48th Combat Support Hospital Case Study

Herzog Memorial Hospital Case Study Group Member: Arifa Akhter Nitol: 260532844 Daniela Campo: 260462469 ShiPeng Chen: 260526665 Zhenzhou Wu: 260496298 Zhenxuan Zhou: 260510679 Question 1 Pareto diagram of the positive comments for all ten categories Question 2 Pareto diagram of the negative comments for all ten categories Question 3 The patients’ comments support the score of HCAHPS. Out of 75 negative comments, 33 of them address the issue of noisiness while only 1 out of 17 positive comments support the statement that area around the room is quiet at night. Therefore, it is evident that the HCAHPS claim on why Herzog Memorial Hospital has low satisfaction is valid.

Background Tulsa Memorial Hospital (TMH) is one of the nine acute care hospitals that serves in the general population area. Historically, it has been highly profitable due to its well-appointed facilities, excellent medical staff, good-standing reputation for quality care and its ability to give individual attention for each of its patients. The hospital, in addition to its inpatient services, operates an emergency department and an urgent care center located two miles from the hospital across the street from a major shopping mall.

There are no other regulatory organizations above the federal government. Since Bruce Carter Veterans Affairs Medical Center (VA) is part of a federal organization, they have taken it upon themselves to adhere to the highest standards of patient care by using the resources available to them. (M. De La Cera, personal communication, January 13, 2017) The VA uses The Joint Commission which is an independent, not-for-profit organization, that accredits and certifies nearly 21,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards

In 1636 U.S. veteran administration hospitals were made to help and take care of the war veterans that come in injured or ill. Also, the bills for this should be taken care of so there are no worries for the most part, but none of this is happening the way it should be or how the system was created to be. Veterans are turned away and avoided by the U.S. veterans hospitals, they have a big thirst for money that has not been quenched and because of this, the veterans that come in are not being treated properly and this effect is turning out very negative.

The Miami VA Hospital’s Nutrition and Food Service Department assess the quality of each item that is prepared in their facility and served to each patient. Quality Assessment (QA) at the VA are done on the 3rd Thursday of every month where a tray is pulled from the line

The drugs protected by the law are safe yet still harmful. War veterans feeling the worst of the pain, after being honorably discharged for injuries sustained in action. While going through treatment for the injuries the veterans found themselves addicted to the pain medication. The veterans needing help through their addictions, PTSD, and injuries found themselves sedated for most of their treatment at the VA hospital. Waggoner; a patient at the VA hospital was addicted to pain medication and expected help from the medical staff. However instead of getting the help he needed he was given more drugs than necessary according to Cironline “The VA hospital in Roseburg kept him so doped up that he could barely stay awake. Then, inexplicably, the

The reporting party (RP) arrived at the facility on 6/9/16 at 7:40AM in response to male resident Douglass Gass DOB: 7/3/42 "911" call. The resident had fallen at approximately 11:00PM the night before. Consequently the resident was non-ambulatory and sustained minor injuries. The resident was treated and transported to the VA Hospital in Westwood. The RP disclosed that the resident was the "911" caller who stated he had been on the floor the entire night and no caregiver responded to his aid. During the conclusion of the call a caregiver appeared and was of the ongoing incident. The RP state several concerning conditions were observed. The facility was in violation of several Fire Code items. The resident and his roommate had no operable signal system.

8:30 On August 27, 2016 worker received a letter from Dr. Andrew Duxbury, MD, Mr. Walker’s doctor at the VA Medical Center. The letter stated Mr. Walker has both physical and mental limitations that render him dependent on a third party for care. He is unable to understand normal decisions for daily living and patient’s need for 24-hour care and supervision was discussed with family on June 9, 2016 during home visit.

In unit 2 discussion 1, we are asked to select a healthcare organization and conduct an internal organizational assessment using a framework or tool. My selected organization is the military Area Support Medical Company (ASMC). The organization internal assessment was evaluated with the use of the SWOT concepts.

The area that I chose to discuss under the CFO is the Director of Budgeting. The roles and responsibilities include handling the budget, and managing all expenditures and its limits, supervising staff, and analyzing profit goals, revenue, and expenses while complying the regulations of not only the company but the

Medical Issue: Slow response and care at Veteran’s Affairs Hospitals The issue is veterans are waiting much too long to be cared for in hospitals that were created to care for them. According to Modern Health (2016), the reason there are so many delays in providing health care for veterans is the paperwork involved in claims from providers is slow to be filed and reimbursement is even slower. “GAO [Government Accountability Office] reports from 2014 and 2015 found community providers waiting months or even years to receive payments from the VHA [Veterans Health Administration]” (Muchmore, 2016). If providers have to wait so long to receive payment, they would probably rather take their skills elsewhere; where payment is timely.

Tennova Regional Hospital is the second to the largest Baptist healthcare network in the city Jackson, owning 12 urgent care facilities while operating 20 in total. Tennova has a

The fact that 2nd battalion led by LTC Frost almost accomplished a mission designed for a division is remarkable. LTC Frost demonstrated all the principles of the warfighting function of mission command. As ADP 6-0 says, “commanders influence the situation and provide direction, guidance, and resources while synchronizing operations. They encourage subordinates to take bold action, and they accept prudent risk to create opportunity and to seize the initiative,” LTC Frost was able to emulate.

The VA Hospital is a hospital that is specifically for war veterans. The VA Hospital is located in West Haven, CT. This hospital specifically is for Impatient Care and has a special Ambulatory Care Center. The VA hospital has 216 beds but sees up to 59,000 patients. The hospital is run by the Federal Government of the USA. This hospital has a State of the Art imaging for medical care. They specialize in psychiatry, cardiology, and oncology. The hospital has different wings for all of these specialties; they are very organized. They are very proud of their special research in biology and they have accreditations with the VA New England Healthcare System, the Hospital Accreditation Program for Long Term Care, Behavioral Health, Home Care and

Emergent Counterfeit Materiel Stock Screenings (IPV): The IPV Support Team identified 84 (DLA 79, Commercial 5) unique NSNs that support 348 IPV bin locations as potential counterfeit materiel. Troop Support (TS) is coordinating with Lockheed Martin to provide sourcing data on the commercially supported items but TS has not instructed Lockheed Martin to remove most of the materiel from the bins to date. One item identified as a Critical Safety Item (CSI) is removed from all locations and is in quality hold at the LDC pending further guidance from TS. Customers are able to continue using the other 83 suspect NSNs while TS makes a final determination. POC: Brenda