1. Construct a fish-bone chart using Word or MS Paint.
Procedures of new patient processing Computer system
Procedures of existing patient processing Telephone system
Medical records
First in first out
Service available only to students
Improve evaluation of patients
2. Construct a run and/or control chart using Excel
Complaint type 1 2 3 4 5 6 Total Visits
September 34 38 16 45 13 103 824
October 23 24 7 40 9 56 956
November 14 50 11 20 26 34 1167
December 67 40 12 17 34 9 1034
January 13 31 10 12 15 45 645
February 20 50 4 13 9 6 1645
March 23 97 18 23 4 3 1432
April 43 31 3 14 13 0 745
May 4 25 0 12 16 1 456
Total 241 396 81 196 139 257 8904 (Lewis, McGrath, & Seidel, 2011)
Complaint:
1. The quality of service received
2. Waiting time was too long
3. Follow up care was not available
4. Clinic was hard to find in the building
5. The medical care/treatment took too long
6. They could not find my medical record
3. Recommend to the ambulatory health service on how it can improve the services it offers in its walk-in urgent care clinic, based on your analysis. Provide a rationale for your recommendation.
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What I would recommend to the ambulatory health service first is to focus on the wait time being too long. That’s where most of the complaints were so that’s where the focus should be. In order to cut down on the wait time there needs to be an increase in staff to get through as many people in less time. Your peak time where this complaint was the highest was during March. During this month is where you can hire “seasonal” or part time employees. The wait times will definitely decrease if we have more staff to see the
There are many factors to why appointments are delayed or re-scheduled that are beyond the structuring of time, however, there are some ideas that can help ease the annoyance of having to wait. The best thing to address is making sure the patient feels comfortable. Keep people abreast of the wait time and what’s going on. People understand things happen. However, they don’t want to feel forgotten. Some doctor’s offices have grasped the ideas of distraction, provide TV with news and valuable information, brochures and literature read, even hiring nurses or
Some of the charts that were given in the journal were not necessary. For example, Figure two which explains the flow of hospital units and patients. The information provided in this chart was explained enough in the text. Providing this chart was a waste of space. The authors could have written more
Work sheet was used to identify gaps and practice change in our assessment, documentation and care
Federal Qualified Public Health Clinic (FQPH) is experiencing an organizational break down. Many of FQPH patients are recipients of Medicaid and SCHIP, or uninsured self-pay clients as it is located in a large Northwestern City. The physicians are frustrated with current conditions. As a last-ditch effort, they inform Administrator of their complaints that need immediate attention or they will terminate employment. Those complaints include inadequate paper medical records; inefficient patient registration practices; mean and slow employees; mistreatment of patients and medical staff; inadequate staff; disorganization of medical supplies and medications; untimely lab results; unclean facility; and unsafe parking.
The Healthcare Common Procedure System is usually known as HCPCS. This system was developed by The Centers for Medicare and Medicaid (CMS). The advancement and practice of HCPCS Level II codes was introduced in the 1980s. Using HPCS codes was optional up until 1996 when HIPAA was passed. The Secretary of Health and Human Services assigned authority under the Health Insurance Portability & Accountability Act of 1996 legislation to CMS (Centers for Medicare and Medicaid Services) to maintain and administer HCPCS Level II codes.
If a patient or carer wants to complain I would see if I could deal with it personally. If I was unable to resolve the issue, I would advise them to call or email PALS the hospital complaints department.
7. Describe the major benefits of episode-of-care reimbursement according to its advocates and the major concerns about episode-of-care reimbursement expressed by his critics.
The implications and effects on patients waiting long hours to be seen in the ED are immense. In a recent study done over five years in Ontario hospitals showed the risk of adverse events and even deaths increased with the length of stay in the ED (Science Daily, 2011). When EDs become overcrowded the quality of care changes and declines; which is extremely dangerous. Authors of the study calculated that if ED length of stay was cut by only an hour that 150 fewer Ontarians would die each year (Science Daily, 2011). Wait times can also negatively affect patients financially, untreated medical conditions can lead to reduced productivity and inability to work leading to increased financial strains (Fraser Institute, 2014). As well as delayed access to care can result in more complex interventions needed. Therefore an initiative is needed to provide patients with timely, efficient care when accessing
A major scandal arose out of Phoenix, Arizona in 2014 that led to many investigations finding that as many as forty patients died while waiting for care at a local VA hospital. (O’Donnel) And since then, there have not been many signs of improvement, In Arizona as well as the rest of the United States United States, on the wait time scandal. Despite billions of dollars and many calls of reform, investigations still show that that some VA facilities still struggle with bettering the wait times for their patients, leading to more death and late diagnoses. Reports conclude that there are over 500,000 cases of extended wait times, including delays longer than 30 days and being put on a waiting list just for an available appointment.
Complete an analysis of your concept map. Based on your analysis, what is (are) the priority patient problem(s)?
Have you ever heard of the saying, ‘BROKE COLLEGE STUDENT?’ When I first saw this ad for the Affinity Plus scholarship walking through St. Cloud State University (SCSU), inside of Atwood. I was having one of those days in every college student’s career, where you could imagine your whole world being on fire and in the midst of it all you could see yourself sitting somewhere, thinking to yourself, “How am I going to be able to get through this mess now?” In times like those, I always think back to a favorite author of mine Na’Mim Akbar, who said, “You can curtail my mobility but you can’t limit my mentality.” Lack of information I believe is one of the major reasons people can’t seem to solve most of their life problems. When we are not fully informed we are unable to
As can be seen in Table 1 below, the resources causing the long wait times are those that are over utilized, or those that show capacity utilizations greater than 100 percent. The only over utilized resource are the Physicians, who are being over utilized by 21 percent. The other major resources are still underutilized.
What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student.
The story of the Wife of Bath is one that has a prologue and tale containing descriptions of the Wife of Bath and how she lived her life. Throughout both the prologue and the tale, the woman constantly talks about herself and flatters herself by informing everyone of how she lived her life. Although some other people disagree with her life decisions and try to tell her so, she does not let that get in her way and instead she argues back until they tell her she is right. The Wife of Bath believed that she was always right, and if she actually was wrong, she would turn it on the other person and make them feel as if they were wrong so they would have pity for her and say she is right. Overall, the Wife of Bath was characterized as an anti-feminist
-Examine at least three (3) examples of quality initiatives that could increase patient satisfaction and potentially reduce healthcare cost. Support your response with examples of the successful application your chosen quality initiatives.