Acute Paediatric Centers: A Case Study

After review of the clinical information provided by The Brooklyn Hospital Center, the Medical Director has denied your admission to The Brooklyn Hospital Center. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You had a one day stay with a diagnosis of rule-out acute coronary syndrome (heart attack) verses Sarcoidosis (inflammatory disease) flare up verses Asthma. You are a 43 year old female with a past medical history of Sarcoidosis (inflammatory disease), left atrial (area of the heart) thrombus (blood clot) and deep vein thrombosis (blood clot) for which you were placed on Coumadin (medicine that thins blood) and asthma. You presented to the emergency room with a complaint of chest pain and

St Jude Children’s Research Hospital is a nonprofit hospital that is located in the center of Memphis, Tennessee. It is known worldwide as a hospital that pioneers research saving lives and finding cures to devastating diseases like cancer and leukemia. It helps and takes in young patients from the United States of America (USA) to all over the world. “patients at the hospital range from For most diseases and treatments, St. Jude accepts children, adolescents and young adults who are 21 years old or younger at the time of acceptance. Patients are free of charge at the hospital, there for saying that they do not have to pay for what their insurance cannot cover.”( St. Jude Children’s Research Hospital, 2010). “St Jude still holds the

In this assignment, we are asked to act as a chief operating officer of a hospital tasked with opening a new ambulatory care center in my city. We will specify a perspective of choice which are either professional autonomy, social contract, or free market. Describe at least two (2) advantages and two (2) disadvantages of your chosen perspective. Provide at least two (2) examples of the perspective in action to support your response. Additionally, analyze three (3) key components sources of law related to the effects that each source could potentially have on your healthcare organization’s new initiative.

Interventions to Reduce Acute Care Transfers is a quality improvement program that has been used throughout health care settings worldwide. Its main goals are to decrease hospitalizations and readmissions, with an overall aim of improving quality of care (Ouslander et al., 2014). Interact’s website provides health care facilities with affordable and easy to use “tool kits” that are based on five fundamental strategies including; principles of quality improvement, early identification and evaluation of changes in condition, management of common changes in condition, improved advance care planning, and improved communication and documentation (Ouslander et al., 2014). By using the tools health care providers can help prevent unnecessary hospitalizations and related complications, at the same time receive financial

Before 2012 El Paso, TX never had a children’s hospital. In fact it was the largest metropolis city that did have a pediatric hospital according to (El Paso Childrens Hospital, 2016). El Paso Children’s Hospital serves a dramatically underserved pediatric region where there are approximately 222,000 children that are enrolled with Medicaid in 2011. This statistic demonstrates the magnitude of having a skilled specialty of pediatric services.

According to the authors, the elements that lead to most hospital readmission in the Elderly population consist of sociodemographic and clinical characteristics, frequency of drug use, individual patient level factors, visits to outpatient care facilities, and system-level factors. sociodemographic factors encompass some of the hierarchical needs chart such age, sex, socioeconomic status, education, social support, insurance type, financial status and access to or availability of services. After research was

State Action on Avoidable Readmissions (STAAR) – this is a pilot program to improve care transition that concentrates on developing community-based and state-based

The hospital readmission (HR) may be regarded as an indicator of the quality of hospital care and, indirectly, of primary care. Some factors may foster HR, such as low quality of supportive care, early discharge, lack of treatment adherence on the part of users and their families, age, absence of specific guidance and post-discharge follow-up, as well as socioeconomic and cultural conditions. Therefore, in order to perform a resolute care, one needs to know the profile of admissions and of HR, thereby enhancing the planning and the implementation of strategies. In order to raise the aforementioned questions, this study had the purpose of analyzing the profile of readmissions of children treated in the pediatric sector of the Regional Hospital in Ceilândia (HRC) in March, April and May 2015. This

The monitoring of critical factors affecting positive transition of health care will lead to a decrease in re-hospitalization of patients in this population.

Healthcare in the United States is changing which has given rise to new hurdles that must be overcome. One of the issues that we are currently facing in many tertiary facilities is the need for set criteria involving intensive care unit admissions and discharges. Throughout the country the total number of intensive care unit (ICU) beds are on the rise, but the current supply still outnumbers the demand (Cognet & Coyer, 2014). The cost of staying in an ICU is continuing to increase with technology, and there are limitations that insurance companies and the government have set forth to the number of days a patient can reside there dependent upon his diagnosis and condition. Intensive care units will continue to undergo strain due to high census, and decisions to discharge patients will be effected (Wagner, Gabler, Ratcliffe, Brown, Strom, & Halpern, 2013). Typically, the decision to have a patient occupy an ICU bed is based upon whether or not they are sick enough to be there or if they are well enough to be discharged to a progressive care unit (PCU) or medical surgical unit (Meyer, 2003). A progressive care unit is a step down from an ICU, but has stricter criteria for admission than a medical surgical unit based upon the patients medical status. Not all facilities offer a PCU, but the need for this level of care is continuing to rise with the number of ICU admissions increasing. Standardized guidelines for patient placement in

Significant health disparities between rural and urban populations have been a major concern in the United States. One prominent factor contributing to the disparities is lack of access to quality care in rural areas which is closely associated with challenges faced by rural health care providers (National Rural Health Association, 2007). Rural hospitals are the key health care provider in rural areas, offering essential health care services to nearly 54 million people (American Hospital Association, 2006). They face a series of challenges such as workforce shortages, rise in health care costs, difficulty in finding access to capital, difficulty in

The overall process of discharging a patient from a hospital and the transition back home or to a care facility are critical advancements in the overall course of both acute and long-term care. It is important that the hospitals releasing these patients have ensured the proper overall course of care from beginning to end. The lack of consistency with both the discharge process and the quality of discharge planning has led to many avoidable readmissions. To reduce the amount of hospital readmissions, it is imperative that hospitals recognize the need for focused patient care and that programs are being implemented to assist in the care transition.

Many health care leaders and practitioners recognize the challenges of utilization of acute care resources in areas of rapid growth. Per Potter and Hoque’s publication Texas Population Projection 2010 to 2025, completed for the Office of the State Demographer; “Much of the population growth is projected to come from the large urban counties of Harris, Dallas, Tarrant, Bexar, and Travis” (2013, p. 4). “Homeless male veterans have greater medical and mental health needs compared to non-veteran homeless male counter parts and less likely to utilize community health centers” (O’Toole, et al., 2003, p. 930). Texas has one of the highest homeless veteran populations in the United States (US) (U.S. Department of Housing and Urban Development (USDHUD), 2013 p. 40). Many high risk patients, such as the chronically ill homeless veteran, are incessantly making choices that make them exposed and disposed to poor health (O’Toole et al., 2011, p. S683) and use of emergency based care (O’Toole et al., 2011, p. S689). Therefore, the purpose of this proposal is to identify community resources for chronically ill homeless veterans to utilize for care, in place of limited number of acute care beds in precipitously growing cities and counties in the state of Texas. The cultural, religious, spiritual and ethical backgrounds of veterans is very diverse, similarly to the nation they protected.

* Check for ambiguity in wording the question – can respondents interpret the meaning of words differently?

Health care systems across the world are facing a number of challenges, which include changing patterns of diseases, a shortage of health care professionals, inaccessibility of services, and insufficient resources. Given that an increasing population creates a greater demand for healthcare services, the shortage of hospital beds due to high admission rates and increased length of stay are some of the challenges that the healthcare system of Saudi Arabia is struggling to overcome. The Saudi Arabian government funds 244 hospitals that have a capacity of 33,277 beds (Almalki, Fitzgerald, & Clark, 2011). However, there was a forecast of bed capacity shows that, by 2013, the healthcare system in Saudi Arabia will require about 14,700 additional beds to meet the increasing demand for healthcare services (RNCOS, 2011). The shortage of beds implies that the healthcare system needs to formulate ways of increasing hospital bed capacity. The problem being investigated is the Saudi Arabian hospital bed shortage due to increased length of stay in hospitals by patients with chronic illnesses, the elderly, and the disabled. The purposes of the proposed study are to describe the post-acute care needs and also the need for effective discharge planning.