How To Establish A Public Hospital

How To Establish A Public Hospital
Establishing a public hospital has many advantages such as tax exemption from income and
property taxes, but public oversight may be a hindrance seen as a disadvantage. Commissioner
Green's idea of hiring her nephew does not seem like a smart business idea especially if the council
does not know his healthcare administration or finance experience to run the operation and
development of a new public hospital. Even though there is a great deal of public oversight, an
experienced hospital administrator, who possesses both healthcare and finance knowledge, is needed
to run a successful healthcare facility. In the development of a for–profit corporation, there are many
considerations to account for when planning this type of healthcare facility.
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The Affordable Care Act ( Aca )
The Affordable Care Act (ACA), also known as Obamacare, was officially signed into legislation in
March 2010. The ACA was a major step in achieving a system of universal healthcare, which
essentially means all citizens are provided with healthcare and financial protection. In the 1960's
America introduced the Medicare and Medicaid programs, which helped guarantee some type of
medical insurance cover for the very poor (Medicaid) and elderly (Medicare). Even though
programs like these assisted in covering the most vulnerable groups of people, many Americans still
did not have healthcare insurance. The goal of the ACA reform is to ensure that all Americans are
covered by some form of health insurance. The ACA promises healthcare access to ... Show more
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(Affordable Care Act Impacts Healthcare Design & Construction, 2014). Hospitals are looking to
adapt and improve their facilities in the most affordable way possible. In response to the ACA, it is
critical that healthcare construction professionals are making adequate changes to adapt to the new
expectations and delivery methods of healthcare providers.
The purpose of this report is to inform entry–level healthcare construction professionals how the
Affordable Care Act is affecting their own job and the direction of the healthcare market. As more
and more Americans are purchasing healthcare coverage, insurance companies are pushing for an
increase in preventative care to reduce any extraordinary costs to them. The current shift to
outpatient care means facilities are being redesigned to serve more patients on a clinical basis as
opposed to long–term care. In response to the healthcare reform, the medical industry is looking to
make healthcare more patient–friendly. That means providing higher quality care at an affordable
rate. These same concepts have become cornerstones in the expansion of current healthcare facilities
as well as the construction of new ones.
This white paper will lightly touch on what types of changes are going on because of the ACA. This
includes what type of growth the market is seeing, characteristically and statistically. The paper
outlines what may be root of why

Final Milestone Part 2
Final Milestone Part Two: Policy Research and More Sarah Harris Southern New Hampshire
University Economic Theories and Principles Every healthcare organization in our country relies on
financial and economic gains. In other words, without these two important factors, no healthcare
facility would ever survive. For example, healthcare facilities rely on supplies, staff and the proper
financial knowledge. In fact, the price and amount of healthcare supplies are rising, which in turn
can increase the cost of healthcare (Kabene et al.). Therefore, in non–profits like Yale New Haven
Hospital, it is important to have an adequate balance of supplies in order to allow the healthcare
providers to practice efficiently. For instance, there needs to be enough supplies in order for the
doctors to keep up with the high demand of incoming patients. When there is a rise in the demand of
healthcare supplies such as shots, medication, vaccines etc., the more the market will produce,
allowing more money to be made. The healthcare markets will be producing financial gains and so
will the hospitals that are distributing these goods, which causes supply and demand to be at an all
time high. Either way, without the availability of healthcare staff and supplies, the financial well
being of any hospital would be non–existent and so would the healthcare market and that is why
there is a strong relationship between the two. There are two main economic

The Codes Of Conduct Are Guidelines And Procedures
About the Long–Term Care Facility, the codes of conduct are guidelines and procedures that are
based on personal conduct and they all are vital for each worker in the establishment. These
conducts are implemented, so that workers can adhere to the highest standards of care while
utilizing ethical approaches and codes of conduct, amounts to the foundations of Long–term care
facilities based on principles. It is the responsibility of such parties that include upper levels of
management to the lowest levels to avoid such conduct that goes against the stated codes already
establishes within the ethical areas. The healthcare field encompasses different areas and specialties,
where it is deemed most common is the hospital or emergency rooms. ... Show more content on
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Each set of conducts will adhere to standards of behavior in which the employer, other professional
relationships, and employees will follow towards the public that it serves (Bardetti &
Moriarty2009). A professional code of conduct is essential for all heath care workers because of the
depth of inside access and protected medical and financial information that health care workers are
privy. Therefore, all healthcare workers are supposed to uphold the code of conduct or ethics which
brings integrity to the field of health care. This paper is going to focus on the code of ethics for a
long–term care facility organization including those in management, support, and professional roles.
Nearly all health care organizations will have a similar type of code of conduct, but there will be
slight differences due to the type of health care facility. A long–term–care facility or (LTC) is a type
of facility that caters to the medical and non–medical needs of patients with disability or chronic
type of diseases. A long–term care facility may also be a service that takes care of elderly patients
who are unable to take care of themselves and needs the full time specialized care from
professionals. A long–term care facility does more to its clients and patients more than other
specialties. For instance, in long–term care facilities, providers assist customers with daily living
tasks like dressing, bathing and sometimes

OG Supplemental Compliance Principles
After reviewing the Office of Inspector General (OIG) Supplemental Compliance Guidelines for
Hospitals I have found that there is great purpose for a compliance document in a healthcare facility.
The purpose of this document in a healthcare facility is to be able to act as a guideline for healthcare
facilities to consider, develop, and implement a compliance plan that meets federal regulations.
Healthcare facilities have these compliance documents to help to cover and verify all that all
services ordered for a patient were reasonable and necessary services for the patient to be treated
accordingly and without fail. These compliance documents need to be retained to reflect that the
healthcare facility's efforts comply with Federal health care

Professional Work Experience Paper
Education
Diploma with honors (magna cum laude) May 2004, St. Petersburg High School, St. Petersburg,
Florida United States USA.
Bachelor of Arts in English with honors (cum laude), minors: (1) Family, Youth, and Community
Sciences (FYCS) (2) Organizational Leadership for Non–Profits (NPO) May 2010, University of
Florida, Gainesville, Florida United States USA.
Victim Witness Services Florida Crime Prevention Training Institute (FCPTI) 2010, Florida Office
of the Attorney General Bureau of Criminal Justice Programs, Tallahassee, Florida United States
USA.
Certificate of Completion Pre–Law Program 2012, Southern University Law Center, Baton Rouge,
Louisiana United States USA.
Professional Work Experience
USA citizen employment status from ... Show more content on Helpwriting.net ...
Knowledge of United States federal healthcare laws, federal privacy rules, client's right to choose to
refuse or accept healthcare services, and legal referral services. Obtained client's permission before
providing optional referral information to clients with a severe health conditions and/or a severe
mental health diagnosis to a qualified healthcare facility, counselor, and social service agency within
the United States. Approached by victims/witnesses of crimes requesting advocacy support services
and referral information for United States social service organizations. Reviewed advocacy
information, victimology information, crisis–counseling information with victims of sexual
violence/sexual assault, and types of various crimes. Obtained the client's permission to offer
referral information about United States governmental agencies, court advocates, healthcare
facilities, non–profits, legal aid organizations over the telephone, mail letter correspondence, in–
person, and through electronic mail

Infection Control In Health Care Essay
Infection control within a healthcare facility is the prevention of the spread of many microorganisms
from patient to patient, patient to a member of staff and also from the staff member to the patient
that are in there care. The World Health Organisation have defined healthcare associated infections
as an infection occurring in a patient in a hospital or other healthcare facility in whom the infection
was not present or incubating at the time of admission. Every healthcare facility from hospitals to
general practitioners office should have a designated member of staff or a team of people who
ensure that the infection control procedures are abided by and adhered to at all times in order to
protect both staff and patients. More than 300,000 people each year are affected by a healthcare
associated infection and the cost of treatment for these patients is over £3,000 and there is also the
cost of treatment after discharge.
The Standard Precautions
Standard precautions are set in place in order to prevent the transmission of infections from one
individual to another. There are numerous ways in which infections can spread if standard
precautions are not met:
Person to person via hands of healthcare providers, patients and visitors
Clothing ... Show more content on Helpwriting.net ...
Protective clothing does not have to be worn at all times within the facility as there is a chance that
instead of preventing the infection they could also carry around the healthcare associated infections
if it is worn when it is not necessary. Before any member of the healthcare team decides to wear any
kind of protective clothing it is important that they assess the risk of the transmission of the
infection to themselves and the patient. Protective clothing must be worn at all times when there are
bodily fluids, blood, secretions or excretions from the patient as this will prevent any

Stakeholders In Healthcare: A Case Study
A stakeholder are people or groups that have an investment in the patient evidence based healthcare
decisions (Agency for Healthcare Research and quality, 2015). In this case, already listed is the
patient and the physician but Medicaid is a stakeholder as well. The stake for Medicaid is being the
insurer this tells the patient where he can and cannot get treatment. It also set the type of treatment is
covered. According to AHRQ, the local clinic is also a stakeholder. The facility has made the
decision on what kind of insurance to utilize which was not Medicaid cause the patient to be denied
access to care. The healthcare industry is a also listed as a stakeholder especially in reference to
manfacture for treatment. The manufacture is the expert when it comes to how to administer
treatment and how to operate the device they made. Policy makers also have a stake in the patient
healthcare utilization . In this instance the lawmakers had to set policy who was eligible for
Medicaid.These few factors have impacted the patient tremendously. ... Show more content on
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A rural community is less than 50,000 but at least 2500 according to the united states census. He is
low income so he is a Medicaid reciepant.This person has to make less than $11,670to be consider
low income. To be eligible for medicade according to the textbook (wetle,austen 2012) one must be
medically in need and at or below the poverty line. The local community healthcare facility does not
accept Medicaid. The facility that does accept Medicaid is miles and about 40 minutes away. John Q
only has no car. Also, the facility that accept Medicaid is has two week waitlist. These factors are all
hindering his utilization of the healthcare system. He also will have to take off work because the
MTF (medical treatment facility) does not have weekend or night appointments. I believe we must
now assess how to make changes to these

Current Trends in Business Communication
Current Trends in Business Communication
Current Communication Trends in Business
Technology advancements over the recent years have made communication possible in different
ways. Communication in the business world today can range anywhere from e–mails, personal
digital assistants, text messaging, instant messaging, and through the use of web–cams, just to name
a few. These different communication tools allow employees to communicate both internally and
externally in a timely and more efficient manner. The current trends in communication within the
healthcare industry make it easier for health care professionals to perform their daily tasks, and
provide patients with more quality care.
The Role of Business Communication in My ... Show more content on Helpwriting.net ...
All internal communication between different facilities will be done through the use of software or
by phone. No patient results will be sent through fax or through mail. According to LexisNexis,
"Obama sees the investment in electronic records as a way to improve quality and lower costs."
Different Message Types Resulting From Current Trends
According to Articlesbase (n.d.), "The different message types that result from these current trends
are either personal or impersonal." The different message types resulting from these current
communication trends are in the form of e–mails, text messaging, various software, Internet
communication, face–to–face video conferencing, instant messaging, and social networking sites
such as Twitter or Facebook.
Conclusion
The current trends in business communication have been greatly influenced by the advancements in
technology. The Internet, cell phones, MP3 players, personal digital assistants, social networking
sites, and video conferencing among others, has allowed business communication to take place in
many forms and from all over the world with ease. These current trends have made it easier for
healthcare professionals to communicate more efficiently internally and externally and allow day–
to–day activities to get accomplished more quickly than in the past.
References: Articlesbase. (n.d.). Business Communication: Business Trends and Message Types.
Retrieved

Financial Analysis of the Healthcare Field
Introduction
In the ever changing dynamic of the healthcare industry, it is central to look at financial trends and
different types of financial analysis to capitalize on resources and minimize future impacts. With any
growing healthcare organization it is vital to be aware of one's internal and external environment,
the community it serves as well as the status of the economy. The purpose of this paper is to
determine the significance of certain types of financial analysis, particularly financial ratios, the use
of EBITDA and how they influence the healthcare field.
EBITDA, Financial Ratios and growing trends in healthcare EBITDA is an acronym which stands
for earnings before interest, taxation, depreciation and amortization and generally used to determine
how profitable a company can be (Brockman, C., Russell, J., 2012). The basic understanding of the
EBITDA is defined as the money the company has made without considering expenses or taxes
(Brockman, C., Russell, J., 2012). This can give a false sense of how much the company is actually
making or worth. In a hypothetical situation, a company creates a product that costs the consumer
$10, and 200 are made to meet the projected demand. With EBITDA, it is assumed there is already a
$2000 profit made even if the product is actually never purchased. EBITDA does not calculate the
manufacturing costs, taxes and employee salaries that go into making a product. Although EBITDA
does not seem to measure the actual value of a

HCS451 Risk Assessment Summary
Agape Long Term Care is a 40 bed skilled nursing facility, specializing in Alzheimer's and dementia
patients. The management team at Agape has decided to make risk management a focus in the
upcoming year, and has hired a consultant to perform an assessment and formulate a plan for risk
management. Long term care facilities serve over 3 million Americans, and that number is growing
every year. (Rubbens, 2007)With the boom in the need for long term care, comes more risks. Risk
management is designed to mitigate safety concerns, assure quality and protect patients' rights. Risk
management is both proactive–eliminating risks before they can occur, and reactive–after a risk has
occurred, taking steps so if will not occur again. Every ... Show more content on Helpwriting.net ...
Agape plans to educate each staff member on the principles of risk management and how they can
be proactive in their daily duties. The consultant also recommended sending the risk manager to be
certified by the Center for Aging Services Risk Management (CASRM), a not for profit foundation
that researches, educates and promotes a culture of risk management and safety. CASRM is an
invaluable resource for risk management in long term care and skilled nursing facilities. (Linda
Wallace, 2011) Agape has taken the first steps to promote a culture of risk management within its
organization. They will be performing a risk assessment; following thought with a written risk
management program and continue to education their staff of incorporating risk management into
daily activities. These changes will lead to fewer negative incidents, improve the quality of
healthcare Agape delivers and increase the bottom line for its shareholders. Bibliography DiNatate,
P. M., & Granger, B. M. (2010, March 2). Demystify risk Management in nursing homes. Retrieved
from McKnights Long Term Care News: http://www.mcknights.com/demystify–risk–management–
in–nursing–homes/article/164835/ Linda Wallace, B. (2011, February). Risk Management.
(Repertorie, Interviewer) Rubbens, D. R. (2007, Oct). Risk

The Healthcare System And Samaritan Health System
Introduction "Banner Health is considered one of the nations ' largest secular, non–profit health care
organization operating 29 acute care facilities in seven western states" (Kash, 2016). It is known and
recognized nationally. It unites with Lutheran Health System and Samaritan Health System which
started in 1991 with the mission of making differences in people 's lives such as rendering perfect
patient care. This exellent mission of health care earned them good standing that help the
"organization to develop and manage 29 acute care facilities in seven states with the magnitude of
about 4,000 beds" (BANNER HEALTH, 2016). These States of networking health care of Banner in
America are Arizona, Colorado,Wyoming, ... Show more content on Helpwriting.net ...
All surplus made in this organization is used in maintaining the copany making then up to date by
purchasing the most contemporary equipment, preserving the facilities, buying most recent
technologies, get more physician services, widening current physisian services, after all these,
whatever money is left goes to the charities. The medical screening only (MSO) of Banner Health is
only meant to exclude life frightening situation. This procedure is followed up with a discussion by
financial services that notify the patients of the copays needed by their insurance companies before
moving to a comprehensive care at the emergency departments. "Banner healthy has come up with
organizational efforts of approaching health care quality and safety, reduction of patient errors, and
patients contentments while continuoesly rolling its operating cost" (Kirkman–Liff, 2004). In the
facilty that I work, Patients care depents on the type of insurance they have. Some pay copay out of
pocket, some are not. The type of room a patient stays on admission depends on the type of
insurance. Strategic plan for network growth The Banner Health system is addressing network
growth by increasing the size of health care distribution places all over their regions. They are
preparing for future healthcare desired suply of the communities by starting many critical care,

What Is Inter-Facility Transport?
Inter–facility Transport is a crucial component of any Healthcare system today. Inter–facility
transport is defined as the movement of a patient from one health care facility to another by either a
ground or air ambulance. All inter–facility transports are based upon the potential benefits to the
patient and weighed against the potential risks. Oversight for all inter–facility transports within a
particular healthcare system are under the direction of the Medical Director for that system. The
Medical Director is responsible for instituting a set of protocols to which the providers will adhere
to while having a patient in their care. Quite often a patient is transferred from one facility to
another due to the sending facility not being able

Why A Healthcare System Is An Organization Of People,...
A healthcare system is an organization of people, resources, institutions and functions delivering
health care services for the health needs of society. In a new country, there are several key factors
that should be considered when a healthcare system is to be implemented. This essay will discuss
ten key factors and their explanation concerning how they may be used to deliver services.
Healthcare Professionals Healthcare professionals are the individuals who actually provide medical
services such as preventive, curative, promotional or rehabilitation treatments. They are extremely
crucial to the operation of the healthcare system therefore proper hiring techniques should be used to
make sure that an efficient team is formed. All ... Show more content on Helpwriting.net ...
The facility must promote, preserve and protect the safety of every individual within their care. The
facility should be situated at a central location in which a large number of community members have
access to it. The facilities should be able to provide all the services of a healthcare institution
including birthing centers and psychiatric care centers. There is a need for medications and other
supplies within the institution. Medical suppliers may provide all the necessary supplies like
medications and surgical instruments. In most institutions, there are individuals who are responsible
for ensuring that the supplies do not run out. Business challenges are part of operating any business
therefore the healthcare institution must be able to solve the toughest business challenges while the
suppliers mustbe able to take on their responsibilities, hence the quality of the care delivered is not
compromised (Marmor & Wendt, 2011). Technology Presently, technology has saved countless
lives. The advancement in technology has allowed healthcare professionals to diagnose illnesses and
deliver treatments to patients in an enhance manner. Moreover, technology has improved the quality
of care offered in a healthcare institution. Therefore, technology should be incorporated in the
healthcare system in areas such as diagnosis of illnesses, surgical procedures, and treatment
improvements for patients. Physicians

Examples Of Compliance In Health Care
Compliant or Compliance in a healthcare setting is referring to the HIPAA (Healthcare Insurance
Portability and Accountability Act) rules, conventions, guidelines, procedures, plans, or federal/state
laws that a healthcare facility will have in place for their staff to follow. An example of Compliance
guidelines would be a requirement that providers must accurately complete and sign off on a
patient's note within a certain number of days after a treatment plan has been assessed. Another
example would be guidelines in regard to a patient with Mental and Behavioral Health records.
These type of records contain sensitive information and should not be widely shared with the entire
staff. Therefore, a healthcare facility may set a rule/guideline

Methicillin Resistant Enterococci
Similar to the majority of living organisms, bacteria are able to adapt and change depending on their
environment. Contrary to other larger living organisms such as humans, bacteria are able to
transform and multiply at a more rapid pace, allowing these microorganisms to evolve and become
resistant to medications that are commonly used to treat them such as antibiotics. These altered
bacteria are oftentimes referred to as "super bugs" as they are unaffected by typical treatments
involving the use of antibiotics (NIH, n.d.). Two highly infectious examples of these bacteria are
Methicillin Resistant Staphylococcus (MRSA) and Vancomycin Resistant Enterococci (VRE). In the
physical therapy setting, physical therapist and physical therapist assistants ... Show more content on
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The Shepherrd Center, a rehabilitation center in Atlanta, Georgia, takes into consideration that by
nature, rehabilitation as it relates to physical therapy requires a lot of physical contact (Testing for
MRSA, 2013). Even with the universal precautions in place within a facility, the overall likelihood
of cross contamination and the passing infections either by direct or indirect contact are at an all
time high. As a result of this increased risk of spreading the MRSA infection, the Shepherrd Center
implemented a way to identify MRSA within their specific patient population before they are
admitted. They proposed that as individuals come in, each one is given nasal swabs while their
medical histories and current evaluations are taken. This initial assessment allows for the healthcare
staff to be better prepared for the possible infections that each patient may carry into their treatment
facility. Since executing this practice, the Shepherred Center has seen a 43% reduction in
healthcare–acquired MRSA rates (Testing for MRSA, 2013). The Shepherred Center is able to
continue with this initial screening assessment without increasing patient cost because the money
saved from

Sustainability In Healthcare
These universal steps chart the process of developing successful long–term sustainability within an
organization, but each hospital must establish the best course of actions on its goals. An approach
that works for a hospital may not be the choice for another. Healthcare leaders can consider the
questions included in this study to help determine their organization's most fitting pathway heading
towards sustainability (Health Research & Educational Trust, 2014). This study includes
information on a variety of sustainability issues; on Energy, Water, Waste, supply and others.
Focusing on one area or even one project can lead to significant savings. But by combining multiple
projects and taking advantage of the wide range of sustainability opportunities, ... Show more
An important aspect of this is the relationship between learning, knowledge management and
innovation, and, by examining the views of a number of writers who place leadership within a
system or ecological perspective, the clear relevance of leadership to sustainable development
practice will be outlined. Finally, by identifying a number of traits and characteristics frequently
associated with leaders and leadership (Blewitt, J., 2015).
2.2. Connecting Healthcare Leadership with Sustainable Development
Sustainability helps in lowering operational costs and allows hospitals to direct more funds to
patient care. Healthcare systems should chase sustainability for a wide array of reasons with
multiple tools and in a variety of ways, with leaders seeking resolutions that work best for their
facilities. Hospital leaders should ask their managers to assess the organization's current advance to
environmental sustainability and create an action plan for finding greater efficiencies (Health
Research & Educational Trust, 2014).
When pursuing Sustainability; healthcare leaders should focus on the 10 "Megaforces" which will
dramatically change how healthcare is conceived and delivered in the decades to come; Climate
Change, Water Scarcity, Food Scarcity, Population Growth, Energy and Fuel, Urbanization and
Wealth. The sector is also potentially exposed to Material Resource Scarcity and Ecosystem Decline
(KPMG,

America 's Current Health Care System
According to Joe Conason, "America 's current health care system wastes considerably more than a
trillion dollars every year. We know that because countries such as France, Germany, Japan and
Finland, with comparable standards of living to ours, spend roughly half what the United States
spends annually on health care per citizen, while covering everyone and achieving better results."
(Conason, 2009) The United States healthcare financial systems are severely flawed – affecting the
overall cost control, services, and care made accessible to its clients. The rising costs in healthcare
are reaching new highs, and with rising costs, there doesn 't seem to be much change in the quality
of the care being given. Clients coming in and out of these ... Show more content on Helpwriting.net
...
If you combine the fifty–five million who have been uninsured in a given year with the additional
thirty million Americans who are under–insured, you get to a total of eighty–five million Americans
with inadequate protection against the cost of illness" (Blumenthal, 2014) Millions of Americans
cannot afford healthcare services, and therefore have no financial defense in battling illnesses. Even
with the affordable care act in place, there is a constant struggle for many who cannot afford the
premiums that come with these insurance policies. "One of the reasons why we have uninsurance in
the United States is that it has become increasingly unaffordable to purchase insurance because the
cost of care and the premiums for care have gone up at multiples of the rates of increase of wages
and of the cost–of–living in the United States" (Blumenthal, 2014) One way to combat these costs is
to keep in mind the geographical location of these individuals. By taking this information into
consideration, healthcare facilities can better focus on the types of services and care they offer their
clients. It 's important to keep in mind the type of customers that they are primarily dealing with, for
example, are these facilities located in an area primarily made up of an elder population? or an area
with many young individuals? These factors are imperative to the

What Makes Hospice Such A Unique Area Of Healthcare Service?
Question #1
What makes hospice such a unique area of healthcare service?
Hospice care focuses on support, encouragement and care of the dying person and family, with the
goal of facilitating a peaceful, honorable and dignified death. Hospice care is based on holistic
concepts, stresses and emphasizes care to improve quality of life rather than cure, supports the
family and clients through the dying process, and supports the family through bereavement. Hospice
is a unique area in healthcare service as it can be carried out in a variety of settings, the most
common being home and the nursing home based unit or the hospital. It focuses on preventing,
treating and eliminating discomfort and pain. Hospice care is a type of care that is ... Show more
Long–term care also depends on a persons needs and is provided in different places by different
caregivers. Most long–term care is provided at home by unpaid family members and friends as well
as facilities such as nursing home and in the community, for example in an adult day care center.
The most common type of long–term care is personal care assistance that is provided in the comfort
of the family's home. Clients would receive help with instrumental activities of daily living. Basic
ADLs consist of self–care task that include, but are not limited to showering, bathing, personal
hygiene, grooming, toileting, ambulating and transferring. IADLs are not necessary for fundamental
functioning, but they let an individual live independently in their community. This includes taking
prescribed medications, cleaning, grocery shopping, meal preparation and moving within the
community. Because chronic illness occurs most often in seniors, long–term care facilities have
different programs that are oriented to necessitate not only personal services but also regular nursing
care and intermittent medical attention. However, the type of care provided varies extensively. Some
facilities retain and admit only residents who

What Exactly is an Adult Daycare Center?
Adult Daycare Centers You are a seventy–eight–year–old man or woman. You live alone, but still in
the same house you have lived in for the past fifty years. Even though, in your opinion, you feel
healthy and think you can take care of yourself, you have noticed that your mind just is not what it
used to be. After going to the doctor for your annual checkup, your doctor tells you that you have
the early signs of a disease called Alzheimer's. The doctor thinks that it would be best for you to
move into a long–term care facility. You do not want to leave your home, but you also know that
your family is very busy with their own lives, and you do not want to be such a burden to them. That
is when you hear about something called an adult day center. Adult daycare centers are a place
where older adults have a safe and stimulating place to go during the day. This helps delay moving
into a long–term care facility by allowing the client to live in their own home where they may be
happier than if they were "forced" to move in to a long–term care facility. The option of adult day
centers is one that is growing in popularity, but is still mostly unheard of to older adults as a whole,
unless they specifically ask about it.
What Exactly is an Adult Daycare Center? An adult daycare center is exactly what it sounds like: a
center that older adults can go to that will take care of them for the day. The staff may monitor
medications, serve meals and snacks, help with physical and

The Healthcare Technology Of Today Essay
The Healthcare Technology of Today
Norma Valdez–Rosa
University South Online
Healthcare Technology of Today
Introduction
Healthcare technology has come a long way. I remember the days of putting my fingers on patients'
wrists to take their pulse and looking up at the clock while counting, using manual blood–pressure
cuffs and looking at their chest rise and fall to count for respirations. Today that picture is very
different, now, "almost everything nurses do depends on the information they get from electronic
devices, and Healthcare Technology Management (HTM) professionals, are responsible for the
majority of those devices (Hayhurst, 2015). In the last four weeks we covered many topics on
nursing leadership and styles. First, I learned that time management, leadership theories, learning
styles, leadership and management are all essential parts of nursing. Second, I learned that everyone
has different types of personalities and what seems right to me, is not the only way. Third, I learned
about change theories, conflict theories and leaders as change agents. Also, the conflict resolution
questionnaire analysis showed me that my style of conflict resolution is Collaboration. Last, I
learned about emotional intelligence, communication styles, and the body language quiz showed me
that I have a strong ability to read other people. Nursing informatics and Healthcare Technology is
the way of the future. With the electronic health records (EHRs)

Implementing A Certified Electronic Health Record System
Introduction Meaningful use is the process of implementing a certified electronic health record
system in a healthcare organization that is able to improve patients' safety, to ensure that their data
and the information is secure and private. Meaningful use also ensures that healthcare organizations
improve patients' outcomes as well as the population on a whole. It allows patients to be more
engage as well as their family and to ensure that the patient has a better outcome. This paper will
address the progress of majority of the health system on meaningful regulation and the barriers
successful use.
Meaningful Use Regulation It is important to understand that, meaningful use regulation established
objectives that healthcare organizations such as hospitals and other healthcare facilities have to meet
in order to be qualified for the center for Medicare and Medicaid services. Many healthcare
organizations are making progress when it comes to meaningful regulations. There was a recent
survey that shows that a lot of healthcare organization began using some type of electronic health
record so as to be able to input patients, data, information, allows healthcare providers to establish
clinical notes and to be able to write prescription and transfer patients' information from one
provider to another (Lopez, 2014). Another way healthcare organizations such as hospital are
meeting the meaningful use regulations is the implementation of the epic system. Many hospitals are
now

The Affordable Care Act (AHCA)
National Healthcare Delivery
The healthcare system in America started as a predominantly volunteer system where patients were
required to pay little to nothing for treatment. Since it began, the healthcare industry has seen
tremendous changes that have transformed it into a business entity which has operations like
financial management, strategic planning and functional specialties to keep the industry viable. The
industry is one of the largest in the country employing 15 million people with a projected increase of
jobs with 3 million jobs annually. As the healthcare industry continues growing, services and
personnel are changing, and various dynamics are coming into play to accommodate changes
(Smith, Saunders, Stuckhardt, & McGinnis, 2013). ... Show more content on Helpwriting.net ...
The decline in hospital capacity was accompanied by a rise in staffing. Full–time equivalent
personnel rose (Malagi & Kamath, 2016). Most of the additional personnel in hospitals are not
focused on patient care but management or administration purposes. The American Hospital
Association data shows that outpatient department visits have risen per 1,000 persons indicating that
capacity for ambulatory services has risen overtime. Emergency departments have reduced with a
larger percentage of closures being in rural areas. Compared to hospitals, physicians have continued
to increase. Specialists have increased except for radiologists and general surgeons. There is,
however, an uneven distribution of physicians between rural and urban areas. There is an estimated
shortage of 3,000 physicians in nonmetropolitan areas. In addition to an increase in physicians, there
are new forms of acute–care facilities. There are relatively new facilities that have been accredited.
Ambulatory surgery centers have, for instance, risen (Best et al.,

Importance Of Volunteering In Healthcare
Internships, Volunteering, and Certifications
I have conducted some research that pertains to facilities management in healthcare. The majority of
the research was conducted locally within the state of Colorado. This research gave some insight
into different variations of volunteering and internship opportunities as well as professional
certifications.
Internships and Volunteering
In Colorado I was unable to find internships that related directly to facilities management. I was
however able to find a few programs from local hospitals that offer internships in facility
maintenance that offer to pay for two years of community college during the internship. At the end
of the internship the hospital will offer to hire candidates, which is a great start on the path to
becoming a facility manager. The second internship I found was at the Children hospital in Denver.
The hospital offers volunteering and internships opportunities in many different fields. On a
National scale I was able to find many different intern and volunteering opportunities that directly
related to facilities management in healthcare.
Most of the opportunities required individuals be involved in healthcare in some degree or be
enrolled in college classes with a degree program related to healthcare. Most of ... Show more
I decided to look on Linkedin at facility managers and directors to see what certifications were
popular. One of the most popular certifications was the Certified Healthcare Facility Manager
(CHFM) from the American Society for Healthcare Engineers (ASHE). This certification was
needed in most of the available job opportunities for facility managers. This certification is a part of
the American Hospital Association which is a national organization that represents and serves all
types of hospitals, health care networks, and their patients and

A Request For Assistant Living ( Adult Nursing Homes
to develop an economical facility that provides universal care. I'm placing a request for Assistant
Living (Adult Nursing Homes) in royal areas of Columbia, South Carolina. Quality of care nursing
home provides help on a continuous bases, most patients that are seriously ill prefer home
strucThey're several type of healthcare facility such as; Independent Living Communities, Assisted
Living Facilities, Residential Care Facilities and Continuing Care Communities. As a medical
organization we strive ture facility. The nursing home will provide care for elderly patient that needs
continuous care for long standing assistant living. These facilities offer 24–hour supervision, nursing
care, and social activities. The level of care in this ... Show more content on Helpwriting.net ...
It is also important to check the qualifications of the administrator as well as the service providers
for an assisted living additional qualification. The following requirement is a way to evaluate
residence administrator for: Adequate Education, Experience, Health and psycho–social needs and
Management ability. The type of staff that will work in assisted medical facility on a typical day,
nursing home residents will encounter a number of different employees within the facility.
Additionally, several employees are responsible for the internal functioning of the nursing home
facility, as nursing home resident employees are knowledgeable and play key roles. The position
categories and/or titles for these positions and includes what are the credentials or licensures
required by these positions in the state in which you live where you proposed facility would be
located. Current healthcare reimbursement system bogged down with problematic healthcare rules
and governing reimbursement regulation/policy divided by the ever changing economic growth on a
day–to–day basis. American healthcare insurance provides variety of healthcare reimbursement
program, and each entity is contracted with individual practices or organized health systems. The
price of each services that occurs within a health care system allowing payer and insurers' to adjust
services cost that occur outside that system. The price for

NI Essay
Prevalence of Nosocomial Infection (NI)
Nosocomial infections (NI) are acquired in hospitals and other healthcare facility. It is suspected, if
the patient had another infection other than the infection, he/she was admitted for; and had "shown
no signs of active or incubating symptoms" (Graham, 2016) of present infection. NI is said to occur,
if the Infection occurred 48 hours after hospital admission, 3 days after discharge, or 30 days after
an operation or surgery procedure. Nowadays, NI is labelled the leading cause of death in hospitals.
As it continue to raise headlines as the main cause of most deaths occurring in the hospitals and
healthcare facility. The prevalence of NI in hospitals increased from 2003 to 2009," (Milena, 2017),
... Show more content on Helpwriting.net ...
In some cases, patients develop infections due to poor conditions at a hospital and healthcare
facility, or due to hospital staff not following proper standard procedures, such as improper hand
washing before and after patient care, lack of proper clinical wound cleaning and perineal care.
Proper sanitation and other proper healthcare hygiene procedures omitted during patient care. Some
patients also "acquire NI by interacting with other patients", which may result from sharing of
personal belongings, and body contact. Others may encounter "bacteria, fungi, parasites, or viruses
in their hospital environment" (Graham, 2016). A research on "Human metapneumovirus (hMPV)"
recently discovered virus and a member of the subfamily "Pneumovirinae, as the major cause of
hospitalization of infants suffering from respiratory tract infection" (French et al., 2016). It can
manifest as flu like symptoms, and later dispose into shortness of breath with nasal congestions. It's
likely to be transmitted via direct contact and droplet.
Symptoms of NI
Symptoms of NI vary by type. They include inflammation, discharge, fever, and abscesses. Patients
may experience pain and irritation at the infection site, and many experience visible symptoms.
Many forms of NI can be diagnosed through sight alone. Pus, inflammation, and rashes may all be
indications of infection. "Blood and urine culture tests" (Diekema et al., 2003) can be used to

Essay about HSAAssingment One Primary care clinic
The Primary Care Clinic
January 31, 2015
HSA 300 – Health Services Organization Management
Professor Janet Kaplan
The Primary Care Clinic
Many important factors go into play when running a healthcare organization. I plan to discuss some
of the key components that have influenced the development of this health care facility. The clinic
mission statement will be stated and addressed to clear up any confusion. I plan to identify the three
performance measures I would use to measure the clinic's effectiveness and provide the rationale for
each performance measure. I will also explain ways in which I will approach the decisions on
expansions. I will also describe the role the primary clinic has played in the healthcare systems in
our ... Show more content on Helpwriting.net ...
(2010). This information is obtained through financial reports, complaint records, and ongoing client
surveys. The second performance measure I would use would be responsive communication. This
measures satisfaction surveys retention, absenteeism, and vacancy measures. These measures will
let us know what is going within the organization. Some examples are percent of "loyal" associates,
percent of RN positions are vacant, and tenure of associates. The concept of this is associate
satisfaction, retention, and complaints. In order to provide excellent care, we will need to know what
the staff is feeling. Happy employees mean better performance which equals better patient care. For
the third measure, I would focus on corporate design. Corporate design measures market share,
efficacy of care, per capita cost of care, improvements unmet or delayed and variation in internal
performance. The concept behind this measure is to find the extent of service, uniformity of
performance, and competitor relations. Surveys are a big part of obtaining all this information and
provide a great deal of knowledge on how well this organization is performing.
The Decisions Regarding Annual Plan Approval and Clinic Expansion Business plans are models of
a specific strategy or function that guides

Essay On Never Events
Never Event
Oluwatosin Eleyinafe
HSA 268
Professor Garcia
November 22, 2012
Healthcare facilities are very active institutions. Each part must be functioning correctly, from
delivery systems and issues of Managed Care and Centers for Medicare and Medicaid Services
(CMS), to the National Quality Forum (NQF). These different parts of healthcare facilities are
constantly dealing with many different situations that arise. Sometimes circumstances that should
not take place occur. These types of circumstances are known as Never Events. As these events rise
in number, the safety of patients is decreased; this forces the healthcare facility to find new and
improved ways to ensure the safety of patients and reduce medical errors. ... Show more content on
Helpwriting.net ...
It is important that their knowledge of these events is raised so that in the unfortunate event of their
falling victim to such an occurrence, they know exactly what type of action to take. The increased
awareness of patients leads to two problems that healthcare organizations must face. The first
problem: the patients' trust and engagement of these never events would never have came about if it
were not for the negative publicity that comes from such an event happening. If a never event either
happens to a patient or in a hospital that the patient goes to, then that patient would have less trust
towards the healthcare facility overall. The one thing that healthcare organizations need is their
patients' trust. The second problem: insurers are beginning to hold healthcare facilities financially
responsible for never events (Ozan–Rafferty). As a result, physicians and hospitals have to pay for
the care they provided, in addition to the errors that they encountered. If the insurers do this, it
would bring the downfall of the entire hospital because there would be so much expenses that the
healthcare facilities have to pay that it may not be able to pay for most of the debts that they have in
the facilities. Motivating hospitals to ensure proper policy is followed can lead to a reduction on
spending every year due to medical errors. Holding healthcare facilities responsible for

Being An American Guarantees The Right And Responsibility
Being an American guarantees the right and responsibility of having Health Insurance. Whether you
have Health Insurance coverage through your job, spouse, serving in the military, it is very critical
in this day in age, a person to have some kind of coverage. There are many types of Insurance you
may receive and different types of organizations, such as a Preferred Plan Organization, or Health
Maintenance Organization. They type of Insurance you receive is your decision as well. The history
of Health Insurance beings with its revolution in the late 1920's through the 1930's. The beginning
of employer–sponsored health plans began as a result of World War II. With the growing demand
increasing into the 1950's, other insurance agencies ... Show more content on Helpwriting.net ...
Needless to say, the population would be very sick and one fourth if not more, the size it is that we
have today. There are many different types of coverage for health insurance, each having their own
unique processes as well as reimbursement methods. Heath insurance coverage can either be offered
by an employer, paid for monthly by beneficiary, or may be obtained through serving in the armed
forces. Insurance can be categorized under as ether individual insurance or group insurance. With
individual insurance only applies to the individual that's enrolled in the policy and the individuals'
dependents. Individual insurance isn't available through a group rate thus; premiums will be higher
than if the individual had group insurance. Group insurance is a master policy that's usually
purchased by an organization or employer that that covers the employees as well as their
dependents. The policyholder's dependents are the spouse and children under a certain age. Group
insurance usually offers lower premiums with better benefits. The different types of insurance
coverage includes, hospital insurance, an indemnity plan or fee for service plan, hospital indemnity
insurance, medical insurance, surgical insurance outpatient insurance, special risk insurance, major
medical insurance, catastrophic insurance, short–term insurance, full–service insurance, long–term
insurance,

Going from a Healthcare Center to a County Public Hospital...
Introduction
Burrows Healthcare is going to be a Jefferson county public hospital District No. 2. The Healthcare
facility will provide healthcare or the residents of Eastern Jefferson County. It will provide inpatient
care and an all–inclusive range of outpatient amenities including emergency care, diagnostic
imaging, Laboratory, physical therapy and rehabilitation, surgical services and sleep medicine. In
addition, Burrows healthcare will be initiating five primary clinics and home health & hospice
agency.
The Burrows Healthcare will hire workers at the onset of operations of around 500 workers which
will prove to be of benefit to Jefferson County being a major employer, 25 physicians and mid–level
professionals and will have ... Show more content on Helpwriting.net ...
Department administrators managing each department report to the overall management.
Departments will include orthopedics, labor and delivery, emergency department, food services and
billing. Within the department, there will be Patient care managers who directly oversee patient care.
These include nursing managers, directors of rehabilitation and supervising physicians who ensure
staff members are acting appropriately.
Below the patient care managers are the service providers who range from nurses and physical
therapists to line cooks and laundry workers. They have specific work descriptions.
Culture and Climate of the Organization
Burrows healthcare is a non–profit corporations governed by a community–based board of Directors
which Involves clients and community members in planning and developing programs. Burrows
will provide comprehensive primary care, health promotion and illness prevention services and
community initiatives to a defined service area with an emphasis on priority populations. A team of
salaried employees depending on the actual programs and services offered, program staff, might
include physicians, nurse practitioners, nurses, health promoters, social workers, community health
workers, nutritionists, traditional healers, chiropodists, early childhood workers, physiotherapists
and occupational therapists.
Burrows offer 24 hours access to primary clinical care to work in partnership with other health and

The Healthcare Industry Face And Ways
Abstract
During this research I will discuss the challenges that the Healthcare Industry face and ways to
mitigate these risks. It will also discuss security safeguards that will assist with preventing data
breaches, from physical security up to network security. Protecting the organization data is the most
important thing in a Healthcare facility. In the Healthcare industry, Health Insurance Portability and
Accountability Act (HIPAA) has security rules that were established to protect individuals'
electronic personal health information (ePHI). There has been countless number of data breaches
lately in healthcare facilities. They are at a much–much larger risk with the demand of healthcare
facilities switching all of the data to an Electronic Health Records system. "Electronic Health
Records is an electronic version of a patient's medical history, that is maintained by the provider
over time, and may include all of the key administrative clinical data relevant to that persons care
under a particular provider, including demographics, progress notes, problems, medications, vital
signs, past medical history, immunizations, laboratory data and radiology reports." (Centers for
Medicare & Medicaid Services, 2012) There has been a rule created called the "Breach Notification
Rule" which I will explain in detail.
The security of the nation's critical infrastructures is something that needs to be addressed, we are at
risk in many different areas. We

Healthcare-Associated Infection Paper
Healthcare–associated infections (HAIs) are infections patients can acquire in a healthcare facility
while being given medical care. The Centers for Disease Control and Prevention's (CDC) website
notes six major sites of infection that patients are at risk of acquiring while receiving care in acute
care hospitals in the United States: pneumonia, gastrointestinal illness, urinary tract infections,
primary bloodstream infections, surgical site infections from any inpatient surgery, and other types
of infections. Their website recounts that as early as 1847 evidence is documented of persons
acquiring infections while receiving care in a hospital. The website for the U.S. Department of
Health and Human Service's Agency for Healthcare Research ... Show more content on
Helpwriting.net ...
Each state can compare its statistical data to the standardized infection ratio (SIR), a summarized
ratio of the culmination of national data; this is an excellent method to track the progress in the goal
of reducing and eventually eradicating HAIs. The report for the state of Kentucky on HAIs in the
state's acute care hospitals was based on information received from a total of 116 hospitals that
provided data for this survey. Unfortunately, the incidence of reported HAIs associated with
Methicillin–resistant Staphylococcus aureus (MRSA), a type of laboratory identified hospital–onset
bloodstream infection, is extremely high. Kentucky's reported incidences in 2014 of patients
infected with MRSA while being treated in acute care hospitals is 25% higher than the national
baseline. This information is a red flag for the state's epidemiology experts and healthcare
professionals, that infection control protocol in place should be reviewed and researched to
determine what can be done, either on a hospital–to–hospital based level or a state–wide level, to
improve the efficiency of reducing or eliminating HAIs that are associated with MRSA infections.
One area that the state's statistical data rates very well is in Central Line–Associated Bloodstream
Infections (CLABSIs). Kentucky's number of reported incidences of this type of infection is 45%
lower than the national baseline, suggesting that the protocol used for this type of infection is very
effective compared to what is practiced in other

Healthcare Quality Analysis
Measuring the quality that a healthcare facility gives is of most importance for the individuals that
are serviced. Analytically healthcare facilities deal with many adverse limitations when it comes to
meeting or exceeding the needs of its constituents. In the process of healthcare there are
approximately four different methods that are used to assess the quality of a healthcare organization
and they are structure, process, outcome and patient experience. Each one serves a different purpose
within the structure of a healthcare organization below I will give a brief overview of each one, but
the two main ones that this article will focus on will be structure and process.
Purpose of Quality Measurements There is a needed purpose for measuring the quality of services
within the structure of healthcare, because it gives an overview of how the healthcare organization
can improve on its quality of care. The author defines quality measurement in healthcare as the
process of using data to evaluate the ... Show more content on Helpwriting.net ...
These methods are:
Structure (characterizes statues of care which include but is not subject to its facilities, personnel
and policies which relate to how care is delivered).
Example:
ICU having a person who specializes in critical care on duty
Process (determines if the services performed are in line with routine clinical procedures).
Example:
Number of patients who receive preventative services (mammograms/immunizations).
Outcome (is a patient's health in accordance with the services received).
Example:
Survival rate of patients who acquire complications from surgical procedures performed in the
hospital
Patient Experience (feedback on the type of experience the patient received when visiting the
facility (AHRQ,

Acute Care Interview
An Acute care and a non–acute health care facility are medicals facilities that provide short–term
medical treatment to patients with very severe medical conditions or with very serious injuries.
These facilities provide a short–term treatment to patients to help stabilize them from various health
conditions. Such treatments are provided in hospitals or urgent care centers by different types of
clinical personnel using technical equipment, pharmaceuticals, and medical supplies. The acute care
facility in my area has an operating room, emergency room, blood bank, radiology department,
pathology department, pharmacy and clinical laboratory. Acute care facility is usually meant for
older people or any person in emergency situation who require acute services, or serious life
threatening medical conditions .The facility is managed by medical and nursing personnel's to helps
administer the critical care necessary to assist a patient to gain back his/her health. After
distinguishing the acute and non – acute care facilities in my area, I ... Show more content on
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There are many types of data collected, such as, Demographic, financial, socioeconomic, and
clinical data are collected from patients so that the healthcare providers of services to the patient are
able to assess the history of whatever disease the patients is suffering from and how is to be treated.
Data collection in the facility is well organized in a way that promotes shared assessment, treatment
and communication. Nurses and front row staffs collects raw data's from the patient, and. The Heath
Information Manager and team are the facility are responsible in analyzing and presenting the data
collected in a meaning and easily understandable way to served the specific purposes for which it
was collected. Examples of such data are, patient's name, height, weight, gender, allergies, and third
party

Improving The Current State Of Healthcare
In Pocahontas county West Virginia, tourism is the primary source of income for many, and the
driver of the economy due to the abundance of outdoor recreation available year–round. Pocahontas
Memorial Hospital (PMH) is established to be a primary care source for this rural community,
serving approximately 5% of the state's population, with only a 25 bed facility (Pocahontas
Memorial Hospital, 2013). PMH wishes to deliver compassionate care and promote healthy
lifestyles through working collaboratively with other healthcare facilities, and delivering adequate
patient education, while sustaining financial viability (Pocahontas Memorial Hospital, 2016a). This
organization has determined a need, and would like to offer a comprehensive ... Show more content
on Helpwriting.net ...
There are other clinics located throughout Pocahontas county, encompassing a total of only sixteen
providers of similar specialty to care for a population of approximately nine–thousand (Pocahontas
Memorial Hospital, 2013). The Pocahontas Health Needs Assessment (2013) determined that
consumers of this underserved region are specifically in need of services such as obstetrics and
gynecologic care, mammography, PAP tests, MRI, non–emergency transportation, dialysis,
pediatrics, extended dental care to include crowns and extractions, colonoscopy, orthopedics, and
ophthalmology. Although the population of the county has decreased over the last ten years by
roughly 4%, the quickest growing population is that of those residents age 65 or older (Pocahontas
Memorial Hospital, 2013). There is indication that the need for such specific services in order to
keep residents out of the hospital for non–emergent needs, or from traveling for care, is imperative
at this time.
Determining the feasibility of this type of project will require the evaluation of various factors,
which can generally be summed up by completing a market and SWOT analysis. Currently,
Pocahontas Memorial Hospital (PMH) is pursuing a strategic initiative which includes determining
if developing a satellite clinic within Pocahontas County is not only conceivable but also enduring
(CSU–Global, 2016a). These analyses shall be completed as part of the assessment period, guiding
the Board of Directors in

Risk Assessment Tool : Healthcare Facilities
Risk Assessment Tool Healthcare facilities are always looking for new ways to improve and provide
better care for their patients. As the market of healthcare has rapidly become more competitive,
healthcare systems are looking for new ways to improve service and care. These new ideas for
improvement not only have positive outcomes for patients but, save the healthcare system money at
the same time. One of the major problems hospitals have faced is hospital acquired infections
(HAI's). These infections happen in addition to what the patient came into the hospital for. One of
the major changes has been the repayment from the Center for Medicaid and Medicare (CMS). CMS
will no longer pay for any type of HAI that has been contracted during a ... Show more content on
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After the software has been purchased the facility can conduct permits for any type of work that
could cause harm to a patient, staff and visitors. This type of work could include above celling, floor
work, and any other type of work that could cause harm. Most of the software programs will include
a matrix for staff to follow depending on the area level of protection needed. Areas like Surgery,
NICU, ICU, and other susceptible patient areas are listed at a higher level of protection. By
incorporating this permit system, the staff can easily determine the level of containment and
protection needed to reduce HAI's and protect patients.
This system is only as good as its use. Policies must be put into place to support all staff and
vendors. If the facilities department uses it correctly but vendors don't, there will be a break down
with the potential of HAI's. Hospital policies will clearly state different types of users and different
scenarios that include emergencies and how to handle them. Many of the above celling policies are
not only recommended but, required by authorities having jurisdiction like the Joint Commission
and the Center for Medicaid and Medicare.
Reducing Risks
By implementing the ICRA permitting system, healthcare facilities can reduce the number of
potential risks to patients, visitors, and staff. The risks are substantially reduced by the use of
containment systems and the use of negative

Secondary Prevention Methods For Expecting Mothers
2.2 Secondary Prevention Prenatal care also includes many types of secondary prevention methods
for expecting mothers. Keeping records of an expecting mother's weight and blood pressure
throughout pregnancy to make sure they are within the recommended range helps catch issues early.
The expecting mother can have her blood tested to check for certain genetic markers that would
detect certain diseases in the fetus to include, cystic fibrosis, sickle cell anemia, and tay–sachs
disease (Kirkham, Harris, & Grzybowski, 2005). Ultrasonography is a common screening test
utilized to check the structural integrity of the child in the womb, and can also detect abnormalities
such as indicators of down syndrome. During prenatal visits, routine blood tests will indicate basic
liver and kidney function as well as indicate if the expecting mother has any anemias, which can
then be treated (Kirkham, Harris, & Grzybowski, 2005). Ghana has a referral system in place in
which a health care provider can send a patient who is having complications to a facility that will be
better able to meet the patient's needs. Even though Ghana Health Services created a protocol for
how referrals should be made and carried out, many health facilities do not adhere to
recommendations, and thus, the patients suffer. Many times the facility is far away and
transportation is an issue, as many patients are not taken by ambulance, and without a healthcare
worker present. Lack of communication between

Nursing Sensitive Value-Based Purchasing
The article "Moving Healthcare Quality Forward with Nursing–Sensitive Value–Based Purchasing"
was written by Kavanaugh, Cimiotti, Abusalem and Coty to show the importance of Nursing–
Sensitive Value–Based Purchasing (NSVBP). The following paper summarizes the article which
addressed the need for transparency of measures, financial incentives and the importance of skilled
nurses as key factors in improving quality in the current health system. Transparency of measures, a
type of value–based purchasing, was outlined as a way to require hospitals to make information
regarding various areas of quality available to the public. Kavanaugh et. al. (2012) described several
of these areas which included incidence of healthcare–associated infections (HAIs), hospital–
acquired conditions (HACs), process measures, and patient satisfaction surveys. It would serve as a
tool for physicians to know the best places to send their patients when a referral is necessary. This
would hold facilities accountable and at the same time help to improve areas of concern. If hospitals
provided this type of information it would help people to make decisions as to where they could get
the best quality care. Financial incentives, another type of value–based purchasing, was shown as a
way to either ... Show more content on Helpwriting.net ...
al. (2012) stated that the key component to NSVBP are the nurses and that there needs to be
financial incentives in place in order for facilities to maintain proper nurse staffing as well as
provide a better work environment. "Research has shown that adverse events and mortality are
highly dependent on nurse staffing levels and skill mix" (Kavanaugh et. al., 2012). Having the right
nurse to patient ratio will allow for better patient care as well as more favorable results for the
patient. Nurses play an important role in the quality of care a patient receives. Financial incentives
for the facility to retain quality skilled nurses would assure that patients receive quality

The Governing Board 's Role
Governing Board's Role The governing boards role is very important when it comes to discussing
what is happening within a healthcare organization and making sure things are been done to their
ethical standards. The primary role of governing boards is to make sure that the mission statement
includes things that are needed from the public and to make sure that those people hired for this
company are able to uphold to the ethnical code that is given by the healthcare organization. When
issues arise within the organization, it is left up to the governing board themselves and the CEO to
see how it would be best to address the situation before jumping to any type of conclusion. The
governing board has to make sure everyone in the facility is ... Show more content on
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"The board's duty of assuring that there is an effective strategy process has to go well beyond
requiring and overseeing the periodic production of a strategic plan" (Morrill, 2013, pg. 14). Every
plan that is put in more requires way much more than just coming up with the plan, it requires that
there is no steps left out of the final decision and that things are handled in the proper manner.
Overall, the governing board has a great responsibility along with the CEO when it comes to
handling things in an ethical manner. Key Performance Dimensions In order to make sure the
healthcare organization is doing everything to provide the best care for their patients and that the
facility is doing everything that they can to ensure that, some type of performance measurements
need to be used. "Performance measurement systems employed in healthcare must be capable of not
only meeting expectations of different stakeholder, but also of giving the most realistic image of the
status and the progress that are being made to the system" (Doolen, Enami, 2015, pg. 427). By using
performance measurements, the facility can see what they are doing wrong and in what ways they
can improve service the patients next visit to ensure their voice was heard by the facility. The three
measurements that can be used to see Middleville's overall performance include daily patient log,
patient

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