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Patient satisfaction is a driving force
Patient satisfaction is a driving force
Review of literature on patient satisfaction in hospitals
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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.
In this domain the White City VHA scores range from ones to fives. Two of the three elements scored a five, and one element scored a one. The VHA has a clear statement and commitment to PFCC. A model, Health for Life, was developed by the Office of Patient Centered Care (OPCC), which focuses on the whole person. Veterans health care goals, not the disease, are at the center of the care.
In article “Patient Satisfaction Surveys Not Accurate Measure of Hospitalists’ Performance,” the author makes the point that the survey generally rates its care by all doctors, so if they have a bad experience by one doctor, the patient taking the survey will state that all their care by the doctor was unfavorable, even though they may have received great care by other doctors. It is an unfair assessment of their care by the doctors, which holds true for the nurse’s part of the survey as well. Also, the surveys do not come out in a timely manner. In the same article the author states, “If a hospitalist receives a low score on the “Doctor Communication” domain, the scores are likely to be three to nine months old. How can we legitimately assign (and then modify) behaviors based on those scores?”
According to Protomastro (2016), it is important to have a procedure in place for collecting, organizing and sharing data. The construction and formation of a questionnaire are both directly related to the effectiveness of obtaining the specific information. A popular questionnaire among health care entities around the world is patient satisfaction.
On September 2, 2016 at approximately 2035 hours. Security Officer Ariel Weiland along with Security Supervisor Steven Evans was called for a (53S) Medicate Patient in Medical Unit. Both Officers responded and on arrival stood-by room 409 bed 1 while Nurse Larissa David and Assistant Nurse Manager (ANM) Erika Sosa administered medication to patient, Steven Rios (DOB/FIN: 06/01/1963-86109515). Patient, Rios complied and did not physically resist nursing staff during the procedure.
Operating Results – In June, NLHA generated a consolidated loss from operations of $4k compared to a budgeted loss of $28k. That brought YTD operating performance to a loss of $1.1 million versus a budgeted YTD gain of $41k. Non-operating revenue was $115k compared to a budget of $83k. YTD non-operating revenue was $861k compared to a budget of $1 million. Net Gain – The combination of the operating loss and the non-operating gain produced a net gain of $111k compared to a budgeted gain of $56k.
In the medical office setting I can help create a positive organizational climate. When it isn’t positive I have the tools to help change it. When forming work teams I can make sure I have the same goals and values. I can ensure the teams I’m forming have the same goals and values as well. I can look for the kinds of games people play and decide not to play them.
4. After watching this video, what do you need to change about the way you will approach patient care? In the video, nurses were not interacting properly with patients. When nurses first approach the patient, they must not be in hurry and take enough time in interacting with patient and recording their medical history and issues. I would console patients that they will be fine and our clinical team will take better care of them.
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,
Healthcare is continuously advancing and a lot of these advances can be attributed to retrospective analysis and building on the analysis towards future practice. This form of analysis allows for the reviewal of many factors such as: (a) patient situations, (b) past practices, and (c) patient outcomes. Reflections of actions that have occurred in the past begin from the moment something has occurred, but it does not end there. When past events are viewed from the perspective of new skills and knowledge, great insight and growth can be harnessed to improve future patient care.
One of it is the proper way of upholding patient 's rights when it comes to medical research. As a nursing major, I am aware that it is one of my ethical responsibilities to ensure that utmost care and treatment are provided to my patient 's advocate which means that we should stand and do something when we see malpractice being done to our patients. The doctors used Vivian as a research subject, but her nurse Susie struggles to guarantee the most beneficial care and treatment is provided for her. This film depicts the significance of advocating and fighting for patients as well as their rights in order to ensure that they are receiving optimal medical treatment.
Improving patient care has become a priority for all healthcare providers with the overall objective of providing the best care possible. The quality of patient care is essentially determined by the quality of infrastructure, quality of training, competence of personnel and efficiency of operational systems (Morrison, Wheeler-Smith, Kamdar, 2011). I personally believe that the greater good of the patient should be the priority of the registered nurse and the primary care provider. From my past experience I would like to think that most people are good hearted by nature. However, there are some individuals that just don’t care about others.
A Case Study6 Nurse caring for a patient at a disadvantage by not having information that may be necessary to make critical decisions for safe patient care. Patterson et al (2004) examined hand off in settings with high consequences for failure, such as, NASA, the Johnson Space Center in Texas, Nuclear Power generation plants in Canada, a railroad dispatch center in the United States and an ambulance dispatch center in Toronto. Patterson found that hand offs in these settings were interactive, verbal, face-to-face interactions between incoming and outgoing personnel. This allowed for questioning and checking for accuracy of information. Validation of information was found to be an important factor in maintaining the plan for care or daily
Many states are experimenting with different models of integrated care to develop the best-case collaboration for patients and healthcare workers. In order to reduce the complications of the current health care system the integrated care offers methods of reducing long-term health cost and create better healthcare outcomes. For example, allowing shared patient medical records will increase efficiency and improve physicians understanding of their visiting patient. Having the full medical access for patients allows health care providers to make informed decisions on their patients overall care. This collaboration allows providers to work together in combination therapy more seamlessly and transparent to have better outcomes.
In this case, we can clearly see the abuse of patient autonomy of the two children because of their parents. The neglect of medical treatment for a common infection would be on parallel for murder if this case did not involve religious evidence to support the parents. The case itself is a difficulty. First, children under the age of 18 legal authority are given to the parents (this also includes patient autonomy). Then, the parents are part of a religious group that doesn’t allow the use of modern medicine.
