Jessie Trice Community Health Center Case Study
The Sky Lakes Medical Center chart note from February 2, 2014 (an ER note). It states that Ms. Harris was restrained front seat passenger in a vehicle traveling at an estimated 25 mph when it was struck on the front driver’s side by a vehicle traveling at an estimated 40 mpg. It was described as a somewhat glancing blow, not a head on collision. Ms. Harris was restrained with lap and shoulder belts, no airbags deployed and she was not thrown from the vehicle. She did extract herself from the vehicle and she was not knocked unconscious.
Liability Issues 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.
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.
For HCA, to avoid future disparities offering lower prices to existing patients and new patients, who could not afford the services, is a good initiative to not lose patients and therefore not lose profit. Another way to help with the disparities is to set up clinic services to patients who are not able to afford medical assistance at the same time this clinic can provide education to patients on how to better their health and lifestyles. If an organization treats and helps guide a patient he/she will continue to come back to get treated or educated. With this, it will help the organization target disparities, help the community while still making a profit because it retained their
Diet and obesity are major contributors to health inconsistency, with the most deprived being most at risk. This is due to the poorest living in run-down areas with no reasonably priced nutritional food available from local shops. If they are unable to afford the costs of travelling to areas supplying this, or if they are time poor then cooking beneficial meals is difficult then they are more likely to buy cheap, fatty products. The involvement of the government in the population’s lifestyle means that they should be accountable for the effects that come alongside an unhealthy regime, such as an increase in health problems such as Coronary heart disease. This means that the treatment an individual receives shouldn’t be approached differently
The Double T Health Service Corps is an organization on a mission: "To make a difference." The organization is open to all students on the Texas Tech University and Texas Tech University Health Sciences Center campuses, catering to a unique blend of pre-health and current health profession students. Members have the opportunity to engage and network with classmates from both campuses and a variety of health profession
The Bayou Region of Louisiana has seen a consistent increase of environmental disasters which have negatively impacted the physical, emotional, and financial well beings of residents in these parishes. Over the past decade, as a result of tragedies such as Hurricanes Gustav, Katrina, Rita and the BP oil spill. The Health Resource Services Administration defines medically underserved as having a physician shortage of primary care providers, high rates of infant deaths, high poverty or high elderly population. Despite the continual efforts to stabilize healthcare delivery in this region we have seen a significant increase in infectious diseases, chronic illnesses, mental health disorders and other healthcare disparities for minorities in this population. The majority of these patients are low-income, 65% are uninsured, 13% have Medicaid and 75 % are minorities inclusive of African Americans, Hispanic and others.
Many Hispanics are unable to obtain access to proper resources because of the language barriers that persist. As the National Hispanic Medical Association (NHMA), we pose five solutions or policy implications that will be further explained in this issue
We should be mindful of this specific populations cultural beliefs and practices, avoid making assumptions, respect them to build trust especially with immigrant Latinos. There should also be culturally appropriate resources which are tailored to Latino Populations such as providing outreach services in rural communities that may have limited access to mental health services. From a universalistic point of view of health, fixing the source of this problem relies heavily on improving competency practices in health care culturally. Brach & Fraser’s strategies for cultural competency suggest that to reduce the disproportionate gap in mental health outcomes, we should provide appropriate recruitment and retention. Giving minority staff is essential because of their shared cultural beliefs and everyday language.
Integrated healthcare is key to eliminating mental and physical health disparities by addressing the needs of people based on their differences in their race, socio-economic status, and culture. An integrated healthcare organization is competent of responding to a community with challenges of long standing health disparities. Healthcare professionals in an integrated system are cross-trained in both physical and behavioral health to handle the challenges of mental and physical health disparities. It improves the quality of care of the population by lowering costs, enhancing patient access, and improving the life of both individuals and families. The con of addressing the long standing health disparity is managing the care of patients and
Health care systems must create statements of policy which will help to eliminate racial injustice and develop culturally competent services. Clarification of racial equality is the basic key that legislation must apply to health policies and practices. Realistic and practical strategies are need to properly respond to the requirements of black minority ethnic communities. We will need to include more efficient programs to educate young adults and children what racial equality is, and how important it is in the health care field. There must be specific guidelines that hospitals must push for in every professional individual.
While many argue that minorities and ethnicities face health care disparities due to racial backgrounds, other argue that these disparities instead occur because of a large range of dimensions. The populations most vulnerable to health and health care disparities are often referred to as priority or vulnerable populations. Vulnerable populations include groups that are not well integrated into the health care system across a variety of characteristics, including race, ethnicity, socioeconomic status, age, geographic location, language, gender, disability status, citizenship status, and sexual identity and orientation. Disparities also occur within subgroups of populations. For example, among Hispanics, there are differences in health and health
In conducting reviews of research related to health disparities and lack of access to healthcare for minorities, there are several articles that cite data and methods that show the relationship to minorities with low SES are significantly impacted. According to the peer reviewed article, “Reducing Health Disparities in Underserved Communities” there is a significant disparity in access to healthcare for minorities health services among whites, blacks, and Hispanics over the past two decades. The article also cited several causes to this lack of access such as
Second, Elizabeth is a first generation Mexican-American, give a birth to a first child in high school, may have inability to complete a proper education might have language barrier. The inability to speak English and unable to communicate effectively, and feeling embarrassed sometimes prevent her from communicating with her physician. HCP must give information and services in patients ' preferred language, including patient access to professional interpreters who have health-related dialect skills and familiar with patient’s cultural competence. The family unit and religion is culturally the most important to the Hispanic community.
Health Care Disparities Health care disparities are unfortunate and being culturally competent is an essential step toward eliminating these inequalities. In this discussion, I will review what disparities are associated with the Appalachian culture and how they affect health status, employment, and education. I will also identify two nursing interventions that could be taken to help decrease the affect that health disparities have on the Appalachians and review what the biggest challenge would be when implementing the interventions. There are about 27 million people that live in the area defined as the Appalachian region, which spans 13 states.
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