Case Study Of Ambulatory Care

A data set is a collection of data that is defined using uniform definitions. The two purposes of data sets are to first identify the information collected and then to provide a uniform definition for the common terms used. Data sets make information comparable from multiple organizations. The uniform hospital discharge data set was developed in order to define common, uniform data elements and are then collected from inpatient records to be stored in a national database. The uniform ambulatory care data set was developed to track patients that received medical and surgical care and were discharged the same day. The resident assessment instrument and minimum data set is used to collect patient demographics and clinical data for every resident

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.

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.

The Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) accredits more organizations than any other accrediting agency does and organizations that receive the AAAHC accreditation signify confidence to their patients that they are receiving safe and quality service, as organizations that voluntarily participate as members in the AAAHC endure on-going self-evaluations, peer reviews and education that ensures all quality and safety measures exist within the organization (AAAHC, 2017). At least every three years (depending on organization could be 6 months, 1 year, or 3 years), surveyors, who are themselves health care professionals perform surveys on accredited organizations, which involve a wide range of issues such as patient

Quality of care delivery: ambulatory care facilities delivery high quality of care to their patients in more cost effective ways depending on patients conditions than hospitals because most of them are owned and operated by the physicians. Also Ambulatory care facilities provided quality, safety, and efficiency to their patients. Providing good quality of care is significant because they try to attract more patient in order to become more profitable facilities. And earning a reputation

According to the American Academy of Urgent Care Medicine (AACUM), the number of urgent care centers in this country has increased 14 percent to 9,300 centers since 2008. And the results of a 2013 benchmark survey from The Urgent Care Association of America (UCAA) in which 83 percent of urgent care centers experienced growth suggests these facilities aren’t just open to the public, but thriving.

The urgent care clinic nurse is treating a client who is experiencing abdominal pain. The client states, “I think I ate tainted food last night.” What should the nurse do after the client states that the food was tainted?

For urgent care and ambulatory surgical centers, negotiating even a small increase in rates from a current payer or arriving at a deal with a new company can result in significantly higher profits for the period. According to WCH Service Bureau Inc, New York City's leading provider enrollment and credentialing company, established, stable medical offices can leverage the strengths of their structure and the advantages provided by their size to demonstrate to payers why they deserve a higher payout.

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.

It was in 1977 that the United Healthcare United Health group was founded by Richard Burke. The headquarters of the company are in Minnetonka, Minnesota. This organization works towards the betterment of people's health, it help them in living a healthy life by providing them with the kind of health care that would be best for them. The main focus of United Healthcare which is a major division of the United Health group is to provide the people with better health benefits and coverage.

The past decade has shown a great development in terms of strategies in delivering health care in the United States. Many of the ambulatory care centers have separated from hospital based outpatient care centers and established as major providers for planned surgical procedures. With expansion of the Ambulatory Surgical Centers (ASCs) there is a clear competition between both. ASCs are advantageous to patients in reducing their time of stay in hospital and the health care expenditure when compared to the hospital based surgeries. Although the ASCs are able to serve patients by addressing their surgical needs, there are many concerns arising due to the risks and complications from the operations handled in the physician’s office. The distance between the Emergency Room (ER) and location of ASCs is also affecting the safety issues. These ASCs primarily help the middle class families who cannot miss their work to receive monthly salaries and cannot afford to stay longer in a hospital facility as an inpatient. This is impacting the health care quality and safety. Government regulations along with facility safety measures are to be implemented to prevent such errors.

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.).

There is no need in reinventing the wheel, and Iezzoni, DesRoches and Vogeli (2012) could not use a better description of what is patient center care. In essence, they describe the shift to patient care as a “movement towards collaborative care, empathic listening, shared decision making, and culturally competent care that reflect a growing understanding of the potentially therapeutic implications of patient-physician communication” (Iezzoni, DesRoches and Vogeli, 2012 pg. 384). However, hospital life does not always allow the time for this relationship to run its course for many reasons. Therefore, as a member of the hospital leadership team, I would encourage disclosure of medical errors by implementing an error disclosure training, promoting

1. Asc Development Company, LLC is the Spine Center it provides all surgical treatments through a third party, in which they perform over 24 different services on the nervous system as its specialty. The company provides and average services per patient of 4.7 overhauled, this is an excellent rating according to the top ambulatory health care facilities, pain provider in Maryland.

Washington DC's largest private hospital fired a total of 11 nurses as well as 5 support staff members who had failed to go to work at time when the back-to-back snowstorms that rocked and paralyzed the operations in the region. Several more members of the Washington Hospital Center also faced internal investigations and it was originally not clear how many employees would lose their jobs. This prompted the Nurses United of the National Capital Region to file a class-action grievance with the private healthcare institution (Vargas,2010). The problem arose from the fact that the healthcare institution's "Declared Weather (Or Other) Emergency" policy never stated that employees who failed to report to work would be terminated. What the policy stated was that the unscheduled absences' as well as late arrivals that took place during a declared weather emergency are never counted whenever the attendance issues are being addresses. The same applies to early departures that are non authorized (Kearns, 2010).In this paper, we discuss the legal issues that surround the case of the Washington nurses getting fired for not reporting to work during a the back-to-back snowstorms that rocked and paralyzed the operations in the region.