Acute Care Controversy

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

Humans often struggle to find the right answers in life. Knowing the difference between right and wrong is not always easy and one can be overwhelmed with the problems and ethical issues surrounding them. As a future healthcare professional, it is imperative to understand the role that ethics plays in nursing and how ethical dilemmas impact individuals. There are countless complex ethical issues that confront nurses during their careers and it is crucial they understand where their own values and beliefs lie. Euthanasia, DNR’s, end of life care, privacy, stem cell research and restraints are all great examples of some common ethical issues. “While there are many challenges facing nurses in the work environment (nursing short-age, mandated

the care of the patient is better served at another facility that can provide certain services

After review of the clinical information provided by Kings Brook Jewish Medical Center, the Medical Director has denied your admission to Kings Brook Jewish Medical Center. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 26 year old male who presented to the emergency room with complaining of difficulty swallowing. You experienced throat pain, severe right jaw pain and edema (fluid) for the duration of 2 days prior to your hospital admission. You had an intermittent toothache for the past 2 years, but did not see dentist. You had a temperature of 97.7 at the time of admission. Your exam showed that you had tonsils that was noted as moderately red and swollen with

Based upon the information provided, it has been determined that: the requested admission/day(s) is not/or are no longer medically necessary because: After review of the clinical information provided by North Shore University Hospital -Manhasset, the Medical Director has denied your admission to North Shore University Hospital - Manhasset. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 58 year old male, with a pre-authorized outpatient procedure on 09/02/2015 for a cardiac catheterization with an intervention, which was converted to an inpatient level of care. Based on the Interqual criteria (a decision based program to determine medical necessity) this procedure does not require an inpatient level of care, therefore, it does not meet criteria.

Redesigned Care processes for reliable delivery and 100 percent evident best practices after four months.

Diminishing readmission has turned into an order for hospitals over the United States, rushed by execution of open revealing and money related punishments for abundance readmissions. In any case, in spite of a quick need to enhance the nature of release arranging and transitional care, there is restricted superb confirmation illustrating how to best achieve this.

The first step in rectifying these claims will be to form a service denial review board. This board will be set up to review any patient who was denied care for any reason. The first task of the board will be to establish a service denial form, in which professional staff must fill out when denying services, so that we can establish why the service was denied and if that was the appropriate action. The board will review all forms and then interview staff involved if needed to determine if USA Community Hospital could be found negligent in denying service for unethical reasons. If the patient has made a formal complaint about being denied services then this board will reach out to the patient and document the reasons they

Autumn of 2011. My father got pneumonia and was admitted into the ICU. Many complications arose. He couldn't breathe independently; his lungs, filled with fluid, needed machine assistance. In a coma with a heart function of 12%, the doctors tried to pressure my mother for them to do a risky open heart surgery. The doctors even pressured my mom to agree for brain surgery. They kept asking time after time for my mother’s approval so they could proceed with experimental procedures on my father despite her constant refusal. In hindsight, they did not tell us the risks of the experimental procedures. And knowing my dad at the time was in critical condition, we were not going to put him through things that would put him in more risk. Maybe during

This is a complaint about the treatment my wife and I received from your Emergency Room physician, Dr. Skonieczki and two members the nursing staff. Over the past five years my wife and I have used the Wayne Memorial Hospital Emergency Room extensively, and have never experienced the level of discourteousness, and complete disregard for our feelings, in an extremely stressful situation, exhibited by this Doctor.

In this situation I first refuse to render services due to this is a matter of committing fraud against insurance company. Second, I would inform the school that this is unethical pertaining to my code of ethics as well as inform the child’s parent of the schools manipulation of my services as the Behavioral Analyst. Finally I would report the school’s intention to the insurance company as this might has been an on going situation with other children at the school. The Analyst responsibility is to report this to the insurance company in order to maintain their integrity of their position. According to Bailey & Burch (2016) it states that the behavior analyst needs to leave the company and seek employment else where who is more

In addition to this, the two approaches also differ in their aims of practice. Case management primarily aims to build connections between the service user and their community. This is usually enacted by the case manager linking the client to various services available in the community. In addition to this, cost reduction is a major aim of case management, which has a direct effect on the services that are provided to the service users (REF book). The premise of the case management approach is that community-based care is more cost-effective than downstream acute care (Ross, Curry & Goodwin, 2011). This is in contrast to casework, which primarily aims to improve the service user’s emotional, social and functional wellbeing. This improvement

The patient is a 97-year-old female who presents to the ED because of urinary incontinence with hematuria and vaginal bleeding. The patient is very weak, unable to walk prior to admission despite her 97 years of age she is able to ambulate her home with the assistance for walker. In the ED she was found to be positive for influenza. The rest of her medical history she is chronic kidney disease, increased lipids, she is anemic and has hypertension. Urologic consultation indicates that catheterization of her urine in the ED showed it to be amber. Besides having influenza she probably is having vaginal bleeding. I believe that this patient warrants acute inpatient hospitalization. She is 97 years of age with a multiplicity of comorbidities

The facility that I work, is near a poor area. As the result, ones in my facility have the chances to take care the homeless with drug addictions. These people have the government insurance to cover all the payment and by law, the facility needs to provide the safest place for them. The placement would become an issue for the facility. When they are medically stable but no safe place to go, the facility still cannot discharge them. People who need acute hospitalization may need to be put on the waiting list. These people have normal competencies without any disability but they use the medical resources as hotel services. While they like, they stay; while they do not like, they leave or assault health-care workers. In addition, they have the

The three hospitals that were identified acute care hospital, long-term care hospital, and teaching hospitals. Acute care is a medical treatment at a hospital which is short-term care. Acute care is where a patient is evaluated for a brief but serious episode of illness such as trauma, disease, and recovery for surgery. Acute hospitals are normally provided in a hospital by multiple personnel using medical supplies, equipment, and pharmaceuticals. An acute care hospital is known as a short-term hospital with medical staff and the necessary personnel to help provide with diagnosis, and treatment and care of a wide range acute circumstances. In the acute hospitals, most incidents are reported to the Reporting and Learning System. Long-term care