Bellevue Hospital Centre
Bellevue Hospital Center (BHC), established in 1736, is one of New York City’s oldest, most vibrant public health care system. Previously known as the Almshouse, Bellevue is a major referral center for highly complex cases. Since 1736, it has cared for some of New York City’s neediest residents, serving more than 500,000 patients annually. It is a Level 1 trauma center, so that it is equipped to handle emergencies. Each year, it has more than 110,000 emergency room visits and 500,000 outpatient visits. Bellevue’s extended clinical center of excellence offers emergency medicine and Trauma Care; Cardiovascular Services, Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU), Comprehensive Children’s
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In line with BHC’s mission, BHC has continuously offered a broad continuum of healthcare services ranging from medical, surgical and psychiatric services to treat clients of all ages from prenatal care to birthing centers to nursing homes. The increasing demand by patients and physicians for medical technology and the increasing number of uninsured population has forced Bellevue to make a shift in providing outpatient healthcare due to increasing pressures from the government to reduce healthcare cost. Patients with non-communicable chronic diseases are being discharged to their homes earlier are provided home care service instead of hospitalization …show more content…
By recruiting the best qualified, diverse workforce with top qualifications, backgrounds and experiences are keys to competitive advantage, effective problem-solving tool, creativity and innovation. This decreases cultural incompetence and employee turnover costs at Bellevue Hospital. With threats from the repeal and uncertainty of ACA, reducing hospital re-admissions can help to contain costs, improve hospital bed capacity and help to maintain the financial health of Bellevue Hospital. This can be done by implementing a four week “Training Coach Program.” This program would be beneficial to Bellevue it’s an excellent resource to maintain financial stability under new regulation and it will help patients with complex care needs to receive transition from Bellevue hospital or its skilled nursing facility to home. With the proper training and adoption of EHR, Bellevue will not only improved their system of billing and collections, but optimized quality of care for patients through its simulation training programs utilized by its inter-professional teams of physicians, nurses and pharmacists who are able to obtain the clearest possible picture of the patients’ circumstances while nurses are able to review vital signs, pharmacist reviewed medication histories and physician
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
The International Shrine is a brotherhood that is dedicated to having fun with a specific purpose. They are a fraternity based on fellowship and the Masonic principles of brotherly love. The fraternity, which has nearly 200 temples in seven countries and thousands of clubs around the world helps to operate the unique pediatric healthcare system they founded years ago (About Our Fraternity). Through the philanthropic work of International Shriners, transportation and free medical care are provided for those children that meet the qualifications, which in turn remove a huge financial burden from the family.
The Brooklyn Hospital Center recognizes several goals within their strategic plan to assist them in achieving the highest quality patient-care and customer service, hiring the best possible employees, sustaining financial security, improving their research and education programs, and increasing patient accessibility to their services (The Brooklyn Hospital Center, n.d.). Their long-term goals include: achieving financial security to maintain their long-term viability; becoming the employer of choice within their com...
Management of hospital beds is a concern for most organizations. Yet, most approaches are based on static, unadaptable estimates in length of stay (Schmidt, Geisler, & Spreckelsen, 2013). Increased length of stay contributes to longer admission wait times for patients, leading to both patient and staff dissatisfaction, and increased cost for an organization. Hence, process improvement in this area would lead to value added change. However, change is difficult for most. Complacency and fear of the unknown can create resistance within an organization.
Article Analysis: The Nursing Shortage Nursing shortages have occurred in health care throughout history, and especially since World War II. Just as the legion of baby boomers is about to swell the need for quality health care, America's nursing population is aging and more nurses are moving into primary care settings and into other disciplines. As a result, America's hospitals and other institutions need more nurses, especially those who deliver specialized care. As a healthcare provider and businessman this topic is of a special interest to me because nursing shortage have caused my business to loose million of dollars in the past five years. This paper examines the nursing shortage in the health care industry, the use of collaborative team approach in care delivery using a study that aims specifically to this problem and offer recommendations for employee retention.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
Transitioning from nursing school to working in a hospital setting can be a challenging time for a new graduate. Due to the nursing shortage, new graduate nurses are being hired with little to no experience. This is overwhelming for new nurses, especially when they are not getting adequate support or training from the hospital. The amount of stress, pressure, and lack of training is leading to a high turnover rate for new graduate nurses. With patient acuity on the rise, new graduate nurses that are filling these vacancies in the hospitals, need to be competent nurses to provide proper and safe care to the patients.
In the article “Addressing staffing shortages in an era of reform,” Stanford point out that in a time when change is necessary because of mandated healthcare requirements, there is a shortage of nurses in the field of direct patient care, because they are offered jobs with better pay to oversee office positions. “Health system leaders recognize that these shortages threaten the quality of care they can provide to patients. As a result, competition for talent is becoming more heated in several parts of the country,” (Stanford, 2013). By nurses taking on jobs in other areas of the field, we are left to find people to replace them and when that happens, it creates a shortage on the front line of patient care.
Recruitment and retention of an adequate amount number of Registered Nurses is a continuous challenge. “To prevent the departure of new graduates RNs from the profession, it is becoming increasingly important for health departments to deal assertively and constructively with training, recruitment, retention and the prevention of disillusionment” (Cleary et al., 2013, p. 2606). To combat this issue, there has been an increase in nurse residencies programs to bridge the gap between classrooms to practice while simultaneously improving retention in the workplace. According to Hudson (2014), turnover rates in facilities that offer programs are often lower than in facilities that do not offer these programs. By not offering these programs results in decreased expenses to recruit and hire. “Stresses associated with the 1st year of employment concerns about patient care, and feeling unsupported in their new roles often lead to high turnover rates in new graduates who are more likely than experienced nurses to resign within their first year of employment” (Hudson, 2014, p. 159). This results in a lost in the investment made in the high cost of onboarding a new graduate by the hospital when premature turnover occurs. According to Hudson (2014), leaving within two years of being hired does not allow an successful return on investment. Another solution to minimize retention of Registered Nurses is to employ more
The region’s labor market is already tightening, as a result of which competition for skilled healthcare professionals is increasing. Kaiser Permanente would have to compete with the existing hospitals in recruiting and retaining qualified management and staff personnel responsible for the day-to-day operations of each of its hospitals and physician practices, including nurses and other non-physician healthcare professionals. The scarcity of nurses and other medical support personnel in the region presents a significant operating issue. This shortage may require Kaiser Permanente to enhance wages and benefits to recruit and retain nurses and other medical support personnel, recruit personnel from foreign countries, and hire more expensive temporary personnel. Competition for skilled healthcare professionals may lead to a further increase in Kaiser Permanente’s wage
One of the problems that faces most health care facilities are being able to recruit and retain their nurses. Nursing shortage and turnover are a complex issue that is affecting healthcare delivery. Nurses form the majority in healthcare and mostly direct caregivers, its deficit poses a dangerous effect on the care of the sick and the disabled. Curbing the nursing shortage and turnover is important for facilities to hire and train their leaders and managers. A good leader or manager should be creative, effective, committed, initiative, motivated, and can handle stress (Huber,
One of the issues involving health care and the aging population is majority of health profession employees being a percentage of the aging population. With the knowledge of health profession employees being a factor in the aging population puts a strain on doctors and nurses that come into the workforce after ones have retired. The fewer employees there are, the greater the work load will become on one person. It is imperative for each nurse in a unit to have four patients maximum. Giving more responsibility to one employee does not make the situation less of a challenge, it more so puts people’s lives at a greater risk of danger. The new demands placed on the health care system for health services will not only include a need for more workers, but also require changes in the way services are provided.
In the novel, Middlesex, Jeffrey Eugenides reveals that one’s own life can determine their identity. Although, genetics is the base of the identity provided to a person, Eugenides notes that there are two indicators that can reveal Callie/Cal’s identity: gender and sex. Identity is meant to be what a person feels is right for themselves and what gender they associate with rather than what another person may think or feel is better for that person. Identity is not only caused the sex of the person, but rather determined by the gender that one associates with.
Healthcare administration is a field that is often overlooked, but is essentially the beating heart of any healthcare organization. With more and more hospital, and clinics, and other healthcare organizations popping up everywhere there is a need for people like me to manage the day-to-day operations. I am choosing to apply to this program because I want to study how the U.S. healthcare system operates. I want to learn the essential skills of operating a healthcare facility such as managing a budget, reducing healthcare costs, analyzing the efficiency of an organization and proposing ways to improve it. This program is going to give me the necessary education and skills so I can carry out my goal of being a healthcare administrator.