted to provide evidence-based practice in decreasing the effects of CHF. There is evidence that links exercise, diet, and education as key factors that decreases mortality and morbidity in patients with CHF. All healthcare settings can utilize and implement evidence-based practice when caring for patients with CHF. Nurses should promote education about CHF and the benefits of regular exercise and diet (Smart, 2010).

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. This prompted an additional surgery to clean the infected tissue. The V.A release Randy from the hospital once again for insufficient space and advised him to do his best to keep the sizeable hole in his abdomen

Power Distance Index of China is higher than United States’ by 40. This implies that the number of people without high power in the society who agree and realize that there is uneven distribution of power among the society is higher in China compared to the United States. In other words, Chinese are okay with inequality in powers than Americans.

Similarly, a second research article called, The Impact of Hospital-Based Cardiac Rehabilitation on Signal Average ECG Parameters of the Heart after Myocardial Infarction by Jorat, Ansari, Anari, and Firoozabadi, emphasizes the significant improvements in QRS duration after a MI. These improvements are seen in patients who attend a cardiac rehabilitation program. This article has similarities because it involves “exercise training, management of lipid abnormalities, hypertension, weight loss and nutrition and physiological education” (Jorat et al., 2015). Mr. Reid mentioned that their program offers educational classes to patients about the risk factors of heart conditions, benefits of healthy eating and weight management. The article highlights

Massachusetts General Hospital is ranked as second in the United States in 2013 by U.S. News & World Report (2013). This hospital is a 999-bed facility in the center of Boston and is known for providing sophisticated diagnostic and therapeutic maintenance in almost every speciality of medicine and surgery. Massachusetts General Hospital (MGH) provides healthcare at local, national and global levels (About MGH, nd, World-class patient care).