Emergency Medical Center And Certified Stroke Center

3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia

This case study is based on the Metrolina Health Center, which was started by Dr. Charles Warren. Williams and several medical colleagues with a $25,000 grant typically from the Department of Health and Human Services. Dr. Williams is the first African American to have services on this category of staff; Charlotte’s Memorial Hospital, which is undoubtedly the Charlotte’s largest hospital. The main concern of Dr. Williams is the health care needs of poor people in the area. He had always focused on making the word a better place, especially for the people who feel less fortunate. The doctor also went ahead with enlisting the aid of a local dentist, Dr. John murphy among other professionals including the director of the Sickle

The city of Reading, Pennsylvania, boasted a poverty rate of 41.3 percent in 2011. Due to this fact, an article in the New York Times was written about this southeastern Pennsylvanian city of about 88,000 inhabitants. The article was titled “Reading, Pa., Knew It Was Poor. Now It Knows Just How Poor (Tavernise, 2011).” This article designated Reading as having the most residents living below the poverty line of any other urban area in the United States with greater than 65,000 inhabitants. This designation brings with it many challenges, one of which is the difficulty of leading a healthy life

In the United States, nearly one in three women ages 18-64 live at or below the 200% poverty level. Poverty level is based on an annual earnings of a household and how many people reside within the home. A 200% poverty level for a single woman is currently set at $23,760 per year. According to the Kaiser Women’s Health Survey from 2013, 15% of women categorize their health as fair or poor and about 43% have health conditions that require monitoring and treatment. (16). Since the passing of the Affordable Care Act in 2010, there have been great efforts to improve quality of health care among patients, providers and coordinators. The rate of uninsured Americans fell from 18 million in 2014 to

Cardiovascular disease, mainly coronary heart disease and stroke, is the leading cause of death among all racial and ethnic groups in the United States. A disproportionate number of people in minority and low-income populations die or become disabled from cardiovascular disease. The death rate for coronary heart disease for the nation decreased by 20% from 1987 to 1995, but for blacks, the overall decrease was only 13 percent. The coronary heart disease mortality rate for Asian Americans was 40% lower than whites, but 40% higher for blacks in 1995. High blood pressure and hypertension can increase the risk for coronary heart disease, and it has been shown that racial minorities have higher rates of hypertension, tend to develop hypertension at an earlier age, and are less likely to receive treatment for high blood pressure. Also, only 50% of American Indians, 44% of Asian

Health disparities are not based on income but on location. In Chicago, health disparities are a major problem because of segregation. While, on the Northside, someone is less likely to experience health disparities, it’s different on the South and West Sides. When someone looks at a map, they do not see how segregated a city is, but when someone is analyzing a certain neighborhood in Chicago, they will be able to see how segregated the city is. A study shows how neighborhoods in

In the United States for decades the cost of health care has been on the rise and will continue to rise. Healthcare is a major concern for every country in the world. Access to healthcare service is critical for rural residents. Most importantly, residents should be able to have convenient access to medical care such as primary care, dental, behavioral health, emergency, and public health service. According to Health People 2020, access to healthcare is important for overall physical, social, and mental health status, prevention of disease, detection and treatment of illnesses, quality of life, preventable death, and life expectancy. Rural residents often experience obstacles to healthcare that limit their ability to receive the care they need. In order for rural residents to have sufficient healthcare access, necessary and appropriate services must be available.

As discussed in class, the lower an individual’s socioeconomic status is the more likely a health disparity is present. Morland and Morrison discuss how a neighborhoods economic deprivation may compromise resources promoting health. For example, poor and minority neighborhoods tend to have fewer grocery stores with healthy foods (Morland 2002) and fewer pharmacies with needed medications (Morrison 2000). Minorities are more likely to live in areas with building code violations and neighborhoods with deteriorated housing (Perera 2002)

I chose United Hospital Center (acute) located in Bridgeport, West Virginia. This hospital is transitioning from paper to EHR (EPIC) as we speak, and the EHR (EPIC) is going live on August 1, 2017. At this point, doctors’ offices (non-acute) who collaborate with the hospital are implementing and using the EHR system. The person I interviewed from the health information management department is Tina Williams. She has been a long time employee of United Hospital Center, and it is very abreast to all the critical areas of health information management.

Disparities in access to health services affect people and lead to unmet health needs, preventive medical services, and poor health. Low-income people are less able to afford the out-of-pocket costs of care, even if they have health insurance coverage. Public health insurance programs have expanded coverage for the poor and not enough to close the disparity gap. In order to improve health care services, we must make sure that the District 17 communities have usual and ongoing source of care as people with a usual source of care have better health outcomes. District Council 17 needs increased access to quality care regardless of their ability to pay, insurance status, or other potential barriers to

The role of the emergency department is to diagnose and treat acute and urgent illnesses and injuries. Patients are seen in order of medical urgency. The emergency department bases the patients urgency for treatment based on levels. Level 1 is critical and life-threatening. This is usually related to ABC’s (Airway, Breathing, and Circulation). These patients are top priority and require a lifesaving intervention. Level 2 is also considered high priority and can also be life-threatening. Psychiatric patients are considered level 2, and patients arriving to the ED with chest pain. Level 3 patients require resources such as sutures, x-rays, CAT scans, MRI, etc. Level 3 patients are provided treatment services only after Level 1 and 2 have been addressed. The emergency department at CEMC also has a trauma room and a SANE room. The trauma room is equipped with life-saving medications (such as antidotes for drug overdose) and medical equipment. The SANE (Sexual Assault Nurse Examiner) room consists of equipment used to assess a patient who has been sexually assaulted. The equipment takes pictures of the patient for the SANE nurse to later provide to law enforcement. A SANE nurse is a specialty nurse and CEMC has one on call 24/7.

EMR’s and charting are becoming a bigger part of an ever changing aspect in the world of healthcare and should be used more in the Emergency Department at GLWACH and in all Emergency Departments across the nation. With further research looking into ways to fix any glitches and provide continued upgrade of systems, EMR’s have the potential to reduce health care costs, improve efficiency, and to enhance the quality of care and patient safety that is provided by the nurse and the rest of the medical staff in the Emergency Department. At this time GLWACH Emergency Department does use paper charting but the paper charts do get scanned and uploaded onto a computerized system to be made part of their permanent EMR.

The disparity in quality care indirectly relates to poverty. States that performed poorest in quality indicators in comparison to other states were located in the South and South Central regions (Schoen et al., 2013). Poverty is additionally known to be concentrated in the South, which is the location where 55% of the African-American population in the U.S. and 41% of America 's poor people live (Census Bureau, 2011; Pew Research Center, 2014). The poverty rate of African-Americans remains high at 27.2%. Having a low income of under 200% of the federal poverty line or earning only a high school education describes about half of the population in the Southern states. Schoen et al. (2013) argued that a higher income and better educated individual experiences positive health outcomes as opposed to the person in poverty who is generally sicker. Therefore, the locations with the highest disparities in quality of care are the same locations where the highest poverty rates exist.

The existing, big competition on healthcare market, where the hospital reimbursement depends partially on the patients’ outcome and satisfaction, forces each hospital to stay on the top of newest evidence-based practices (EBP). This standard applies not only to physicians and the treatments they offer, but also to nursing care provided to the patients.

Emergency Departments (ED) are a crucial part of the medical field, because you can receive emergency care 24/7 and 365 days a year. EDs were designed to provide immediate and stabilizing care to patients with medical emergencies (Derlet & Richards & Kravitz, 2001). The current problem in EDs is overcrowding of patients. The cause of overcrowded EDs is multifactorial, but the main causes are inadequate inpatient capacity, ED closures and a shortage of staff. (Cowan & Trzciak 2004). Overcrowding of EDs has lead to longer wait times, ambulance diversions, insufficient care, medical errors, and ultimately the patient safety (Trzeciak & Rivers, 2003).