Abstract This paper provides an organizational critique of BellevueMedicalCenter, New York. It describes the history and background of the establishment and how it has grown over the years. It describes Bellevue's teaching program for New York University's medical students and lists its emergency services. The paper also focuses on nursing, organizational structure, policies and programs, as well as quality of care issues at Bellevue.
Table of Contents:
Overview of the Organization
The Fourteen Forces of Magnetism
Leadership: Nursing, Organizational Structure, Policies and Programs
Quality of Care
Professional Development: Nurses as Teachers, Interdisciplinary Relationships and Professional Development
Synthesis of Assessment
Conclusion
From the Paper "Finally, because Bellevue has repeatedly demonstrated the willingness to listen to the concerns of nurses and institute policies that support their beliefs, the institution functions in a manner that values its staff. When workers in an organization understand that they are valued, workers desire to support the goals of the organization, creating a working system that is successful over the long term. At Bellevue Medical Center the system not only supports the individual, it supports all community groups and focuses on populations that would otherwise be incapable of receiving health care. For nurses that desire to make a significant difference in the lives of people, this incentive alone demonstrates a positive draw to the nursing professional that supports the reasons that many nurses entered the field in the first place."
Abstract In this article, the writer highlights the corporate profile of the Banner Health MedicalCenter and discusses the legal history. The writer cites cases in South Dakota and New Mexico on the sale of facilities and as cited by another case on the requirements to treat the uninsured The writer then provides a discussion on what the MedicalCenter can offer from a human resources standpoint. This paper highlights the legal issues and ramifications that the Banner Health MedicalCenter has and/or is experiencing and then follows-up on a review of the Human Resources activities.
From the Paper "Banner Health Medical Center is a corporate organization of 21 health centers ranging from hospitals to specialized clinics to psychiatric facilities to laboratories located across seven states, including: "Alaska Arizona, California, Colorado, Nebraska, Nevada and Wyoming". Peter Fine is the President and CEO of the Phoenix, Arizona based corporation that boasts assets of $3.1 billion, $2.6 billion in revenue and over 25,000 employees. While a full medical center/hospital like facility exists outside of Scottsdale in Mesa, in Scottsdale proper Banner Health Medical Center has a Behavioral Health Hospital."
This paper discusses the ethicacy of self-referral medicalcenters, physician-owned medicalcenters (mostly surgical), to which the owner-physician refer their own patients.
Abstract This paper examines the political debate surrounding the challenge to the integrated healthcare system Intermountain Healthcare (IHC) health plan in Utah, whose vision is to provide the best clinical practice possible at the lowest appropriate cost, referring their patients to be treated at an IHC affiliated facility. The author points out the question regarding self-referral medicalcenters is that, if they can in turn refer their patients to their own surgical center, will they be more likely to want to do procedures that they would not normally find themselves doing if they had to do them across the street at the hospital? The paper stresses that, regardless of the main objective, healthcare providers should be trying to provide the best clinical practices at the lowest appropriate cost to the patient or their health insurance company.
From the Paper "A bad example can be found right here in the Las Vegas valley pertaining to the University Medical Center quick care centers. These are urgent care centers that provide minor to moderate medical care and will transfer patients that are in need of emergent healthcare. If you are seen as a patient at one of these urgent care centers for chest pain and need to go to a hospital for further treatment, you will be transported to the UMC hospital down town. The question arises now in the valley as to whether or not your health insurance carrier will pay for your treatment at UMC. If they will not then you will be transferred from UMC to an appropriate hospital for further treatment. Is this a model of the best clinical practice, or a way for UMC to pad their wallets?"
Analyzes the organization at Sanford USD MedicalCenter (SMC) based on the 14 Forces of Magnetism as developed by the American Nurses Credentialing Center (ANCC).
Abstract This paper explains that Sanford USD MedicalCenter (SMC) has an infrastructure, including extensive nursing leadership in upper management, which supports a professional nursing practice. One of the mechanisms in place to identify nurses' needs, the author relates, is SMC's shared governance model of decision making, which supports all nursing roles. The paper describes the Nursing Senate, which has staff nurse representatives from all nursing units, strategic improvement and case management, including nursing staff from non-traditional nursing care units.
Table of Contents:
Organization Overview
Forces of Magnetism Consistencies and Inconsistencies
Quality of Nursing Leadership
Organizational Structure
Management Style
Personnel Policies and Programs
Professional Models of Care
Quality of Care
Quality Improvement
Consultation and Resources
Autonomy
Community and the Healthcare Organization
Nurses as Teachers
Image of Nursing
Interdisciplinary Relations
Professional Development
Identified Strengths and Weaknesses
Analysis Support
Conclusion
From the Paper "Force 4: Personnel Policies and Programs looks at competitive salaries and benefits, flexible staffing models, direct care nurse involvement, and opportunities for professional growth. SMC conducts market surveys for wage comparison and gives employees cost of living raises based on these findings. Wage adjustments are also made with yearly performance appraisals. In addition, SMC supports lifelong learning and provides financial support for continued education that will develop or increase our employee's competence in their current positions or enhance their employability within the organization."
Tags: leadership, staffing matrices, best practices, quality care, front-line
Abstract This case analyzes a community health medicalcenter with statistics and information based in 1995. A detailed analysis of the case highlights three central issues: recruitment of qualified physicians, the need to reach out into the community and the potential expansion into additional facilities. The paper proposes a central solution set that incorporates all of these issues and a new electronic medical records network.
From the Paper "Executive Summary Based on the mission statement: "To promote a healthier future for our community by consistently providing excellent accessible health care with pride, compassion, and respect" (Ginter, Swayne & Duncan, 2002) this document will provide a strategic plan to address the various issues currently facing C. W. Williams Health Center. C. W. Williams is facing numerous issues. The primary issues synthesized from the data as presented include: staff recruitment, expansion opportunities and strategic alliances. This case study presents an analysis based on these three central issues. It is this writer's belief that several unique solutions all aimed at effectively combining the concepts behind strategic alliances and satellite locations can combine to achieve the goals and objectives identified for C. W. Williams. All solutions presented are also consistent with identified conceptual goals cited in literature for managed care, alliance formation, strategic partnerships, community health programs, etc."
An examination of the way in which local hospitals should respond and provide support when a disaster strikes in their town, using the Bellevue Hospital and the World Trade Tower Collapse as examples.
Abstract This paper examines the elements of an Emergency Response Plan of a hospital in the event of a disaster striking. This paper specifically discusses the elements of the emergency plan for Bellevue Hospital in lower Manhattan, both before and after the attacks on the World Trade Tower. The way in which a local hospital should be concerned with protecting people, information systems, and communications is examined in this paper.
From the Paper ?The primary concern for a hospital is the protection of people. These people not only include the victims, but also management, employees, and families of the victims. It is necessary to be able to quickly assess the number and skill levels of the staffing available. In the early moments of a disaster, this may be difficult, as was the case in the World Trade Tower attacks. Bellevue Hospital in lower Manhattan received word that the trade towers were on fire. They quickly and efficiently invoked their Emergency Response Plan. They waited and prepared for a flood of victims. In this case, instead of being understaffed to handle the load, they found themselves with many willing and capable volunteers and unfortunately, no victims. This created another situation, in which, when a victim did come in they were stormed by people willing to help.?
Abstract This brief paper reviews the financial conditions and situations which St. Vincent's Catholic MedicalCenters in New York City have been faced with in recent years. The author compares hospitals to other businesses, emphasizing that they must be vigilant when dealing with costs. Therefore some hospitals,with the help of their employees, are being to encouraged to learn how to cut costs together.
From the Paper "The outlook for health care facilities has not been extremely positive in recent years. This is due to the decline in revenues and increased expenses, which many of them have incurred and which have led to an increase in bankruptcy filings. For those who have sought Chapter 11 protection their organizations have been forced to change their cost structures and manage debt or face closing their doors forever. This may sound like a simple task but in the world of medicine costs are always high and technology is forever changing. To make matters worse insurance costs are on the rise and profit margins seems to be continually declining. The fact remains that hospitals like any other business must be vigilant when dealing with costs and unfortunately to treat the ill does not come cheap. Therefore some hospitals with the help of their employees are learning to cut costs together."
Abstract The paper examines the conditions of the inpatient facilities at the Glendale Adventist MedicalCenter in Glendale, California, which is known for treating patients in low income communities. The writer of this paper discusses police reports citing sub-standard conditions that the patients are subjected to at the medicalcenter. The patients are kept in filthy sheds with too much or too little medication. This paper describes the situation of schizophrenic patients who are kept in a zombie-like state by drugs. This paper also discusses the matter of the disability payments that are initially intended for the patients, yet are used elsewhere by the medicalcenter's administration. This paper examines the labor situation at the Glendale Adventist MedicalCenter as well as the incentives offered employees to serve patients more diligently.
Table of Contents:
Introduction
Description of the Organisation
Psych 1 West
Psych 1 East
Psych 2
Description of the Community
Description of the Population
II. The Unmet Need
1. Identification of the Unmet Need.
2. Data to Support the Existence of the Need.
3. Consequences of the Unmet Need.
III. Policy Analysis
1. Identification of Policies Related to the Service Need and Population
2. Effectiveness of Existing Policies
3. Limitations of Existing Policies
4. Consequences of the Existing Policies
IV. Summary Statement
1. The Existence and Scope of the Unmet Need
2. The Importance of Addressing this Issue
Bibliography
From the Paper "Employees of the Glendale Adventist Medical center are given a number of benefits that make them work harder and serve patients diligently. These benefits include competitive salaries, medical benefits, retirement plans, employee assistance programs, life and accident insurance, paid leaves and child care facilities etc. Due to its policies, Glendale Adventist has become quite popular in the suburb as well as outside and patients are pouring in from everywhere. Employees also feel secured and satisfied working for the institution as their needs are also better satisfied except that they need a little bit of more on-the-job training and education."
Abstract This paper examines the finalist proposals for two plans, both of which intend to build the world's tallest buildings, on the World Trade Center site in New York. It also discusses the nine preliminary proposals in which several approaches were suggested to replace the 16-acre site in lower Manhattan, and all included memorials.
From the Paper "The two firms behind the plans were Libeskind and the international THINK team, led by New York-based architects Rafael Vinoly and Frederic Schwartz. Libeskind's proposal features a 1,776-foot spire overlooking several smaller steel towers. The THINK team proposed two decorative steel towers, reaching 1,655 ft. Both included significant plans for a memorial. The winning design was announced in late February and Libeskind's plan was the chosen project.
The selected plan for the World Trade Center site includes a museum at the epicenter of the site, as well as two large public spaces dubbed the Park of Heroes and the Wedge of Light, which would be built in such a way that the sun would shine down on them unblocked on the anniversaries of the attack. This is considered one of the most unique memorial proposals in history."
Abstract This paper examines the New Jersey legislation, "Assistance Act of 1995" for abandoned and medically fragile infants, which was designed to curb the continuously increasing numbers of infants who were either abandoned by parents who are simply incapable of providing proper nurturing environment for their child. It explores the possible social reasons for the abandonment. The paper describes grants and provision of services available and foster families and foster care institutes to better utilize them for the benefit of all those medically fragile infants.
Table of Contents
Review of the Act
Purpose of the Act
Congress Research Findings
Grants for Projects/Services
Priority in Provision of Services
Case Plan With Respect to Foster Care
Administration of Grant
Requirements of Application:
Grants to provide nurturing home environments & family-centered services for medically fragile infants
Evaluations, Studies & Reports by Secretary
Definitions
Abandoned' & Abandonment
Dangerous Drugs
Natural Family
Acquired Immune Deficiency Syndrome
Secretary
Authorization of Appropriations
Recommendations
Works Cited
From the Paper "On March 16, 1995, "In the House of Representatives", Mr. Payne of New Jersey introduced a bill, which was referred to the Committee on Economic and Educational Opportunities. The main motive behind this act was to establish a program that would assist abandoned and medically fragile infants. Consequently; the bill was cited as ?Abandoned and Medically Fragile Infants Assistance Act of 1995?".
Abstract This paper takes a look at the Vanderbilt MedicalCenter, one of the State of Tennessee's largest employers, in tandem with its parent organization, Vanderbilt University. Two directors within the Vanderbilt MedicalCenter were interviewed in relation to their responsibilities, the level of their influence and input into the organization, as well as their general purview of the organization's operations. Comparing the two interviews, the paper concludes that there seems to be a wide disparity in the degree of organizational involvement between these two departmental managers.
Outline:
Organization Overview
Director of Record Services
Director of Medicare/Medicaid Billing
Conclusions
From the Paper "Vanderbilt Medical Center is budgeting for capital expenses across the spectrum of its operations. In that light, my sense was that not only was Mr. Alvarez apparently given access to the center's top management but he was also a trusted member of its informal advisory committee regarding fiscal policy and management. While his direct departmental responsibilities and tasks were not related to overall center budgeting processes, his input regarding the Medicare/Medicaid payments and services was considered critical to the Vanderbilt Medical Center's ongoing financial viability."
Abstract This paper describes the physical process of the World Trade Center collapse. It examines the building's structure and components and analyzes the impact of the collision with the aircraft. It gives an engineer's analysis of the collapse and several reasons for it. It concludes that the exact reason for the collapse of the skyscraper is still unknown and will continue to be studied in the future.
From the Paper "The World Trade Center, erected as "a living symbol of man's dedication to world peace," (Wetxstein- 2001) was the most valuable commercial property in the history of New York City until terrorist attacks reduced it to rubble. The buildings towered over lower Manhattan for nearly thirty years; an icon of financial power.The buildings contained more than 200,000 tons of steel, 425,000 cubic yards of concrete and 600,000 square feet of glass in 43,000 windows. Each floor, a reinforced concrete pad on a metal deck supported by steel cross beams, was about one acre and weighed about 4.8 million pounds. The building was designed to withstand the impact of a 707 commercial airliner. It was the largest commercial airliner built at the time the World Trade Center was designed. This was a factor considered due to the accident in 1945, where a B-25 crashed into the Empire State building."
Tags: New, York, World, Trade, Center, steel, buildings, terrorists, commercial
Abstract The paper gives a brief history of these types of centers. The writer then brings sources that illustrate the need for alternative birthing options. The paper looks at the history of the development, licensure, accreditation and reimbursement of birth centers and nurse-midwives, and explores the research that gives evidence of the safety, satisfaction to mothers and the economic savings of birth centers.
From the Paper "The MCA in New York used their own two decades of experience with home birth and the services of these two centers to develop the Childbearing Center to serve women who sought an alternative to the increasing routine medical intervention given during normal births in hospitals (Birth Center 1, 1998, p. 45). Women seeking care at this center were usually well-educated, middle class women with insurance to cover hospital maternity care, and exhibited the same demographics as the previous generation of women who began the childbirth education and breast feeding movement in the United States. These women wanted to make informed decisions about healthcare and wanted more from the birth experience than women had previously."
Describes a survey that is to be administered to the Department of Veterans Affairs health care system, the lowest-ranked facility within the VA organizational health care system hierarchy.
Abstract This paper describes a survey that will be administered to the staff at a single Vet Center, with the focus being on improving the delivery of health care services to the Center's veteran patients and to improve the administration of the human resources function. The paper includes an example of the actual survey that was administered.
Introduction
Data Collection
Analysis and Reporting
From the Paper "Every type of organization has, or should have, as a major goal, the need to optimize the productivity of its human resources (Farr, Schuler & Smith, 1993). One organization that has recently assumed critical importance in the U.S. is the Department of Veterans Affairs (VA). Today, the VA is responsible for administering an enormous healthcare and benefits network for its active duty and retired service members and their families at U.S. taxpayer expense."
A field research project aimed at gathering data by administering a moral preference indicator test on professional members of the Family Health Centers of Southwest Florida, Inc.
Abstract This report represents a field research report which consists of details and data gathered from the administering of the moral preference indicator on members of the healthcare system. The United States healthcare system is a compilation of health plans, physicians, hospitals, clinics, consumers and public health programs. This research focused in on one such professional organization called the Family Health Centers of Southwest Florida, Inc.
From the Paper "The clientele of our American healthcare system consists of two basic groups: those who can afford to pay for their healthcare and those who cannot. This separation creates a moral dilemma that medical professional must face day in and day out. The profession is based on a code of conduct that suggests that all people should be helped when in distress or need. The profession is also based on a foundation of any other revenue generating business entity, that is, the healthcare system creates bills that need to be paid."
