Alameda County Hospital Case Study

In mid-April 2000, Sherri Worth was faced with some very unsettling news about Pate Memorial Clinic’s future with a competitor potentially moving into the area. Worth was the assistant administrator at Pate Memorial Hospital (PMH) and was also responsible for the Pate Health Clinic (PHC). A study by the competitor was being done to see whether sufficient demand existed to establish a clinic 5 blocks north of PHC. The two biggest concerns in regards to the new competition were:

Thank you for your response regards to "Rolling Meadows Community Hospital". John did not act in a fairly manner by not giving the intern the position. Even though John did confess his truly feelings it still ended up being an altercation not only for him but the hospital as well. I agree where you stated "This provide an understanding that just because one doesn’t physically touch or ask for physical contact doesn’t mean you can’t get in trouble for comment." I believe John felt like he could get away with this case just because he was the CEO of the hospital but it obviously does not matter what type of position you hold in a work environment; this should not be tolerated at any work environment.

On 02/012016, at approximately 1833hrs, Officer Estimond unit 3610 was dispatched to a reported subject urinating inside of the train located on the southbound platform at Doraville station.. Once Estimond made contact with Mullins, he realized that Mullins was staggering and unable to stand alone. Officer Estimond also smelled the scent of alcohol coming from Mullins breath. Mullins was arrested for Drunkennes and transfered to Doraville city jail. Doraville refused to intake Mullins because of his drunkenness. officer Estimond returned with Mullins back to Doraville Station and called for an Ambulance to respond. Dekalb EMS #54 arrived, treated Mullins on scene and decided to transfer Mullins foR further evaluation to Northside hospital.

The North Texas State Hospital (NTSH) is part of the Department of State Health Services (DSHS) administration. NTSH is a mental healthcare facility that has two campuses: one department is located in Wichita Falls, TX and the other in Vernon, TX. Including both campuses DSHS is the largest mental hospital in the state of Texas, which provides psychiatric services for the mentally ill. NTSH is the only facility in the entire state of Texas that provides forensic psychiatric care. Forensic psychiatric care is a specialized service for prisoners who have mental disorders. NTSH offers a 284-bed maximum security program for adults and a 78-bed adolescent Forensic Program (DSHS Center, 2017). NTSH aims to improve the health, safety, and wellbeing of individuals by providing the right stewardship, reducing health care problems, improving public health awareness, and preventing diseases. In order to improve health and safety, NTSH is accredited by the Joint Commission on Accreditation of Healthcare Organizations. The Joint Commission is an independent, not for profit association that set standards to evaluate

Heritage Oaks Hospital provides a less restrictive step-down treatment environment at three outpatient centers: Harbor Oaks in West Sacramento serves adults and senior adults; Roseville Oaks serves adolescents, adults, and senior adults; and Winding Oaks next to the main hospital serves adults and senior adults. According to course textbook, the goal of outpatient programs is to improve quality of life and to return clients to daily activities among family, peers, and the community (Varcarolis, 2013). The treatments available include psychiatric, emotional, behavioral, and substance abuse. These outpatient centers have partial hospitalization program (PHP) and intensive outpatient program (IOP). According to the hospital website, outpatient services include physician oversight, medication management, group therapies, educational practices such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) (heritageoakshospital.com, 2017). I was assigned to Roseville Oaks Outpatient Behavioral Health Center. It was helpful for me to

1. Using the historical data as a guide (Exhibit 6.1), construct a pro forma (forecasted) profit and loss statement for the clinic's average month for all of 2010 assuming the status quo. With no change in volume (utilization), is the clinic projected to make a profit?

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

In the early 1980’s there was increased observation by emergency room physicians that patients were being transferred or dumped from private hospitals to public hospitals based on their inability to pay. Concern for the care of the patient was one of the mitigating factors for our nation’s development of Emergency medical treatment and labor act (EMTALA) . Enacted by Congress in 1986, EMTALA was government’s way of ensuring basic screening, stabilization and care for all patients. Non participation with EMTALA was not an option, since the law tied government payments to the institutions. Simply put, if you want Medicare/ Medicaid payments you will abide by this law. EMTALA would not have been needed since there were already safeguards for indigent patients, but they were not followed, rather seen as guidelines. With the backing of EMTALA, patients had better care assurances, and guarantee of non-dismissal. The Joint Commission on Accreditation of Hospitals stated that “individuals shall be accorded impartial access to treatment or accommodations that are available or medically indicated, regardless of race, creed, sex, nationality, or sources of payment for care” It has been strongly inferred that based on the implementation of emtala, increased numbers of uninsured were using the emergency rooms as their primary source of care. The thought was those without insurance, did not seek preventative care through a primary care doctor,

I learned this week that in Humble, Texas, a city 10 miles northeast of Houston, TX that there are free standing emergency rooms that aren’t attached to hospitals, but are targeted for patients that are privately insured. “ASCs are paid about 50 percent of what hospitals are paid for the same procedure. Hospitals argue that this extra payment is in exchange for all the other things that hospitals do (e.g., trauma and specialized care, uncompensated care, etc.) and is necessary for hospital financial survival. Physicians and providers assert that these subsidies are unfairly beneficial to hospitals and subsidize hospitals' ability to employ physicians and move business to hospitals” (Becker, 2012). There are facilities that are called Texas Care Emergency Centers that are, “a facility that feels like a Western lodge with its earth-toned brick walls, leather chairs and coffee bar” (Galewitz, 2013).

A. It seems that recently, the healthcare system has been placing labels on the values of lives. Doctors, hospitals, and pharmaceutical companies are separating patients on the sole bases of their finances. In these situations, individuals with health insurance are receiving priority care over those without health insurance. Doctors and hospitals are increasing waiting times of those without insurance, to take advantage of those with insurance. In addition to doubled-waiting times, these uninsured patients are even forced to take lower grades of medication. This isn’t only unfair, but inhumane, displaying the belief that these charity care patients’ lives aren’t as valuable as those with insurance. These

Many healthcare organizations are driven by profit. Their primary goal is to ensure that their business is profitable. Patients are seen as numbers instead of human beings. Depending on their health coverage, they often encounter discrimination because of lower reimbursement rates. Some physicians refuse to take Medicaid and other government funded programs due to their fee schedule. Facilities and physician offices prefer commercial payers because they receive larger reimbursements which generate more revenue for the business. Even in the emergency room, if you have limited or no insurance, you are given minimal treatment, stabilized, and discharged to go home or even transferred to a different facility for continuous care. We witness

I Call it Murder , a film documenting the true struggles of the Cook Country Hospital, goes into the deep sickening truth of how society treats patients and individuals with low incomes and other issues preventing them from going to a premier choice hospital. No insurance, no green-card , poverty or many different issues can be blamed for the transfer of people from one (premier) hospital to a free hospital such as Cook County's; but should we blame the injured or the system that has set it up this way? A person with bullet wounds and in critical condition can be turned down on the spot and sent to Cook County's free hospital just because they don't meet a certain criteria. This practice of

Apart from the Affordable Care Act, there has been increased government and court involvement in the determination of how healthcare issues are run, like the recent denial of the nonprofit tax exemption status to some hospitals in Chicago (Bergen 2). These hospitals, which include the Northwestern Memorial Hospital and the Prentice Women’s Hospital, are known to provide important healthcare services to patients who cannot afford to pay the expensive costs in private hospitals (Bergen 2). These unfavorable healthcare policies among others are bound to be more frequent and the resultant problems may promote the emergence of other bigger ones unless immediate action is taken.

Columbus Regional Health (n.d.) serves 10 counties in Southeast Indiana. The demographics include a predominantly Caucasian population of approximately 300,000 people (Economic Opportunities through Education by 2015, n.d.). In southeastern Indiana, about 140,000 individuals have employment, and 15% of them, who are over the age of 24, have a bachelor’s degree (Economic Opportunities through Education by 2015, n.d.). Approximately 30% of the high-school students drop out in this mainly rural area with a flat population growth (Economic Opportunities through Education by 2015, n.d.).

Background - The Arnold Palmer Hospital is 1 158-bed paediatric hospital located in Orlando, Florida; part of the Arnold Palmer Medical Foundation and rated as one of the nation's Top paediatric hospitals by U.S. News and World Report. It is the only hospital in all of central Florida with an emergency/trauma center dedicated specifically to pediatric patients. It opened in 1989, and in 2006 became a children's hospital focused solely on