The hypotheses in this study indicated that the use of comorbidities along with severity of injury in trauma patients as compared with a severity score alone would help to determine the hospital ranking. The null hypothesis was accepted in this case as there was no difference in the comparison. In the statistical analysis the following findings showed: the intraclass correlation coefficient was 0.943 (CI 95%, 0.931-0.951); the Spearman correlation coefficient was 0.953 (CI 95%, 0.944-0.960); and the kappa statistic (0.863 0.72-0.934) (Glance, et al; 2010; pp729-731). It is important to note that underestimating the coding of comorbidities was understood and may have contributed to a bias toward the null hypotheses and maybe underestimate the
Membership Services (MSD) at Kaiser Permanente used to be a modest department of sixty staff. However, over the past few years the department has doubled in size, creating minor departmental reorganization. In addition the increase of departmental staffing, several challenges became apparent. The changes included primary job function, as well as the introduction of new network system software which slowed down the processes of other departments. These departments included Claims (who pay the bills for service providers outside of the Kaiser Permanente network), and Patient Business Services (who send invoices to members for services received within Kaiser Permanente). Due to the unforeseen challenges created by the system upgrade, it was decided that MSD would process the calls for both of the affected departments. Unfortunately, this created a catastrophic event of MSD receiving numerous phone calls from upset members—who had received bills a year after the service had been provided. The average Monday call volume had risen from 1,800 to 2,600 calls per day. The average handling time for each phone call had risen as well—from an acceptable standard of 5.6 minutes to an unfavorable 7.2 minutes. The department continued to be kept inundated with these types of calls for the two years that these changes have been effect.
Baptist Memorial Hospital is in a highly competitive healthcare environment. This capitation is not only the result of efforts of the other healthcare organizations but, also driven by patient consumerism. The government sponsored hospital compare website allows potential patients the ability to compare our clinical outcome data. The targeted group is also the group with the greatest healthcare choice, our medicare population. One of the major reporting categories is Hospital acquired condition, the most significant of these is hospital aired infections. The significance of the website data is:
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Different hospitals in different locations specialize in different areas of care. Most hospitals provide general orthopedic care. Some hospitals specialize in burns, cleft lip and palate care, and spinal cord injuries. Today there are eighteen hospitals that provide general orthopedic care, eight hospitals that specialize in cleft lip and palate care, five hospitals that specialize in burn care, and three hospitals that specialize in spinal cord i...
Sellbom, M., Bagby, R. M., Kushner, S., Quilty, L. C., & Ayearst, L. E. (2012). Diagnostic construct validity of MMPI-2 restructured form (MMPI-2-RF) scale scores. Assessment,19(2), 176-186. doi:10.1177/1073191111428763
The composite score is objective and calculated through a weighted formula designed to provide an equal contribution from each item while the severity rating is subjective and indicates the need for additional treatment in specific areas (Haraguchi et al., 2009). The SR ranges from 0 to 9 points and the CS ranges from 0 to 1 with anything higher than the normal 9 SR or 1 CS indicating greater problem severities (Haraguchi et al., 2009). Although some problems still exist, the ASI has been reported to have nearly achieved both reliability and validity (Haraguchi et al.,
According to the BDI-II test review, norming of the BDI-II is neither impressive nor extensive including a clinical sample of 500 outpatients in therapy as well as a conve...
reminders about common misconceptions regarding null hypothesis significance testing. Quality Of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation. Retrieved from http://ehis.ebscohost.com
Page-Reeves, J., Niforatos, J., Mishra, S., Regino, L., Gingrich, A., & Bulten, J. (2011). Health
The MMPI-2-RF normal sample is the same used to standardize the MMPI-2 minus the emphasis on gender; no new norms were collected for the MMPI-2-RF. The nongendered MMPI-2-RF normative sample is made up of 1,138 men and 1,138 women from the normative sample of the MMPI-2. Analysis of T scores based on gendered versus nongendered norms showed no advantages or disadvantages for either gender. The mean T scores for both men and women were at or about 50, with standard deviation of 10; therefore, there was no significant clinical difference between genders. The normative sample was composed of individuals ranging from age 18 to 80 all from different regions and communities in the United States. The representation of ethnicities is slightly skewed; Caucasians are overly represented and Asians and Hispanics are underrepresented. The MMPI-2-RF scores are non-K-corrected due to overwhelming data showing that K correction does not benefit, and at times, weakens the distinction between the norm group and the individuals being tested (Porath, 2012).
The Johns Hopkins Hospital long history has likewise possessed the capacity to give broad budgetary data that has been given consistently in monetary reports. These reports have given significant data to speculators investigating the organization of its current and past financial responsibility to its community and internal stakeholders.
I chose this study because it has a large cohort which eliminates sample bias. High quality data could be obtained from this longitudinal epidemiological ...
Scanlon, A., & Lee, G. (2007). The use of the term vulnerability in acute care: why does it differ
Plecas, D., McCormick, A. V., Levine, J., Neal, P., & Cohen, I. M. (2011). Evidence-based
In U.S. news best hospitals 2014-15, John Hopkins Hospital is regionally ranked number 1 in Maryland and also the Baltimore Metro areas, in addition to being ranked nationally in 15 adult and 10 children specialties. (US News & World Report LP, n.d.). The hospital opened its doors in 1889, and has been ranked number 1, 22 of the 25-year history of the U.S. News and World Report (most recently in 2013) (John Hopkins Medicine, n.d., para 3). It’s mission is to “is to improve the health of our community and the world by setting the standard of excellence in patient care” and identifying 6 aims specifically to accomplish this (John Hopkins Medicine, n.d.b, para. 1). One glimpse of the strategic plan illustrates the comprehensive framework, by which