The investigative report summarizes an investigation of Central Diagnostic Centers, Ltd. regarding their radiographic procedures. Investigators interviewed the staff technician, Ms. Bossitche, who said that mammography and CT services had been discontinued due to needed repairs to the machines. Referrals for CT scans were no longer being accepted. The radiation safety officer, Dr. Biais, performs duties from her home although she occasionally visits the facility. The facility continues performing some radiographic procedures by sending films offsite for interpretation.
You've probably spent a lot of time learning how to write police reports. Why not take a look at what NOT to do when you write a report? This PowerPoint reviews basic principles officers need to think about when writing reports.
You can write reports more confidently and efficiently when you recognize that there are four basic types of reports. Learning their special characteristics and requirements of each type makes the writing process much easier.
Dr. Kellie Leitch glanced at the data on wait times collected from t.pdffaxteldelhi
Dr. Kellie Leitch glanced at the data on wait times collected from the patients in one of her
clinics. As Chief of Paediatric1 Orthopaedic surgery at the Children\'s Hospital of Western
Ontario (CHWO), she was very concerned by the long times that the young patients (and their
parents) were experiencing in the daily clinic. Long wait times tended to aggravate the already
pent-up distress and concern that they were feeling, and parents were understandably irritated at
missing significant time at work. Currently, on an average, patients were spending roughly two
hours in the clinic.
Patient health was not Dr. Leitch\'s only concern. Clinical staff had increasingly complained
about being overextended, yet budgetary pressures to reduce the cost of service continued to
mount. She was not convinced that all staff was being effectively utilized, and there was an
unresolved request from the Radiology department for more advanced equipment. Dr. Leitch
also served on several government task forces. From these, she knew that federal and provincial
policymakers were increasingly concerned with the economic impact that health-care wait times
had on national economic productivity.
In a moment of weakness, Dr. Leitch recently had volunteered her clinic to hospital management
as a “test case” to demonstrate that patient care could be done in a more timely fashion, without
increasing costs. An objective of reducing wait times by 20 per cent was established to show
meaningful improvement that would be clearly evident to patients, staff and management. A
monthly executive meeting was fast approaching, and expectations were starting to run high that
Dr. Leitch would present preliminary recommendations that would offer significant reductions.
PAEDIATRIC ORTHOPAEDIC CLINIC
As part of London Health Sciences Centre, located in the city of London, Ontario, Canada,
CHWO was a large, regional health-care centre that provided specialized paediatric services to
children. The population of the 10 counties forming the primary catchment area for CHWO was
1.4 million, including approximately 400,000 children. Many of the CHWO\'s specialty services
also attracted referrals from across Ontario, as well as from neighboring provinces and states in
Canada and the United States.
The Clinic was open for three half-day sessions per week, Monday through Wednesday, from
8:30 a.m. to 1:00 p.m. During the remainder of the week, the facilities were used by other sub-
specialties of surgery. Staffed by a surgeon, two senior resident students, three clerks and four
registered nurses, the Clinic examined about 80 patients during each half-day session, of which
60 per cent were returning for a follow-up appointment (and so termed follow-up patients). In
addition to the staff noted above, other medical students might spend up to one month training in
the Clinic.
PATIENT FLOW AT THE CLINIC
Front Desk: Registration & Verification of Documents
The Registration desk was the first point of contact.
You've probably spent a lot of time learning how to write police reports. Why not take a look at what NOT to do when you write a report? This PowerPoint reviews basic principles officers need to think about when writing reports.
You can write reports more confidently and efficiently when you recognize that there are four basic types of reports. Learning their special characteristics and requirements of each type makes the writing process much easier.
Dr. Kellie Leitch glanced at the data on wait times collected from t.pdffaxteldelhi
Dr. Kellie Leitch glanced at the data on wait times collected from the patients in one of her
clinics. As Chief of Paediatric1 Orthopaedic surgery at the Children\'s Hospital of Western
Ontario (CHWO), she was very concerned by the long times that the young patients (and their
parents) were experiencing in the daily clinic. Long wait times tended to aggravate the already
pent-up distress and concern that they were feeling, and parents were understandably irritated at
missing significant time at work. Currently, on an average, patients were spending roughly two
hours in the clinic.
Patient health was not Dr. Leitch\'s only concern. Clinical staff had increasingly complained
about being overextended, yet budgetary pressures to reduce the cost of service continued to
mount. She was not convinced that all staff was being effectively utilized, and there was an
unresolved request from the Radiology department for more advanced equipment. Dr. Leitch
also served on several government task forces. From these, she knew that federal and provincial
policymakers were increasingly concerned with the economic impact that health-care wait times
had on national economic productivity.
In a moment of weakness, Dr. Leitch recently had volunteered her clinic to hospital management
as a “test case” to demonstrate that patient care could be done in a more timely fashion, without
increasing costs. An objective of reducing wait times by 20 per cent was established to show
meaningful improvement that would be clearly evident to patients, staff and management. A
monthly executive meeting was fast approaching, and expectations were starting to run high that
Dr. Leitch would present preliminary recommendations that would offer significant reductions.
PAEDIATRIC ORTHOPAEDIC CLINIC
As part of London Health Sciences Centre, located in the city of London, Ontario, Canada,
CHWO was a large, regional health-care centre that provided specialized paediatric services to
children. The population of the 10 counties forming the primary catchment area for CHWO was
1.4 million, including approximately 400,000 children. Many of the CHWO\'s specialty services
also attracted referrals from across Ontario, as well as from neighboring provinces and states in
Canada and the United States.
The Clinic was open for three half-day sessions per week, Monday through Wednesday, from
8:30 a.m. to 1:00 p.m. During the remainder of the week, the facilities were used by other sub-
specialties of surgery. Staffed by a surgeon, two senior resident students, three clerks and four
registered nurses, the Clinic examined about 80 patients during each half-day session, of which
60 per cent were returning for a follow-up appointment (and so termed follow-up patients). In
addition to the staff noted above, other medical students might spend up to one month training in
the Clinic.
PATIENT FLOW AT THE CLINIC
Front Desk: Registration & Verification of Documents
The Registration desk was the first point of contact.
Running Head PREOPERATION OBSERVATION2 .docxjeanettehully
Running Head: PREOPERATION OBSERVATION 2
Title: Pre operation
Student’s Name:
Professors Name:
Date:
Pre operation
My clinical rotation this week is pre-operation room, it is different from other units I have ever worked on. This unit needs a fast pace, but for medical surgery and specialized units such as labor and maternity was a slow pace. By 11:30 I had already met six patients, the patients were running all over the floor even before I got to the room. Every physician is on their ways to give care to the patients and no one took a break on that day or got time to have breakfast. This is because every physician was busy giving his/her best care to the patients. Pre-operation is mainly focused on giving comfort to the patient by letting him/her know every step of the procedure (Pre NEET, 2013). Pre-operation helped me to know how to run pre-operation unit, by making calls to receive the patients and sending them to the surgery, and it enables me to know how to set, operate and resembles robotic equipment that was used throughout the procedure.
I got to wear my protection clothes and took surgery compression devices that are most important in the operation, and later I make sure that every patient is informed about the procedure and released them to the operation room. I prepared an operation dress and bandages that will be applied in the operation. After we entered the operation room there was no time came out of the room and the physicians said this is will only be done during any other procedure that held in the operation surgery. It is important to have a rest, and every physician goes out of the room, and look for patients to promote safety to the patients (Savage, 2011). A sixty-four years old woman came complaining of two nights sleepless and she is having blood pressure. And her vital signs were Tem 97.2, Pulse 79, BP 162/89 and respiratory 20.02, 98%.
I asked her name, date of birth and she asks about the allergy and answered her question. And I asked her the time she arrived. My Nursing diagnosis was anxiety, iv insert, anesthesia and evasive procedure as it is evidenced by his blood pressure 128/89. Patient verbalizing, she was scared and she was trying to misplace her hand during iv insertion. My goal is to help the patient until she can report a decrease in anxiety and decrease of fear and decrease of blood pressure. Also to see her reporting that her blood pressure has lowered to the normal level. My intervention was to provide reassurance and give hope to her and allow her to be with her family and later provide answers to her questions. And after that, I washed instruments that I used to do the surgery with and later sterilized the instruments (Scully, 2010).
Goal met after I had answered her questions, the patient blood pressure lowered and she did not get hurt during the insertion iv and reports the decrease o ...
This is the background information to a case study I use with my AP Biology students. Please note that the case study is not my own. See slide 1 for author information and the link to the website where this complete case study can be found.
Medical Coding ICD-101. This 60-year-old patient was admitted .docxARIV4
Medical Coding ICD-10
1. This 60-year-old patient was admitted with emphysematous nodules. A thoracoscopic wedge resection was performed in the left lung to remove the lung nodules. A resection was done in the upper and lower lobes. Which of the following answers is correct? (Points : 2)
J98.4, 32666, 32667
J43.9, 32666
J98.4, 32505
J43.9, 32666, 32667
Question 2. 2. A neonatal patient is brought to the operating room for repair of complete transposition of the great arteries under cardiopulmonary bypass. The infant is in critical condition and may not survive. Assign the correct diagnosis codes and CPT codes to report the administration of anesthesia, including physical status, Level I and II modifiers, and qualifying conditions for this procedure. (Points : 2)
Q20.3, 00562–AA–23, 99100
Q20.1, 00561–AD–P5, 99140
Q20.3, 00561–AA–P5
Q20.3, 00563–AA–P5, 99100, 99140
Question 3. 3. A 69-year-old patient was hit by a car, causing intra-thoracic trauma and hemorrhage. The patient was taken directly from the Emergency Department to the operative suite where the chest was opened and hemorrhage was controlled, but the patient’s heart stopped. Open heart massage was performed but the patient expired before the patient could be admitted. Assign the appropriate CPT code(s) and any required modifier(s) to report this service. (Points : 2)
32110-CA
32110, 32160
32160-CA
32110-CA, 32160-CA
Question 4. 4. A non-Medicare patient with carcinoma of the oral cavity and lower lip is receiving daily intramuscular injections of the interferon alfa-2a (3 million units) in the outpatient cancer center. Which of the following will be reported for this service? The payer does accept HCPCS Level II codes for drugs. (Points : 2)
Z51.12, I49.8, 96401, J9213
C14.8, 96372, J9213
C06.9, C00.2, 96372
Z51.12, 96549
Question 5. 5. An elderly patient has an abscess formation around a pacemaker pocket on his chest wall that requires that the device be removed and the pocket reformed in another location. Which of the following code sets is appropriate for this outpatient surgical service? (Points : 2)
T82.7XXA, L02.219, 33222
L02.219, 33222
T82.7XXA, 33223
T82.857A, L02.219, 33999
Question 6. 6. Assign the appropriate ICD-10-CM diagnosis code for aspiration pneumonia due to inhalation of food. (Points : 2)
J15.9
J69.0
J18.9
J69.1
Question 7. 7. A hospital-based pediatric clinic is treating a newborn with talipes equinovarus by manipulation and short leg casting. Which of the following code sets is reported for a visit where the condition is evaluated with a -problem-focused history and examination and parents’ questions are answered, followed by foot and ankle manipulation and replacement of the plaster cast? (Points : 2)
Q66.6, 29450
M21.549, 29405
Q66.0, 29405
...
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