Introduction
As one of the biggest public general hospital in Hong Kong, The Prince of Wales Hospital (PWH) is challenged by the growing population and the limited resources. Such a challenge if not managed properly could lead to patients’ death specially in critical department such as an Emergency Department (ED). Therefore, the management’s decisions must be made carefully because even a tiny mistake is magnified by the huge number of patients. In this project a model is to be designed to simulate the actual operation in the hospital, thus the management can test the effects of their decisions without risking the patients’ life.
Literature review
Health-care operation is being studied form a long time ago, and one of the first paper
…show more content…
The patients are classified into five main categories based on their emergency level: 1 (Critical), 2 (Emergency), 3 (Urgent), 4 (Stander), 5 ( Non-urgent). The waiting time goals for the first three categories stated by the hospital are as follow:
1- The Critical patients are to be helped immediately when arrive to the ED.
2- %95 of the Emergency patients are to be helped within 15 minutes.
3- %90 of the Urgent patient are to be helped within 30
…show more content…
There fore the data are goatherd from different papers and might contains some slight different because it collected at different time, but as the different in time is small the data will be used as find. Also there are some core data missing like the service time distribution and the arrival interval time for category 1 and 2. For the service time distribution an assumption is to be made based on the available data of other hospital, and as category 1 and 2 represent only %3.4 of the patient their arrival interval time will be consider similar to category 3 and 4. Even more, the layout of the ED and the walking time between the rooms is not available, so such data will be assumed
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
When El Camino Hospital decided to construct its new, $470 million technologically, and seismically advanced healthcare facility, the hospital calculated that the staffing cost to make continuous deliveries would exceed $1 million annually. After all, the spacious design (450,000 square feet) combined with the horizontal layout in the new hospi...
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.
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).
John Hopkins Hospital was founded by John Hopkins a philanthropist and a Quaker by faith in 1867 and endowed in 1873. He dedicated his life and finances approximately $7,000,000 in cash to building a teaching hospital and a university named after him with designations of uniting functions of patient care with education and research. The John Hopkins hospital was officially opened on May 7, 1889. Before Mr. Hopkins died in 1973, he had committed himself to the principle of “united we stand and divided we fall” and selected board of trustees for the hospital and the university whom he entrusted with tasks and responsibilities to carry out his vision. On March 10, 1873, he put in black and white that the hospital must provide for “the indigent sick of the city of Baltimore without regard to sex, age, or color who may need surgical or medical treatment”. In his letter he also specified that the school of nursing and medicine must be established in conjunction with the hospital. Looking at it today, the John Hopkins hospital has evolved into one of the largest teaching hospital in the country. It includes more than 12 smaller hospitals and medical centers affiliated to the main hospital in Baltimore 226 clinical services 977 licensed beds and 37 building in the State of Maryland. The John Hopkins Hospital and School of Medicine are the founding institutions of modern American Medicine and the birthplace of so many traditions of medicine including ward rounds, residency programs, and house staff. Many medical specialties including neuroscience by Harvey, cardiac surgery by Blalock, urology, endocrinology pediatrics, and child psychiatry by Kanner were founded at this hospital....
Because of the lack of organization with the health care providers in Canada, the wait times are too long and can cause serious complications to any condition the patient went in for in the first place. This situation of how the health care system can resolve wait times was brought to the government but they continue to ignore the proposals brought to them. It is possible to resolve the problems of wait times without extreme change and expenses in the health care system. The solution is to be found in the reorganization of the health care providers. Lack of assistance in the emergency room can make ones illness to become worse, therefore, causes the patient to be forced to wait in emergency rooms for an extended period of time and when they are finally seen by a health care provider, the outcome is very poor due to lack of registered staff, physicians and proper assessment(Goldman & Macpherson, 2005, p.40). The objective of this paper is to discuss and critically analyze the conditions of emergency waiting rooms. The specific issue this paper intends to explore is extensive and prolonged waiting times for patients accessing health care, patients who need urgent treatment and the vulnerability of elderly patients and children. With an in-depth critique of the barriers to health care and shortcomings of emergency rooms, strategies will be provided to enhance a health care system that makes it more accessible and efficient.
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.
It can be defined as the procedure of deciding what problems or needs require immediate attention and which ones can be delayed until another time because they are not pressing. There are several levels of prioritization that nurses can use to organize their time (Lake, Moss & Duke, 2009). The first is the ABC plus V, which includes such problems as airway, cardiac or circulation, vital signs and breathing. Activities of the second level of prioritization are the ones that are immediately subsequent to those in the first level. These include untreated medical issues, mental status, acute elimination, risks and abnormal lab results. The third level is composed of those health issues that are not included in the first two levels including education, coping, and rest. Studies have shown that these prioritization levels can be successfully used to adjust the manner in which duties are executed, something that reduces procrastination and saves time (Lake, Moss & Duke,
...nt an organizational chart. This allows all personnel to understand what their roles are at time of incident, and whom you communicate sensitive information too. If no direction or communication is given, providing facilities run the risk of victims trying to enter their doors seeking care, which can over exhaust resources and oversaturate hospitals. Therefore, a hospital triage is implemented to assess if patient condition has worsened or remained stable, if there is a need for decontamination process, or if a person seeking assistance is a family member looking for victim. Having these procedures ensures that patients inside the hospital prior to incident are protected for potential harmful exposure to contamination agents and other measures. In addition, hospital and providing facilities are a source of information for victims, the media, and family members.
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.
Nevertheless, when patients arrive at the A&E Department, a trained triage nurse will help determine the relative priority due to the patient's condition. There are five categories for nurses to classify, such as critical (immediate treatment), emergency (waiting time within 15 minutes), urgent (waiting time within a half hour), semi-urgent and non-urgent. Yet, it trend to treat the triage nurse as a McDonald’s Customer Service Ambassador in charge of the system carries out smoothly and conveniently. Apart from that, specialist out-patient clinics also have the same problem. In general, patients visit general out-patient clinics or private family doctors which make referrals due to special cases.
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.
Visit Report on the Queen Elizabeth Hospital Introduction For my visit on the applications of physics, I went to Queen Elizabethhospital on the 10th of November 2004. The Queen Elizabeth hospital operates the largest critical care unit in Europe, which is combining intensive therapy with high dependency units. The hospital situated in Selly Oak is a distance of one and a half miles from the SellyOakHospital between them there are approximately 5900+ employees. Queen Elizabeth Hospital is aimed, to the adult population mainly in the West Midlands and offers a range of health services; bone marrow transplant, chemotherapy, cancer, renal and trauma services etc. The QueenElizabethHospital has been ranked at three stars in 2001-02 and treats over 650,000 patients each year.
In the health care industry, gathering information in order to find the best diagnosis route or even determine patient satisfaction is necessary. This is complete by conducting a survey and collecting data. When the information is complete, we then have statistical information used to make administrative decision within the healthcare field. The collection of meaningful statistics is an important function of any hospital or clinic.
Commonly throughout most countries of the world, citizens of the society at large establish the system for Emergency Medical Services. In the case that the public is not willing or capable of summoning such a service, the country often finds other emergency services, businesses, or the government and authorities who act to employ a system. In other parts of the world, the emergency medical service additionally takes on the role of transporting patients from one medical facility to an alternative one. This occurs with some frequency because once a patient is analyzed and provided care at the immediate hospital; it may be more appropriate for a variety of reasons the patient needs to move to another facility. As one can see, the relat...