Case Study: Portneuf Medical Center
While Charlotte drank coffee in Charleston, South Carolina, her husband James prepared to move from the Tent City field hospital, near Petersburg, Virginia, to the Chimborazo Hospital in Richmond. James’right knee and leg were injured December 1864 in the battle of New Market Heights and Fort Harrison, southwest of Petersburg, Virginia. The Confederate triumphed, but the many wounded, included James, were carried to the nearby field hospital. Now with the war over, the tent hospital must come down. All patients are to go the Richmond hospital for an examination by the chief medical doctor.
Danvers State Hospital started undergoing construction around 1874 and patients weren’t admitted until May 1st, 1878. During the reconstruction time period of the Civil War. Danvers building structure was made from materials in the local area that cost $1.5 million. This building structure will give the hospital the name ‘the castle on the hill. The structure was belief to cure patients and eliminate “the darkest, most cheerless, and worst ventilated parts.”
Analysis of the goals has determined that resident satisfaction within Berlasco Court Centre regarding meals is far lower than it should be. The goal of providing a level of independence and freedom for the residents is currently not being met either which is supported further below by the requirements from elicitation. The result has suggested that residents are unhappy with the current meal plan system and would like more versatility as well as an ordering system this system also needs to be efficient for nursing and kitchen staff to minimize damaging impact within those two areas. Using this it’s been established that the primary Business Need is providing a system to ensure greater versatility and control over meal plans for residents.
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.
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.
After review of the clinical information provided by University Hospital of Brooklyn, the Medical Director has denied your admission to University Hospital of Brooklyn. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 35 year old woman with history of hypertension (high blood pressure), type II diabetes mellitus, sleep apnea on continuous positive airway pressure (machine that helps with sleep apnea-breathing), pulmonary hypertension (high blood pressure in the lungs) and pancreatic insufficiency (inability to properly digest food due to a lack of digestive enzymes made by the pancreas) due to alcohol abuse who presented to the hospital with complaining of frequent episodes of nausea,
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.
Fact: This class action involves a multi-faceted attack against certain medication and seclusion policies allegedly followed at the May and Austin Units of the Boston State Hospital (Hospital), a state institution for the mentally ill. The named plaintiffs, all either voluntary or involuntary patients at one time or another at these facilities, seek injunctive relief for the class,[1] and award of money damages for themselves. Plaintiffs' basic grievance is that the defendants, all of whom have served on the Hospital staff, maintained policies of forced medication and involuntary seclusion in non-emergency circumstances. Plaintiffs allege that these policies infringed on the constitutional rights of Hospital patients.
The St. John’s Riverside Hospital’s (SJRH) primary service areas covered in the assessment and plan includes the city of Yonkers, village of Dobbs Ferry and the surrounding towns and villages of Hastings-on-Hudson, Ardsley, Irvington, Tarrytown, Elmsford, Tuckahoe, Bronxville, and Scarsdale within Westchester County, New York (St. John’s Riverside Hospital, 2016). Employees at SJRH can view this strategic plan via the intranet. After final approval of the Community Health Needs Assessment (CHNA) report and Community Service Plan (CSP), it was uploaded to the St. John’s Riverside Hospital public website. The information was shared with community partners, and a paper copy is available for public inspection upon request and without charge at
We have investigated your concerns regarding this issue. Based medical records received from Pima Heart Hospital. Dr. Michael Arnold receommended a dual chamber primary-prevention internal cardioverter-defibrillator (ICD). Provider determined the device was medically necessary due to diagnosis of congestive Heart Failure. Dr. Arnold thoroughly described the risks and benefits.
In discussions of Danny Thomas and his creation of St. Jude Children’s Research Hospital, I believe this point in time was important because, it provided help for families to get the proper treatment and care their children fighting against illnesses need. The following points illustrate the importance of this turning point in time: Danny’s reason for starting the hospital, the research the hospital does to treat children, and how the hospital raises the money it needs. This person impacted me because what he started saved a lot of children’s lives. After struggling with his acting career for a while Danny Thomas went to a church in Detroit. "Show me my way in life, and I will build you a shrine" Danny vowed to St. Jude Thaddeus, a patron saint of hopeless causes.
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.
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,
According to the Office of Statewide Health Planning and Development, in 2014 the number of discharges in Yolo that had to do with Acute Care was 14,371. Chemical Dependency Recovery Care was 11, Physical Rehabilitation Care was 106, Psychiatric Care was 1,075, and Skilled Nursing was 21 which turns out to be a total of 15,584 discharges in all of YOLO county in 2014. Of the 14,371 discharged patients in Acute Care, 10,737 or 74.71% of them were sent home. 288 of them had passed away, 1,457 went on to home health services, 86 of them had left against medical advice, 50 of them went on to a residential care facility, 1,231 went on to skilled nursing facilities/intensive care at a different facility, 9 were discharged to skilled nursing / intermediate
The key elements that drove the development of the SMA groups is that diabetes is a national problem that has reach epidemic proportions, along with hypertension (Kirsh et al., 2007, p. 11). When these chronic disease are out of control, this puts patients at risk for renal failure. According to Kirsh (2007), its management complexity threatens to overwhelm the acute care systems and challenge the resources of current and future individual primary care provider (p.9). Chronic care management needs approaches that educates, sensitize, support, and help nurture an activated patient and prepare proactive health care team (Kirsh et al., 2007, p.11). Shared medical appointments (SMA’s) constitutes a promising improvement strategy to help address
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