A. Determination of the feasibility of one of the proposed service lines in the attached “Service Line Development Case Study”: Trinity Community Hospital is based in an economically sound community. Structured 25 years ago, in a prime location this 150-bed, non-for-profit hospital offers to the community residents a broad range of general medical, surgical, and support services. Patient Protection and Affordable Care Act (PPACA) of 2010 signed into law requires a non-profit hospital is to conduct a community needs assessment. To justify their tax exemption every three years thorough analysis of community assessment will be widely publicize. Interventions will also need to be included to meet assessment needs must also meet at least one of the following criteria: • Improve access to healthcare services; • Enhance health of the community; • Advance medical or health knowledge; • Relieve or reduce the burden of government or other community efforts (Evans, 2011). Trinity Community Hospital community health assessment needs was obtained from input the hospital CEO and senior management obtained input from medical staff members and community leaders to develop a vision for the hospital. A five-year plan identified orthopedic, oncology and cardiology services needed to be developed in order to better serve the community needs. A five-year targeted outcome for these services was outlined along with the level of capital investment required to develop these services. Lastly, financial analysis was conducted to determine if sufficient margin will be generated for future growth. A detail analysis of orthopedic service line is included in this paper to determine the feasibility of the proposed service line. A1. Evaluation of th... ... middle of paper ... ...ic group placing emphasis in support services, ensuring that patient will not require traveling far for rehabilitation services. Trinity Community hospital takes pride in nursing staff that is known for clinical expertise and patient care. Physicians will be more attracted to come and practice in our facility if they know that they are supported in their practice by a knowledgeable nursing staff. Community hospital provides opportunities for the enhancement of the skills and expertise of all staff members. In the five year plan, orthopedic nursing staff certification is expected to be >75% and orthopedic staff retention rate is targeted to be >90%. The nursing staff will aid in patient education, with expected pre/post procedure class attendance >75%. The joint work between the orthopedic physician group and a knowledgeable nursing staff is projected to increase.
While the outcomes of the effects of newer efforts are unclear, the assessments address specific issues that stand in the way of Honor Health’s mission. Honor Health is effectively using its vision statement to fulfill its mission; to an extent, as its mission and vision are so vague. By identifying data and socioeconomic barriers to care in each individual community it serves; each community is identified by zip codes that surround each hospital and health clinic in the organization, it can purpose and implement initiatives to address specific needs (Honor Health, 2015). While the vision statement is vague, it does provide a broad goal for the organization that can allow a variety of strategies, allowing operational flexibility and room for leadership to implement a diverse definition of organizational mission
The Centers for Medicare and Medicaid Services (CMS) have recently begun requiring hospitals to report to the public how they are doing on patient care. Brown, Donaldson and Storer Brown (2008) introduce and explain how facilities can use quartile dashboards to transform large amounts of data into easy to read and understandable tool to be used for reporting as well as to determine areas in need of improvement. By looking at a sample dashboard for an inpatient rehab unit a greater understanding of dashboards and their benefits can be seen. The sample dashboard includes four general areas, including nurse sensitive service line/unit specific indicators, general indicators, patient satisfaction survey indicators and NDNQI data. The overall performance was found to improve over time. There were areas with greater improvement such as length of stay, than others including RN care hours and pressure ulcers. The areas of pressure ulcers and falls did worse the final quarter and can be grouped under the general heading of patient centered nursing care. The area of patient satisfaction saw a steady improvement over the first three quarters only to report the worst numbers the final quarter. A facility then takes the data gathered and uses it to form nursing plan...
Hospital Corporation of America (HCA). Staff Analysis Statement of Problem HCA, after following a conservative financial policy since its establishment, has entered the new decade preparing to make some changes in order to realign their financial strategy and capital structure. Since its establishment, HCA has often been used as a measure for the entire proprietary hospital industry. Is it now time for the market to realign their expectations for the industry as a whole? HCA has target goals that need to be met in order to accomplish milestones in the future.
Identifying and maintaining the appropriate number of mixed nursing staff, RN/LPN/CNA, is critical to the delivery of quality patient care. Many studies reveal an association between a higher level of experienced RN staffing and lower rates of adverse patient outcomes (“Nurse staffing plans,” 2013). The nurse-patient ratios will in turn improve the nurses working conditions, decreasing the risk of errors to patients.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
A community can be defined as a group of people, who live, learn, work and play in an environment at a given time. (Yiu, 2012, p.213) There are many factors that may influence the community’s development and health status. These can include resources available, accessibility, transportation, safety, community needs etc… These influences may combine together to form community strengths and as well as community challenges or weaknesses. As a community health care nurse, it is significant for us to assess and identify these strengths and challenges within the community in order for us to intervene and provide the appropriate needed health care services for the community members. This individual scholarly paper will explore and focus on one challenge issue identified from our group community assessment.
However, a new study finds that increased staffing of RNs does not significantly decrease a hospital 's profit, even though it boosts the hospital 's operating costs. A 1-percent increase in RN full-time equivalents increased operating expenses by about 0.25 percent but resulted in no statistically significant effect on profit margins. In contrast, higher levels of non-nurse staffing caused higher operating expenses as well as lower profits. (2014, Healthcare 411) To improve patient satisfaction the staffing of nurses must be improved. When short staffed these patients are the ones suffering from the lack of care that should be provided. Patient care is the ultimate goal in nursing and when the units are short staffed patient care is affected tremendously, in a negative way. The Joint Commission on the Accreditation of Healthcare Organizations proposed bolstering the nursing educational infrastructure through team training in nursing education, enhancing support of nursing orientation, in-service and continuing education in hospitals, and creating nursing career ladders based on educational level and experience. (2014, Healthcare 411) The Joint Commission also supports adopting the characteristics of "magnet hospitals," such as setting staffing levels based on nurse competency and skill mix
Healthcare in America is changing with increasing focus on health prevention and promotion of healthy living. The passing of Obama Care has renewed efforts within communities for education about disease related issues. The role of the Community Health Nurse (CHN) is defined as nursing care that is population-focused and community-oriented (Maurer & Smith, 2013). CHN’s center their nursing practice within the population selected and strive to meet the critical needs to the area. The Phoenix Zip code 85007 consist of a population in need of community health care and support. This community lives 44.5% below the poverty line with a median annual income of $27,200 per household.
The clinic will center around rural and inner-city neighborhoods. Many of the communities have economic barriers. By having health education, case management, and transportation will make a difference than a private office. In addition, the services will provide preventative care, mental health, and pharmacy service. By practicing preventive care, it reduces the need of unnecessary hospitalization. Clinics understand the local communities and will tailor to the service to fit the special needs and priorities of their
Zinn, J., Guglielmi, C., Davis, P., & Moses, C. (2012). Addressing the nursing shortage: the need for nurse residency programs. Patient Safety First, 96(6), 652-657. Retrieved from
Davenport, Joan M., Stacy Estridge, and Dolores M. Zygmont. Medical-surgical nursing. 2nd ed. Upper Saddle River, N.J.: Pearson Prentice Hall, 2008, 66-88.
The medical community has changed since the 1980s, as positions and duties has changed. Each position contains specific duties to help with patient care and outcome. Just like a pyramid, each position holds a superior rank to the other. The doctors are at the peak and control the patient care. They make the decisions based on the information provided to them by the nurses. The registered nurse (RN) is at the next level and communicates between the doctors and the supporting staff. The supporting staff, the final level, assist the patients on a one on one basis. This pyramid of positions alters depending on the specialty or facility that an individual is employed, and condition of the patient. One without the other is an impossible task...
Farjadi Tehrani, A. R., & Mustafa Mohamed, F. Z. (2011). A CBR-based Approach to ITIL-based Service
Hassmiller, S. B., & Cozine, M. (2006). Addressing the nurse shortage to improve the quality of patient care. Health Affairs, 25(1), 268-274, www.healthaffairs.org
Health institutions are advised to embrace the significant benefits attached to teamwork and collaboration within the organization. The Patient Protection and Affordability Act reflects some of the challenges facing people in the community. A healthy community is defined by the level of service care offered by healthcare institutions within the respective settings. The dynamism and the current trends in healthcare industry depict the essence of ensuring the enacted healthcare policies address the increasing demands from the patient and other stakeholders.