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Healthcare administration goals
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During my past couple of weeks at Zarephath, I have continued to take vital signs and note patient symptoms and complaints, but I have additionally had the chance to be involved with the clerical aspect of patient care. I have learned that it is imperative to stay organized or one will quickly get overwhelmed—over three hundred patients equates to over three hundred files. Accidentally misplacing a single file can be pretty catastrophic; one time, this one patient’s file was not where it should have been alphabetically so I spent over 30 minutes looking for it with no luck. Essentially, if a volunteer there accidentally places a file in the wrong place, it is lost forever. The importance of organization in clinical care cannot be emphasized
enough. Going to Zarephath regularly has given me the opportunity to grow closer to some of the patients. For example, one patient who I regularly see used to be a nurse and tells me about the interesting medical experiences he has had. Who knew that the medical knowledge I would gain would not come solely from the doctors or volunteers there! I talk to him about EMT calls I have been on and my college search. He gives me advice as I plan on also pursuing a career in the medical field. In addition, many patients bring their toddlers and young children who are always fun to play with. One patient brought her son in to be a translator as she spoke solely Spanish. It is interesting to think about how many of the children growing up in this community will be bilingual. Another startling aspect of medicine that I have become more familiar with is the recreational use prescription medication and addiction to it. Listening to the doctors talk with patients coming in to refill a script has shown the doctor’s concern that the patient could become addicted to the drug, or worse is already addicted. Sometimes the patient specifically requests a drug which is renowned to be addicting or used recreationally in which case the doctor hesitates to prescribe that medication. In addition, some of the regular patients who have come in have requested refills on a medication in a suspiciously close time intervals. Overall, the vast majority of the patients who come into Zarephath are responsible with their use of medication but there are a couple of patients of whom I am suspicious. So far interning at Zarephath has taught me medical knowledge, honed my organizational skills and allowed me to meet new people. I am looking forward to what future weeks bring.
During the 1980’s and 90’s there were many studies done that showed that medical errors were occurring in inpatient and outpatient settings at a very high rate. Computer Provider Order Entry (CPOE) systems were designed to reduce or eliminate mistakes made by using hand written orders. The CPOE system allows users to directly enter their orders into the system on computers which are then sent directly to the healthcare providers that will be implementing the orders. Previously orders were placed by writing on order sheets on patient charts. This was sometimes done by the doctor or by a nurse acting on behalf of the doctor. Order sheets were then signed by the doctor and then the information was input into the patient’s record. This left room for error due to misreading bad handwriting, confusing medications with similar names, etc.
This practicum project experience project plan is the initial step in addressing an identified deficiency in the new CPOE/clinical documentation system implemented last year at the medical center at which I am employed. Using the standardized tools of project management, I have presented the project objectives, the global project methodology, and the formative and summative evaluation criteria. To further describe this project plan, a graphical timeline is shown in figure 1. A narrative explanation of the timeline is included in the appendix. Finally, this project plan is supported by scholarly and peer-reviewed literature.
Zuger’s point-by-point organization emphasizes the difference between one medical student with older traditional values, and another medical student who embodies the modern hospital standards. The traditional student is unorganized, stays late, does everything for herself, but truly cares for the patients and their families. On the other side, the modern student is clean and organized, does only what his job describes, works only his hours and nothing more. He works as a team with the rest of the staff, but he doesn’t truly care for the patients. Modern medicine has made leaps and bounds in the field of keeping people alive, but true care of a doctor also helps the patient and their family.
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
The close reading is from The Odyssey by Homer in book nine lines 1-33. In this paper, one could see Odysseus goes full circle of emotions throughout the lines. Before this book starts Odysseus was lead to the palace of Alcinous, the king of the Phaeacians. Once he was there he plead for help from the Queen to get back to his land. The King thought Odysseus was a god but Odysseus put that to rest by saying he was a mortal. That evening, while the King and Queen were talking to Odysseus, the Queen noticed that he was wearing her daughter’s clothes. This lead to him being questioned by the Queen. At the end of the questioning the Queen was so impressed by him that the King offers Odysseus his daughter’s hand in marriage. The next morning, they
I had the opportunity to meet with Dee Laguerra for a few hours and learned so much about the Medical records side of our facility and its impact on healthcare organization. As Director of Health Information Management (HIM) she is responsible for many aspects of managing the medical record; which is a legal document. I did not realize how complex this department is and how vital this department is to the legal and financial position of the organization. Dee’s position as director is the responsibility for the collection, organizing, scanning, and completions of the medical records in a timely matter after the patient is discharged. The reason for the timeliness of scanning the medical records is for the preparation for the coders to review all the charts to code for insurance billing. The time requirement for th...
Olaudah Equiano was an extraordinary person that lived in a time that stifled personal freedom, views, and aspirations all because of one simple notion: skin color. Even with living in this oppressive time period, Equiano persevered and experienced many things in his life that not many people of his skin color, let alone white people, could say they have. In his autobiography, The Interesting Narrative of the Life of Olaudah Equiano: or, Gustavus Vassa, the African, Equiano goes in to detail about his life and experiences, starting with a detailed explanation of his homeland and its people, and then talks about his journeys highlighting how he and his brethren were treated on both sides of the Atlantic and also detailing his education. Even
34). One of the main opportunities for this change is that it will allow all the Nurse Clinicians to apply their extensive knowledge, skills, and judgment to better monitor and audit the documentation system. Each Clinician will also have the authority to address any identified issues or concerns directly with the staff, as opposed to handing this over to the APN. Furthermore, the Nurse Clinicians will ensure the data gleaned from the EHR and MDS accurately represents the care provided, and they will assist in translating the results of the MDS into practice to better enhance patient care. Additional opportunities for professional development could include developing educational material or developing and implementing unit quality improvement projects. A second opportunity is the chance to be a part of the new initiatives coming to the VC over the next few years. As the organization moves towards implementing more technology, such as electronic medication administration records and computerized provider order entry, the Clinicians will be able to provide their knowledge of organizational workflows to ensure a system will meet the needs of the staff. Additionally, the Clinicians can be a part of the implementation team to help educate and support the staff as they learn any new software. Finally, the benefits of a centralized model and
My sixteen week class in English 111. I was really nervous about this class. Because English has never been my strong point. This class has hard, but fun all at the same time. I learn a lot from this class. Meanwhile,the first day of class you handed a paper with a question on it. “The first thing I want to say to you who are students is that you must not think of being here to receive an education; instead, you will do much better to think of being here to claim one.” Even though putting my all in what I have learned, claiming my education with hard work because using the skills of the meal plan, as we write to different audiences and learning to be a Critically thinker as I start becoming a critically-Literate Citizenship.
this will cause healthcare providers with the training and education needed for clinical documentation improvements to be installed effectively. It is important that having a specialized team who can create solutions towards Clinical Documentation Improvement (CDI) in order to minimize the failures that may occur. In this case, investing in training for the materials/tools necessary for healthcare providers to excel in their work with CDI. Essentially, Clinical Documentation is used throughout the healthcare system for the analysis of care, communication, and medical records. This is important because the information of medical records that healthcare providers are able to access, will help patients track their health conditions. Thus, clinical documentation improvement has a direct impact on patients by providing quality information. On the other hand, the new technological advancements will also be able to address the efficiencies in health care system that differ from paper-based charting. Improving on the quality of information will also have the effect upon the ethical and effectiveness of care that is being provided. This has a significant impact in order to maintain patient care that ensures the documentation is accurate, timely, and reflect within the services provided. Documentation assessments can be utilized so there can be improvements on the education for healthcare providers as they intend implementation standards take effect immediately. In this case, failures must be analyzed so that they will have the ability to comprehend and determine an organization’s strengths and weaknesses
Also, these studies question those who are effected; in this case, those who are most effected, is everyone. Doctors and nurses spend the most time working within these systems, but the information that is put into these systems effects every individual in America, because it is their information. Because nurses are often considered “both coordinators and providers of patient care” and they “attend to the whole patient,” their opinion is highly regarded (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh, 2007, p. 210). It is clear that the use of these new systems is much debated, and many people have their own, individualized opinion. This information suggests that when there is a problem in the medical field, those who address it attempt to gather opinions from everyone who is involved before proceeding. It has been proven by multiple studies that this system of record keeping does in fact have potential to significantly improve patient health through efficiency, and it is because of this that the majority of hospitals have already completed, or begun the transfer from paperless to electronic (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh,
For my particular self, I check to make sure each patient was alive after receiving the report from the night shift nurse, then I read each chart and the patients orders and wrote everything that needed to be done down. As I completed everything, I checked things off and as each patient received new orders I add to my list of things to do for each patient. Yes, I believe I was well organized and I would continue to use my organizational method that was taught to me by multiple different nurses on the
A person needs to be able to document numerous amounts of information in a neat and organized manner in the most accurate way possible. A nurse in the field needs to be able to organize medical records and provide the information needed to help improve the quality of health care to the patients. For providing the health care personnel with accurate information is important to delivering quality care to the patients and improve job performance of other nurses, doctors and other medical staff and
I turned on my laptop one hot September, and as I decided to re-watch Snowpiercer, then a thought occurred to me about what happens when a huge disaster comes to drain most of humanity population to short numbers. Sadly, Snowpiercer takes my thought into a reality that I can 't stop from keeping my eyes from being glued to my screen. Knowing very well what the movie has in store for the viewer and, yet I knew I was going for another roller coaster ride that would make me question humanity since of justice. Snowpiercer, wild roller coaster ride takes use to a place ware humanity has almost become extinct. The only thing keeping them from total extinction is a train and its social standers in living difference. Sadly, Snowpiercer does not stop
This lesson is designed to review and reinforce a few important concepts about plants (e.g. Needs, parts, sequence of planting) and to also guide the students through applying a few scientific inquiry (e.g. Making observations, experimentation, discussion, reflection, reporting results etc.). The students have previously planted corn and bean seeds and today’s lesson has provided the students a chance to see the results of the planted corn and bean seeds. Additionally, seeds have been planted under and growing under the following conditions: without water, and without soil. The students see the results of these seeds planted under these conditions for the past week. Two plants in particular have already been grown their growth has been