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American experience in Medicare
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In August 2006, InnovaCare Health in Puerto Rico announced that Penelope Kokkinides joined their executive team as chief administrative officer according to President and Chief Executive Officer Richard Shinto, M.D. Her expertise with Medicare and Medicaid programs is proving invaluable to the Medicare Advantage plans company. Before joining InnovaCare, Kokkinides held executive positions at Centerlight HealthCare, Touchstone Health and AmeriChoice. Kokkinides earned a B.S. degree from Binghamton University, majoring in both classical languages and biological sciences. She earned two M.S. degrees, one in social work from New York University and one in public health from Columbia University. Shinto's educational background and job history is
Cynthia Adae was taken to Clinton Memorial Hospital on June 28, 2006. She was taken to the hospital with back and chest pain. A doctor concluded that she was at high risk for acute coronary syndrome. She was transferred to the Clinton Memorial hospital emergency room. She reported to have pain for two or three weeks and that the pain started in her back or her chest. The pain sometimes increased with heavy breathing and sometimes radiated down her left arm. Cynthia said she had a high fever of 103 to 104 degrees. When she was in the emergency room her temperature was 99.3, she had a heart rate of 140, but her blood
A summary of the case details (provide the circumstances surrounding the case, who, what, when, how)
A well-nourished, well-developed Hispanic female named Anna Garcia standing at 65 inches, 165 pounds and in her late thirties was found dead in her house after her concerned neighbor Doug Greene was suspicions as to why she didn't take her dog out like she did normally, and why the dog was barking constantly for two hours. The police received a call from Greene on August 31st at 9:45 am and arrived at the crime scene at 9:56am.The police found Anna lying face down in the hallway. Authorities observed a pool of blood around her head and some vomit beside her. It was 73 degrees inside Anna’s house, while it was 92 degrees outside. Anna was last seen alive by her former husband, Alex Garcia the night before her death. Investigators measured her rectal temperature, and came to a conclusion that she died at 7:00 am in that same morning. A medical examiner was also called to perform an autopsy to see what really caused Anna's death.
Renee Heikamp, 19, and case worker from the Catholic Children’s Aid Society (CCAS), Angie Martin, were charged with criminal negligence resulting in the 1997 death of newborn baby, Jordan Heikamp. The charges were dropped shortly after Jordan’s death, due to a lack of evidence from the investigation of a 63-day inquest. (CBC, 2001). Renee Heikamp and her baby were residing at the Anduhyaun shelter that services Aboriginal women fleeing abuse during the time of his death. Jordan Heikamp had starved to death, weighing only 4 pounds, 4 ounces less than what he weighed at his pre-mature birth, in May 1997; a photograph shown to witnesses at the inquest revealed the corpse of the baby who was little more than a skeleton.
When conducting research for my project, I came across a website that contained a few primary sources regarding the Salem Witch Trials. One of these primary sources was the photo of a legal document explaining the death warrant and reasons for execution of a woman named Bridget Bishop. Bishop was claimed to be a witch in Salem during the year 1692, and the document explaining her significance involving witchcraft resides in the Peabody Essex Museum in Salem, Massachusetts. My thesis for this primary source is that the judge and jury believed they were seeking justice by executing Bishop, a woman whose death was truthfully based on her differences as a person rather than actual crimes she committed.
...and his vision in successfully transforming the medical center to a tertiary care facility. However, in 2008 under Ron Henderson, the medical center expenses began to skyrocket and revenues failed to keep up. Also, a hospital census indicated that, on average, Medicare patients consisted of 58% and Medicaid patients consisted of 18% which caused the medical center to suffer from reductions in reimbursements. Although noted by solid evidence that utilization was experiencing a steep decline, Mr. Henderson added 127 new positions to the medical center. In 2009, Mr. Henderson was fired after the board of trustees realized that this financial bind of an $8.6 million deficit was caused by Mr. Henderson. In order for the new CEO, Richard Reynolds, to succeed at his new job title, he must create a benchmarking process adopting certain goals to remain a worthy competitor.
Learning from what Dr. Anna Pou had to face with the lawsuits she was dealing with makes me cringe. As Healthcare professionals, having to worry of possibly being sued for believing what is right for the patient or as a whole for the hospitals health is ridiculous. Healthcare professionals like Dr. Pou, have taken the Hippocratic oath, and one of the promises made within that oath is “first, do no harm”. Often time’s society look at courts cases as a battle versus two oppositions, but Dr. Pou’s case it is not. In her statements from national television she states saying her role was to ‘‘help’’ patients ‘‘through their pain,’’.
Carla Washburn, an incredible, inspirational woman that has sadly witnessed the 3 closest male figures in her life all pass on. This has resulted in Carla becoming depressed over the unbearable experience. Carla embraced in giving back to the community and that’s not surprising because she’s a person of spirituality. While, Carla is the client and is suffering through grief, it’s likely she’d benefit immensely from creating a program to work with the kids in the community and may give her a sense of worth she’s been seeking since these 3 tragedies.
CareGroup was formed on the basis of three major Massachusetts hospitals; Beth Israel, Deaconess, and Mount Auburn (McFarlan, F. Warren, and Robert D. Austin, pg.1). After a surprising merger of Mass General and Brigham and Women’s Hospital, all three hospitals in CareGroup suffered great financial losses (McFarlan, F. Warren, and Robert D. Austin, pg.2). Due to the multi-million dollar financial losses, CareGroup felt they needed a change, which is when they added Halamka to their team, naming him their CIO (McFarlan, F. Warren, and Robert D. Austin, pg.3). Being in a financial state of duress, it is undoubtedly crucial for a new CIO to have the technical skills and knowledge needed to manage a health care facility. In reference to this point, Halamka had stated, “…I know all the technologies, I program in 12 languages, and I’ve written books on Unix system administration. I’m a doctor, so I understand the clinical domain and the technical requirements” (McFarlan, F. Warren, and Robert D. Austin, pg.3). Clearly this exemplifies his qualifications as the newly instated CIO.
Petitioner, Kaitlyn M. (“Kaitlyn”) is a twelve-year-old student in the 6th grade. Kaitlyn resides with her maternal grandmother, Lydia Delacroix within the jurisdictional boundaries of Beaumont Independent School District (“BISD”). District records indicate that Kaitlyn has lived with her grandmother since infancy. Ms. Delacroix advised the District that Kaitlyn has a medical diagnosis of ADHD, asthma, and allergies. Ms. Delacroix has indicated that Kaitlyn’s was diagnosed with ADHD in first grade while attending elementary school in Vidor. Ms. Delacroix notified the BISD that Kaitlyn’s physician prescribed approximately five different medications for ADHD which were discontinued by Ms. Delacroix because she did not see positive results. Kaitlyn
From 2006 through 2012, Smith worked for Mayo’s Cancer Clinical Research Office without complaint. Smith began as a Data Clerk in 2006, became a Risk Protocol Specialist in 2008, and then a Document Control Specialist. Throughout her employment she received satisfactory performance reviews.
K. T. states that she enjoys this role as it is forever evolving. When she initially took the position, the ACO was only in Des Moines, and now she is the ACO Director of Quality for the entire state of Iowa. K. T. expresses that her graduate program and education have been helpful in being a successful leader within the organization. During her graduate program, K.T. reports that she truly learned how to be flexible, how to delegate, and work effectively in teams to complete the tasks that seemed impossible. She also expressed that her graduate studies have assisted her in managing quality and reducing the overall health care cost for throughout the ACO. Since her MSN was a general degree without a specialization, she reports that she gained valuable skills during the program that helped her to be successful, such as the portions of the program that worked on human resources helped her when she was to start hiring and firing
In 2009, President Obama signed the Patient Protection and Affordable Care Act (ObamaCare) and former ANA President Rebecca M. Patton, MSN, RN, CNOR witnessed this historical moment. American nurses celebrate with satisfaction, because their hard work paid off, enacting historical health care reform legislation that benefits not only nurses but their patient as well. Despite that the health care reform is now a reality, is important to keep working in order to make sure that the reform is implemented effectively (Routson, 2010).The ANA has been in favor of a health care reform that would provide high quality medical services for all. ANA believe that with Patient Protection and the Affordable Care Act, millions of American will be protected against the lost or denied health insurance coverage and improved access to primary and preventive care. (ANA, 2011)
Integrated systems have a huge interest in developing and aiding ideas that provides care at a lesser expense. Therefore, they are usually the first ones to implement innovations that will ultimately change the overall health care system. Kaiser Permanente, Geisinger Health System, and HealthPartners are the nation’s highest leading performers when it pertains to quality and expense. Effective and successful unsettling innovations within the health care system will give further care at a lesser expense than we can even envision. “Many of today’s great, integrated systems were once disruptive innovators but they now provide more for less only by present standards.” Sequentially, their most recent organizational models and expense structures
In her current position, she is responsible for six RN’s, three licensed practical nurses (LPN), five CNA’s and two support staff members. They are currently looking to add several more positions to the payroll. Martinez joined this agency two...