Case Study: The Evansville Surgery Center

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:

Jefferson County has been without local access to healthcare for decades. Over 10 years ago the county commissioners agreed that a local hospital is in the best interest of the people of Jefferson County and, therefore, began a fund to achieve this goal. As of today, the fund is worth $25 million, but to build and equip an adequately sized hospital, the county needs an additional $75 million. The commissioners appointed a committee to discuss the issue and determine the best plan of action going forward.

I reviewed the providers claims. Wolfe Surgery Center is an Ambulatory Surgery Center. They’re billing codes that are not on that Fee Schedule, therefore all claims are pending with error. I will have the claims released.

In the case of Shahine vs. Louisiana State University Medical Center, the plaintiff Ms. Shahine experienced right ulnar nerve damage following a right total hip arthroplasty. She filed suit against the University Medical Center and her anesthesiologist, Dr. W for medical malpractice and requested the court to infer negligence under the doctrine of res ipsa loquitur. Dr. W was fully responsible for Ms. Shahine’s care while she was under anesthesia and Ms. Shahine obviously could not assess the true cause of injury while she was anesthetized. However, Dr. W provided evidence of non-negligence by thoroughly charting in Ms. Shahine’s medical record proper positioning and padding. Another anesthesiologist provided the court with uncontroverted

Ambulatory Surgical Center provides same-day surgical care that includes diagnostic and preventive procedures. Ambulatory Surgical Center treats only patients who have already seen a health care provider and selected surgery as the appropriate treatment for their condition. Ambulatory Surgical Center must be certified and approved to enter into a written agreement with CMS. Ambulatory Surgical Center has a unique set of regulation and standards under the Medicare and Medicaid program or other third party payers. The outpatient payment provides a set payment for each surgical procedure. They must be licensed and inspected by the State and Federal government to see if they meet standards Certified facility standers.

Tulsa Memorial Hospital (TMH) is one of the nine acute care hospitals that serves in the general population area. Historically, it has been highly profitable due to its well-appointed facilities, excellent medical staff, good-standing reputation for quality care and its ability to give individual attention for each of its patients. The hospital, in addition to its inpatient services, operates an emergency department and an urgent care center located two miles from the hospital across the street from a major shopping mall.

Based on my administrative experience and working experience as a health aid, I seek to learn more about the healthcare industry and utilize my clerical and communication skills in a hospital setting. I am passionate about providing quality hospital and community-based services through the PRN position in order to demonstrate compassion, respect, dependability, stewardship, responsibility and especially professionalism for all who seek care.

ABC Medical Center is a general hospital setting that employs a variety of professionals in the medical field, including, but not limited to; Doctors, Physician’s Assistants, Nurses, Aides, Physical Therapy, Occupational Therapy, Nurse Case Managers, and Social Workers.

The passage of the Affordable Care Act (ACA) in 2010, created a paradigm shift in the way health care is delivered to its patients creating a greater emphasis on lowering costs while improving outcomes (Cascardo, 2014). One strategy to contain costs while improving the quality of patient care, thus outcomes, is transitioning outpatient surgeries from acute care hospitals to ambulatory surgery centers (ASCs). ASCs provide same day surgical care, as well as diagnostic and preventive procedures (ASCA, n.d.).

The Seton Joint Ventures update was posted to BoardEffect for preview prior one week prior to the committee meeting.

We are committed to giving our patients the highest level of care regardless of ability to pay.

Ambulatory Surgical Center is a distinct entity which render surgical procedures to patients who are not required to be hospitalized as the expected duration of hospital stay is less than 24 hours from the patient admission. ASCs provide services and procedures in a convenient and safe manner outside the hospital setting with greatest benefit being the providing services on an outpatient basis, thus reducing the challenges encountered in inpatient facilities such as scheduling delays, limited operating room availability, slow operating room turnover, etc. and with significant cost-savings for procedures when compared to procedures provided in a hospital setting. Development of Ambulatory Surgical

I work in the healthcare industry at Grinnell Regional Medical Center (GRMC), which is a rural hospital system with affiliated clinics that include family practice as well as internal medicine specialities. To facilitate a continuous change within the organization, without compromising the quality care that is provided or causing burnout of the employees, it is essential to have a culture that supports and embraces innovation (Kotter & Cohen, 2002). Kotter & Cohen (2002), also point out that to make a change stick, creating “a new, supportive, and sufficiently strong organizational culture” (p. 159). To ensure that the changes stick, it is important to create a new employee orientation program that addresses the new culture and changes in the

The Evansville Surgery Center is seeking a full-time CNA. The Evansville Surgery Center opened its doors in 1984. According to their website, they are the most respected outpatient surgery center in the tri-state area. Since 1984, the Evansville Surgery Center has expanded onto the Deaconess Hospital Campus, as well as the Gateway on the Deaconess Women’s Hospital campus. Some of the services offered at this facility are Mastectomy’s (surgical procedure in which part, or all, of the breast is removed), Breast Biopsy / Lumpectomy (Lumpectomy is the surgical removal of a cancerous lump (or tumor) in the breast), and Hernia Repair (all types).

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.).