1. I am a nurse manager on 12 beds medical-surgical for the pediatric floor at the Littleton Community Hospital. Our hospital is the biggest community hospital for this small town. I been working here for about 5 years and I noticed there is a problem when it comes to documentation for patients care. We do not have enough computers on our floor due nursing staffs, physicians, as well as CNAs will be occupied for their own patient charting. Due to this problem, patients charting are being delay, interrupt the workflow of all staffs, which causes nursing staffs not being able continue to assist others patient because they are waiting for available computers. After years of continuous problem and dissatisfaction of the staffs on the floor, and …show more content…
To have COWs on the floor, computers, the nursing staffs, physicians, and CNAs are able to chart patient care without waiting for available computers. It will also allow the staffs to do assess the patients and charting while in the patient rooms. This will increased direct communication between the patient and health care providers (Murry & Palmer, n.d). By using COWs, it gives nursing the ability to streamline their workflow, which allows them to have access to the EMR right away without the waiting for a computer to open up at the nurse station (Akridge, 2009). Nurses are able to provide better quality care for the patients with the use of having COWs on the floor. COWs “support a variety of point-of care technologies, such as barcode medication administration technology that can help ensure the right patient gets the right medication at the right time” (Akridge, …show more content…
Our hospital has recently changed over to Epic after using MEDITECH for their EMR charting system. EPIC has become one of the most use electronic health record (EHR) system in the U.S. that support the secure flow of patient data between Epic and other software systems, hardware systems, and peripheral devices (HealthIT, n.d). Since our hospital was using MEDITECH before, our computers system are from Dell product. Epic software can be use with any PC software such as HP, Dell, IBM, ect. However, for the best technologies support, HP products are more compatible Epic. From servers’ support system to storage support, and virtual desktop (VDI) infrastructure, HP products can provides the requirement for Epic system (OST, n.d). To get the best solution for Epic, Intel Xeon and the Linux operating system can provide that. “Linux running on the latest generation of Intel Xeon processor-based servers offers a solution, providing mission-critical capablitites” (Intel, n.d). Based on Epic software, it provides a scalable and highly resilient EMR solution running on affordable Intel Xeon processor-based servers and the Linux system (Intel, n.d). The Open Systems Technologies (OST) did a 3 months test at a 120-bed hospital in Cooperstown, New York with the Epic software. They combined Linux and Intel Xeon processor-based servers, and the result provided the EMR infrastructure need with flawless implementation (Intel, n.d). So with the HP product and the combination of Linux, this
In this case, the reader learns that liquidity is a better than average. The ratio and cash on hand have been better than 2013 from the past years. Moreover, it shows that the hospital has a higher ability to meet its cash obligation because it has more security compared to other hospitals. Funding allows hospitals to control funds and limit investments. Not-for-profit organizations help provide more services and margin of safety. Therefore, creditors look for a margin of safety so that the community that financed a small portion of total financing can be returned to the owners by leveraging. Capitalization ratio measures the funds that were borrowed and the assets that have been used. The coverage ratio measures the number that time they fixed financial charges. The time's interest earned ratio shows the ability of the hospital to meet
I attended the Saturday Lab 1 session discussing the Denison Specialty Hospital case study. In our session, we had a through discussion into the different budget terminology. I learned about the difference between accrual and cash accounting methods, which is based on the timing of when the revenue and expenses are recognized. I also learned about responsibility centers as an organizational unit under the supervision of a manager, who is responsible for its activities and results. In addition, the manager is accountable for the budget of the department that they head. Therefore, a centralized form of management in developing the budget because it makes easier to because the information for the department budget is located
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
General Practices Affiliates is considering an offer from Titus Lake Hospital to join under a provider leasing model. Under a provider leasing model, Titus Lake Hospital is purchasing General Practices Affiliates’ services. The practice will retain control of personnel, management, and practice policies. Titus Lake Hospital submitted financial reports to assure transparency during the lease agreement process. The following analysis will discuss whether Titus Lake hospital is a viable financial partner for General Practice Affiliates, possible implications of the lease, and recommendations.
Memorial Medical Center was situated “three feet below sea level, which is on one of the low points in the bowl in New Orleans (Fink, Sheri, 2009).” This hospital served as a “shelter whenever hurricanes threatened: employees would bring their families and pets, as well as coolers packed with food (Fink, Sheri, 2009).” Having 2,000 people taking shelter in this hospital on top of 200 patients, and over 600 workers in one place during a category 5 hurricane, ran a huge risk. This was not something that was assessed, because the author stated, “this is something that citizens who live around the hospital normally do during a crisis like this (Fink, Sheri, 2009).” I also do not think that individuals believed that Hurricane Katrina would have been as bad as it was, because this is the storm that is considered to be a “lesson learned (President George W. Bush, 2005)”.
Robertson Johnson University Hospital (RWJUH), which is the flagship of Robert Wood Johnson Health System, is a large non-profit hospital with 965-beds located in New Brunswick and Somerville in Central New Jersey (Robertwood Johnson University Hospital, n.d). It has been ranked among the best hospital in the nation, as well as, with several specialties, and the best place to work by other publications (Robertwood Johnson University Hospital, n.d). Their mission of improving health and well-being to its patients stands out in the communities it serves (Robertwood Johnson University Hospital, n.d).
The second issue is patient files are not properly stored; stacks are strewn throughout the office with identifying patient information exposed. This issue requires immediate action. The first step is to immediately protect patient’s information. I would address the issue with the team and explain the requirement of complying with federal
Huntsville Hospital (HH), located in Northeast Alabama, part of the Huntsville Hospital Health System, originating in downtown Huntsville, Alabama in the late 1800’s. As the not-for-profit, public hospital system developed, HH became the second largest employer in Madison County, Alabama with an estimated 7000 employees, 2000 nurses and 1000 physicians.
Today, I will be speaking about the Epic System and why it is so significant. The Epic system is a software that majority of hospital and health clinic’s practice. Epic is a private company with private owned employees. It is a system in the computer that keeps files confidential and secluded. Epic system is used often in hospitals and healthcare clinics because it is easy to learn, organized, safe and secure. As stated in Epic.com “EpicCare EMR is known for being fast and physician-friendly”. With this said more health care facilities prefer to use this system. Also, most of these businesses are beginning to start their employees out on this program. Another key point, with this system patients are benefiting from it as well. A lot of patients
Even with my facilities use of shared governance, variance report, and I-Generate system, the communication needs improvement to face future challenges. The main communication barrier problem is with night shift who in unable to communicate effectively with leadership. There are strategies in place such as clinical coordinators who on nights as facilities between staff and management. Another barrier is the lack of resources. There are many staffing issues currently being seen in different departments.
Within this electronic health record, there are 190 million patient records. Like McKesson, Epic provides an application and website for clients to view their health record. Within this system, clients can message their healthcare provider, schedule appointments, complete questionnaires, and attend e-visits. This is a major benefit for clients. Epic also allows for streamlined information between healthcare personnel. This allows for easy communication that influences individualized treatment. This is an important attribute to the healthcare community and provides positive outcomes for patients. Advantages of Epic include: delivery of quality care, payments are received quickly, increase staff productivity, and streamlined communication. A disadvantage of the Epic’s health record is that it is not compatible with other health record systems. Although, this is a disadvantage with most health records. Each system has its own programming, which causes problems with
A nonprofit, community hospital, Mercy Hospital strives to meet the health needs of all who live in our service area with quality, compassionate care. While our commitment to provide high quality health care remains unchanged, continuing national and state reform efforts will challenge us to develop new ways of delivering cost-effective care to our patients in the future. To ensure that Mercy remains a viable and vital organization, Mercy’s Board of Directors, along with our administrative team, recently completed a careful and thorough strategic planning process that will serve as a strong guide in the hospital’s future development. The goals we have set will mean our patients can continue to expect the best of care in a modern facility that
The purpose of this paper is to examine the Heritage Valley Medical Center case study. The paper will start off with a brief background of Heritage Valley, along with a summary of the major problems and issues faced there. Next, the author will explain the role that was chosen while addressing the challenges of Heritage Valley and their reasoning in doing so. The author will then identify the strengths and weaknesses of Heritage Valley and offer to select the best alternative and recommended solutions, which will be followed by a brief description of the evaluation plan that could be used to measure the effectiveness of the recommended solution.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
This paper’s brief intent is to identify the policies and procedures currently being developed at Midwest Hospital. It identifies how the company’s Management Committee was formed and how they problem solved and delegated responsibilities. This paper recognizes the hospital’s greatest attributes and their weakest link. Midwest Hospital hired Dr. Herb Davis to help facilitate the development and implementation of resolutions for each issue.