Diagnosis Critical: The Impact of the Immigration Crisis on the Financial and Operational Health of Hospital
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Hospitals need help with Unfunded Mandates for Treating Illegal Immigrants in the Emergency Room; managing risks of I-9 Compliance and Preparing for E-Verify; and Recruiting Foreign Nurses to ease critical staff shortages.
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![***DIAGNOSIS CRITICAL*** How the Immigration Crisis Impacts the Financial and Operational Health of your Hospital Eliot Norman Corporate Immigration Compliance Team Williams Mullen Richmond, VA [email_address] For updates: http://tinyurl.com/immupdates - Arlene J. Diosegy, Esq. Health Care Practice Group Williams Mullen Durham, NC 27703 adiosegy@williamsmullen.com](https://image.slidesharecdn.com/nchtpptwithfullpictures6295695asrevisedbyenorman-090418210653-phpapp02/85/Diagnosis-Critical-The-Impact-of-the-Immigration-Crisis-on-the-Financial-and-Operational-Health-of-Hospital-1-320.jpg)
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Hospital Departments and Allied Professionals© Monkey Business
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© Monkey Business Images/Shutterstock
It’s Your Gavel…
DYING AT THE HOSPITAL’S DOOR … TROUBLING QUESTIONS *
While communications were breaking down among a child’s parent, a 9-1-1 dispatcher, and hospital personnel, the child’s condition was quickly deteriorating. Twelve hours later, the three-year-old girl was brain dead, and she expired three days later. Although there are several central issues involved in this story, the frustrating dialogue that took place is particularly important.
The 9-1-1 dispatcher answers the phone:
Dispatcher: 9-1-1; is this an emergency?
Parent: Yes, it’s an emergency. I need an ambulance. I have a 3-year-old daughter that’s passed out on me.
Dispatcher: OK. Where do you need the ambulance?
Parent: I’m right in front of the emergency exit at Coral Springs Hospital.
Dispatcher: You’re right in front of the emergency exit?
Parent: Yes, that’s exactly where I am. And they won’t do a … thing in this place.
The dispatcher phones the hospital emergency department:
Dispatcher: There’s a guy that says he’s right outside your emergency exit. And he needs an ambulance. He says his 3-year-old daughter is passed out.
Hospital: This is a guy who wants to be seen quicker. We’re busy—so he figured if he called 9-1-1 he’d be seen quicker.
Dispatcher: Well, he’s saying he needs an ambulance right away. Is somebody going to go out there, or not?
Hospital: There’s nothing we can do.1
The parents were offered an out-of-court settlement totaling $200,000. This tragedy might have been prevented if the patient had been screened and triaged by a person competent to determine the patient’s need for immediate care. Failure to assign triage responsibility to a competent individual can lead to lawsuits that involve not only the hospital, but also the supervisor who assigns responsibilities to unqualified staff members.
WHAT IS YOUR VERDICT?
__________
*Miami Herald, April 16, 1995, by Ronnie Green. Copyright 1995 by Miami Herald. Reproduced with permission of Miami Herald in the format Textbook via Copyright Clearance Center.
Learning Objectives
The reader, upon completion of this chapter, will be able to:
• Describe the wide variety of legal issues that occur in the emergency department setting.
• Understand the purpose of the Emergency Medical Treatment and Active Labor Act.
• Describe a variety of negligent errors by various healthcare professionals that have applications to most caregivers.
• Describe the purpose of certification and licensure, and the reasons for revocation of licenses.
• Explain the importance of a multidisciplinary approach to patient care.
This chapter presents an overview of selected departments and healthcare professions. Although it describes a variety of legal issues, there is no intensive review of any specific department or profession. Many of the cases presented in this chapter could have been discussed in more than one chapter; they were placed here to ill ...
Cehc cdbg october 2010-march-2011
Describe rationale for free care in Providence Rhode Island, the mission and aims of the Clinica Esperanza / Hope Clinic, the current patient demographics, and plans for the future.
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In order to successfully respond to circumstances in your healthca.docx
In order to successfully respond to circumstances in your healthcare organization, you must first be able to appraise your organization, its mission, its vision, and its values. To provide you with experience doing this, you will assess the situation as described in your selected case study.
Read your case study carefully and develop a short paper that provides a summary of the case study. In the summary, be sure to address the following:
A. Provide a brief summary of the circumstances and the problem(s) faced by the healthcare organization. Highlight details you believe to be of particular relevance.
B. Provide an interpretation of the organization's mission, vision, and values. Consider how the industry, the organization, and/or the stakeholders define key terms within the organization's mission, vision, and values and how the definitions clarify the meaning.
C. Discuss how the organization's interpretation of its mission, vision, and values impacts the circumstance it faces. Consider how the mission and vision relate to the situation outlined in the case study.
Guidelines for Submission: This short paper should be between 1 and 3 pages, not including cover page and references. This paper should be in APA format. Use case study as a reference and any other scholarly article if relevant to the topic.
case 13 emanuel
medical center.pdf
C A S E
Emanuel Medical
Center: Crisis in
the Health Care
Industry
The Haley Eckman Story
On Friday, four-year-old Haley Eckman stayed home from school
because of a slight fever. She complained that she was feeling very
tired. That night, Haley’s temperature increased to 104°F. At 3:15 A.M.,
Mr. and Mrs. Eckman took Haley to the emergency department
(ED) of Emanuel Medical Center (EMC) in Turlock, California. They
registered at the admissions desk and waited for someone to see
them. After what seemed like forever to the Eckmans, a triage nurse
came out to evaluate Haley. He asked several questions, but failed
to take her temperature – a routine procedure in that situation. He
then disappeared, leaving the Eckmans to wait yet again.
While they waited, Haley vomited. She said she felt very weak. The
family asked if Haley could lie down in a bed while they waited to
see a doctor. A staff member told them that there were no available
This case study was prepared by Randall Harris, Kevin Vogt, and Armand Gilinsky
as a basis for class discussion rather than to illustrate either effective or ineffective
handling of an administrative situation. © 2004 by Randall Harris, Kevin Vogt,
and Armand Gilinsky. Used with permission from Randy Harris.
13
both13.indd 670both13.indd 670 11/11/08 12:04:27 PM11/11/08 12:04:27 PM
M O R E P R O B L E M S T H A N T H E E D 6 7 1
beds, and that they would have to wait. The Eckmans saw several empty beds across
the hall from where they sat as the staff member said this.
At 4:35 A.M., the Eckmans were led to a room where a nurse took Ha.
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Mha 690
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Stay away from health care fraud investigation
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Patient experience
The COVID pandemic has significantly reduced patient traffic at hospitals due to fears of exposure. A study found that 70% of patients have major concerns about visiting emergency rooms during the pandemic due to fears of exposure to COVID-19 from other patients and staff. Patients were most concerned about waiting rooms and the care delivery areas. To alleviate these fears, the study recommends that hospitals publish patient safety guidelines, provide real-time updates on wait times, and leverage over 300 patient suggestions on improving safety and communication. Addressing patient concerns is critical for hospitals to deliver needed care during the pandemic.
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The document discusses rising health care costs in the United States from 1969 to 2004, factors contributing to increased costs such as an aging population and technology, and responses to rising costs including managed care and malpractice reform. It also covers health care financing through programs like Medicare, Medicaid and private insurance, as well as the growing number of uninsured Americans.
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Hospital Departments and Allied Professionals© Monkey Business
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Leadership austin presentation chenven april 24 2015_pdf
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Leadership austin presentation chenven april 24 2015_pp
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Learning from Leadership: how to champion the Hospital Harm Measure and Never...
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