Healthcare assistants (HCA) work within hospital or community settings under the guidance of a qualified healthcare professional.
The role can be varied depending upon the area in which the person is employed. You may be working alongside nurses or midwives in maternity services.
What will my on-site clinic look like? Who will I get to staff it? What services will I offer? These are some of the questions you could be asking yourself if you’re interested in offering an on-site clinic to your employees. And actually, there are a lot of potential answers to those questions.
To help figure out solutions that work for you, this two-part webinar series will explain the most popular and effective characteristics of on-site clinics in Wisconsin.
Ruth Poole, Group Clinical Director at Healthcare at Home, looks at why an engaged and supported workforce supports patient choice and control at home.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, Nov. 1-3, 2017 in Washington, DC. Find out more about this forum at www.usnewshot.com.
To measure the employees job satisfaction level in C-ZON Hospital, Ajnala.
To study the employees perception towards organization.
To identify the factors that motivates the employees.
To studying the relationship between management and employees in C-ZON Hospital, Ajnala.
Healthcare assistants (HCA) work within hospital or community settings under the guidance of a qualified healthcare professional.
The role can be varied depending upon the area in which the person is employed. You may be working alongside nurses or midwives in maternity services.
What will my on-site clinic look like? Who will I get to staff it? What services will I offer? These are some of the questions you could be asking yourself if you’re interested in offering an on-site clinic to your employees. And actually, there are a lot of potential answers to those questions.
To help figure out solutions that work for you, this two-part webinar series will explain the most popular and effective characteristics of on-site clinics in Wisconsin.
Ruth Poole, Group Clinical Director at Healthcare at Home, looks at why an engaged and supported workforce supports patient choice and control at home.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, Nov. 1-3, 2017 in Washington, DC. Find out more about this forum at www.usnewshot.com.
To measure the employees job satisfaction level in C-ZON Hospital, Ajnala.
To study the employees perception towards organization.
To identify the factors that motivates the employees.
To studying the relationship between management and employees in C-ZON Hospital, Ajnala.
Nancy Fontaine and Tim Keogh on the patient experience revolution at Whipps C...The King's Fund
Nancy Fontaine, Deputy Director of Nursing, Patient Safety and Quality Whipps Cross University Hospital NHS Trust and Tim Keogh, Partner, April Strategy on the work that Whipps Cross has done to revolutionise patient experience.
2.2 Develop the team - nursing - Julie Belton.NHS England
Develop the team - nursing. Developing nursing roles in primary care. Reviewing a wide range of initiatives including from Manchester, Gateshead and Hanwell. Julie Belton, Director, Cuckoo Lane Healthcare.
Abstract
To assess the patient satisfaction level in emergency
department of a level 1Trauma Centre in India.
Shallu Chauhan, Dr.Deepak AgrawaL.
JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi-110029, India
Introduction
Patient satisfaction is an important indicator of the quality of care and service delivery in the
emergency department (ED). The objective of this study was to evaluate patient satisfaction
level in the E.D. of a level 1 Trauma Centre,AIIMS,New Delhi.To determine the effects of
actual waiting time,perception of waiting time,information delivery and expressive quality on
patient satisfaction.
Methods
This study was carried out for 2 months during all shifts mostly for those patients who triaged
as green.We made two groups:1) control group{ not explained anything to the patient} and
2) test group{patient explained for time management & treatment}. Patients/relatives were
asked to complete the questionnaire prior to discharge. For the first month, eight questions
were based on descripitve information were distributed to the control group { questions
including explanation of procedures to the patient,communication of staffs,problems faced
by patient/relatives, and overall patient satisfaction level}.Then, following second month
another study questionnaire included 11 questions based on a Likert scale concerning
waiting time{ie,overall time management,waiting for X-ray or C.T,scan,review by doctor, for
discharge & treatment},promptness & behaviour of staff and cleaniness of hospital given to
the test group.
Observation
Ninety patients who attended our ED were included in this study.The perception that waiting
times for placebo injection & T/t were less than expected was associated with a positive
overall satisfaction rating for the ED encounter[p is 0.033] as compared to actual waiting
time.Actual waiting time were not predictive of overall patient satisfaction. The highest
satisfaction rates were observed in cleaniness of hospital in both the groups and most of them
rated it as very good. For overall treatment, in control group 34% rated as poor & fair and
67% rated as good and very good,whereas in test group only 22% rated as poor and fair
but78% rated as very good and excellent.At the same time,both the groups were rated as
good for overall time management but they were not satisfy with the time taken by doctor
to review the reports and 33% rated as fair in control group and 22% rated as fair in test
goup.The assigned waiting time for particular physician to review a report was 60minutes
but average time taken to consult a particular physician was >60mins which mostly occur
in control group.The overall satisfaction rate was dependent on the mean waiting time. The
highest waiting time for a low rate of satisfaction of patient was 180minutes and for very
good level of satisfaction was just 15minutes. In control group,30% and 17% of patients
rated as fair and poor
Don't ignore your waiting rooms. It is the most important part of your practice or health system. It is where your patient's first impressions are made and where they spend the most time. By following our easy tips, you will make your waiting areas more productive for the patient and more profitable for you.
2.2 Develop the team - nursing - Sheinaz StansfieldNHS England
Develop the team - nursing. Developing nursing roles in primary care. Reviewing a wide range of initiatives including from Manchester, Gateshead and Hanwell. Sheinaz Stansfield, Oxford Terrace and Rawling Road Medical Group, Gateshead;
Done properly, process mapping can be a very powerful technique in many different applications. Here is an example where the wait times in a health care facility were reduced dramatically by effective use of Process and Value Stream maps.
Nancy Fontaine and Tim Keogh on the patient experience revolution at Whipps C...The King's Fund
Nancy Fontaine, Deputy Director of Nursing, Patient Safety and Quality Whipps Cross University Hospital NHS Trust and Tim Keogh, Partner, April Strategy on the work that Whipps Cross has done to revolutionise patient experience.
2.2 Develop the team - nursing - Julie Belton.NHS England
Develop the team - nursing. Developing nursing roles in primary care. Reviewing a wide range of initiatives including from Manchester, Gateshead and Hanwell. Julie Belton, Director, Cuckoo Lane Healthcare.
Abstract
To assess the patient satisfaction level in emergency
department of a level 1Trauma Centre in India.
Shallu Chauhan, Dr.Deepak AgrawaL.
JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi-110029, India
Introduction
Patient satisfaction is an important indicator of the quality of care and service delivery in the
emergency department (ED). The objective of this study was to evaluate patient satisfaction
level in the E.D. of a level 1 Trauma Centre,AIIMS,New Delhi.To determine the effects of
actual waiting time,perception of waiting time,information delivery and expressive quality on
patient satisfaction.
Methods
This study was carried out for 2 months during all shifts mostly for those patients who triaged
as green.We made two groups:1) control group{ not explained anything to the patient} and
2) test group{patient explained for time management & treatment}. Patients/relatives were
asked to complete the questionnaire prior to discharge. For the first month, eight questions
were based on descripitve information were distributed to the control group { questions
including explanation of procedures to the patient,communication of staffs,problems faced
by patient/relatives, and overall patient satisfaction level}.Then, following second month
another study questionnaire included 11 questions based on a Likert scale concerning
waiting time{ie,overall time management,waiting for X-ray or C.T,scan,review by doctor, for
discharge & treatment},promptness & behaviour of staff and cleaniness of hospital given to
the test group.
Observation
Ninety patients who attended our ED were included in this study.The perception that waiting
times for placebo injection & T/t were less than expected was associated with a positive
overall satisfaction rating for the ED encounter[p is 0.033] as compared to actual waiting
time.Actual waiting time were not predictive of overall patient satisfaction. The highest
satisfaction rates were observed in cleaniness of hospital in both the groups and most of them
rated it as very good. For overall treatment, in control group 34% rated as poor & fair and
67% rated as good and very good,whereas in test group only 22% rated as poor and fair
but78% rated as very good and excellent.At the same time,both the groups were rated as
good for overall time management but they were not satisfy with the time taken by doctor
to review the reports and 33% rated as fair in control group and 22% rated as fair in test
goup.The assigned waiting time for particular physician to review a report was 60minutes
but average time taken to consult a particular physician was >60mins which mostly occur
in control group.The overall satisfaction rate was dependent on the mean waiting time. The
highest waiting time for a low rate of satisfaction of patient was 180minutes and for very
good level of satisfaction was just 15minutes. In control group,30% and 17% of patients
rated as fair and poor
Don't ignore your waiting rooms. It is the most important part of your practice or health system. It is where your patient's first impressions are made and where they spend the most time. By following our easy tips, you will make your waiting areas more productive for the patient and more profitable for you.
2.2 Develop the team - nursing - Sheinaz StansfieldNHS England
Develop the team - nursing. Developing nursing roles in primary care. Reviewing a wide range of initiatives including from Manchester, Gateshead and Hanwell. Sheinaz Stansfield, Oxford Terrace and Rawling Road Medical Group, Gateshead;
Done properly, process mapping can be a very powerful technique in many different applications. Here is an example where the wait times in a health care facility were reduced dramatically by effective use of Process and Value Stream maps.
Product managers are sometimes called the "CEO of a product." But what is a product manager really and how you do you land this role? How to crack the PM interview?
This is an example of a presentation job candidates are using to win interviews and land jobs.
Develop your own interview winning presentation at www.interviewbest.com.
Do some waits “feel” longer than others? What specific actions can you take to make your patients’ wait times be part of their health care experience and at the same time feel shorter? Join us to understand the Psychology of Wait.
How can you extend current uses of Lean Six Sigma beyond process but to incorporate empathy building? Join Jill Secord, RN, MBA, who will explore effective integration of proven approaches to accelerate quality and efficient health care services.
NIRVAN has initiated workshops to train doctors in the following areas:
Effective Doctor-PatientRelationship.
Essential soft skills requirement in relationship focused profession. Medico –Marketing tools to build medical practice.
An in-depth look into the life of a medical assistant. We explore the opportunity and growth potential for the health care industry and specifically for the career as a medical assistant.
Running head NURSING RESEARCH PROJECT .docxglendar3
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 5
Nursing Research Project
Phase Two
Karen Lezcano
Nursing Research
Florida National University
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place.
Running head NURSING RESEARCH PROJECT .docxtodd581
Running head: NURSING RESEARCH PROJECT 1
NURSING RESEARCH PROJECT 5
Nursing Research Project
Phase Two
Karen Lezcano
Nursing Research
Florida National University
Nursing Research Project
Introduction
Nursing just like any profession faces numerous challenges daily. Nurses are usually tasked with the duty to ensure that they work diligently and professionally to ensure that their clients are satisfied with the services that they deliver. They are usually tasked with the duty to ensure that the patients that visit their premises get quality services that they deserve. However, these services come at a cost; they face a myriad of challenges that they have to work fully despite these challenges to satisfy their clients. Therefore, this research paper analysis some of the problems that nurses face in the daily execution of their duties.
Identification of the Problem
Nurse faces a myriad of challenges in their daily execution of duties. To ensure that they discharge their duties perfectly all these challenges must be identified and effective measures are put in place to ensure that the challenges are taken care of. The major problems that most of the medical facilities are the issue of understaffing. Nurses have faced challenges in terms of duties assigned to them in comparison to their numbers. Studies conducted have also portrayed that there are shortages of nurses in the medical facilities. However, the challenges that these nurses face are varied in different nations and towns, there are those nations that have surplus while there are those towns and nations that have a high shortage of these important service providers in the healthcare facilities.
The impact of these shortages has also resulted in further challenges for the nurses. In this regard, one of the major challenges that these nurses face is the need to work for long hours due to the shortage of employees at the medical facilities. The few available nurses must work in shifts and endure long working hours to ensure that they meet the desired goals of the institution are met. The work of nurses calls for one to be sober and cognitive in decision making (McLelland et al. 2015). However, with a situation where nurses are required to work for long hours, work in shifts such that they can sleep for a while and resume their duties. This is a worrying trend for the nurses because their cognitive ability and judgment as normal human beings are likely to decline when overworked. Therefore, the chances of making poor decisions are also likely to increase with time as they work overtime.
Besides that, the shortages of nurses in healthcare facilities which calls for overworking of these nurses to ensure that patients are fully taken care of, usually lead to an increase in hazard and dangerous accidents taking place.
How to Build Your Mitochondrial Medical Homemitoaction
Topics include:
The importance of a medical home for a mitochondrial disease patient.
Definition of a medical home.
How to establish a medical home.
Why a medical home is an important component of good patient advocacy.
Tips on maintaining a healthy medical home relationship.
Wees will describe theses issues primarily from a pediatric perspective, but she will give adult examples as well.
Wees is a patient advocate with Empowered Medical Advocacy. She assists parents and caregivers each week in navigating toward improved quality of life for their child and their families.
Case Study The Crowded Clinic Authors Kate Ellis, M.D.docxwendolynhalbert
Case Study: The Crowded Clinic
Authors:
Kate Ellis, M.D., Family Physician, Charles River Medical Associates
Morana Lasic, M.D., Clinical Instructor in Anesthesia, Harvard Medical School and
Brigham and Women’s Hospital
You are one of the health care practitioners in a community health center that provides
primary care to a multi-ethnic, multi-lingual urban community. Many, but not all, of the
patients live below the poverty line. Physicians and nurses see a large volume of patients
with challenging medical and psychosocial issues.
Lately you have realized that the scheduling of patient visits has become something of a
nightmare. Because of the high volume of patients, the wait for an appointment for
routine care can be anywhere from six to eight months or more. Even acutely ill patients
often wait for two to three days to see a health care provider. Out of frustration, many
patients are walking in without appointments, often during lunch hour or late in the
afternoon when everyone is getting ready to leave.
What makes the problem so challenging is that 20 to 40 percent of patients fail to show
up for appointments on a given day. Because of this high no-show rate, every other
appointment on physicians’ schedules is double-booked with the expectation that, out of
the 30 to 35 scheduled patients, only 20 to 25 will actually show up. Occasionally,
however, most of the patients do show up – and when a significant number of acutely ill
patients also arrive, the work environment becomes unbearably chaotic for everyone.
Providers become harried and more likely to make mistakes, patients wait for long
periods of time in crowded waiting rooms, and the atmosphere becomes increasingly
hostile as the stress level mounts.
It is clear that the quality and experience of health care for many of these patients is
suffering partly because of a simple lack of access to care. And it is becoming
increasingly clear also that the better-insured and English-speaking patients may be
getting better access: they are more likely to get a timely appointment because they are
more demanding of the system, and they are more likely to keep and show up for their
appointments because of better communication. You are interested in finding a way to
promote more equitable access to health care.
Case Analysis
The main problem that everyone is experiencing in this clinic is the high rate of no-
shows. It would be very easy to simply label the clinic’s patients “non-compliant.” But
is it so? As health care providers, the burden is on us to find the most effective ways to
serve our patient population. One possible approach to the problem at hand is to conduct
a survey in an attempt to identify some specific reasons that may be contributing to such
a high percentage of no-shows.
When patients are surveyed about their reasons for not coming to appointments, a few
common reasons may emerge:
• A sick pa ...
At the end of the session patient/family champions as well as health authorities will leave armed with best practices, resources and ideas on how to open the door for patient/family engagement with health authorities and how to make the most of the time together.
2. SCHAEFFERSTOWN FAMILY PRACTICE
Exists to serve the community’s primary care
healthcare needs by delivering quality,
modern, state of the art, traditional medicine
3. SCHAEFFERSTOWN FAMILY PRACTICE
Care for newborns to geriatrics
Share call with one other family practice
office
Small family practice office
3 doctors (currently hiring one physician
assistant)
3 LPNs (including manager)
2 secretaries
3 medical assistants
4. SETTING UP THE INTERVIEW
Called the office to speak to the manager,
Patricia O’Roark
Once speaking to Patricia, she was hesitant
to the interview, but after some extra
explanation, she agreed.
Set up a time that was good for her, but she
was direct in telling me that “she would
probably not look at her calendar and may
forget, but just to show up and go from there”
5. PATRICIA O’ROARK
LPN
Has worked at multiple facilities including
Women’s Health, Urology, and a nursing
home.
Has been with Schaefferstown Family
Practice for 17 years
6. INTERVIEW PROCESS
Arrived for interview, she had forgotten but
was able to make time for my interview
Very informal and relaxed
Explained she had already had quite the
morning and was expected to have a very
long afternoon
She was very forthcoming and open to all
questions
7. INTERVIEW PROCESS CONTINUED
Before arriving at the interview I researched
their website to make myself aware of the
mission and goals of the practice
Their website has very little information on it
http://www.schaefferstownfamilypractice.com/Pat
ientPortal/MyPractice.aspx?UAID={93CCEB98-
74EE-4537-B634-319F380A493E}&TabID={1}
Patricia admitted to being the creator of the
website but also not afraid to admit she has no IT
knowledge
8. INTERVIEW QUESTION 1
Mission: Exists to serve the community’s primary care
healthcare needs by delivering quality, modern, state of
the art, traditional medicine.
How to you integrate the agency’s mission in day to day
operations?
Their staff has been together for a very long time, which has
allowed them to develop a very good rapport with many of
their patients. The intake specialists are personable and caring
which allows patients to feel at ease. When staff have good
skills and can relate to patients it creates a higher quality of
care.
9. INTERVIEW QUESTION 2
What are the challenges in your agency’s delivery
of healthcare to the client population?
“Wanters” Patients that were used to be catered to when
the office was still very small (ex: filing cabinets). Took a
very long time for these patients to realize that they
cannot be catered to any longer
Mennonite/Amish culture, a lot of times they believe the
doctors should come to their home to visit the ill instead
of coming to the office to be seen
Care issues, some people will never be happy, but often
times it sparks from insurance or communication issues
10. INTERVIEW QUESTION 3
What innovations have you implemented to meet
healthcare outcomes to the client population?
Patient Portal (Just integrated this new system in order
for patient’s to have more access to their healthcare)
Direct messaging
“Interface with lab and hospital”
Have integrated medical records since 2006
Have had plenty of time to work out their “glitches”
11. INTERVIEW QUESTION 4
What are your greatest challenges with managing
staff?
Long term staff, causing a “comfortable” feeling and a
laidback feeling (example: water bottle)
Have staff meetings monthly with staff
Every 3 months the doctors are included in the staff
meetings so that they can include their feedback and the
staff may hear it better coming from the doctors
Meets every Thursday with the doctors to address any
problems
12. INTERVIEW QUESTION 5
What are the most important lessons you have
learned in balancing client outcomes and staff
needs?
Need to keep staff “on track and finish what they start”
Patient care and follow through
Being the mediator
Disgruntled 30 year old with insurance issues and
medication problems
Cancer patient and approved testing
13. INTERVIEW QUESTION 6
What strategies do you use for positive self-
management and personal renewal?
Sometimes hard to turn it off
Volunteers with local ambulance
Stays busy with grandkids and kids
Retirement is in site!