Graceland Memorial Hospital Case Study Summary

FACTS: Orleans Regional Hospital is a Medicaid funded psychiatric hospital that mainly provides service for adolescents and children. The hospital was a limited liability company that established itself with three members; NORS LLC which had two corporations including North Louisiana Regional Hospital and Precision, Inc. The defendants John C. Turner and William C. Windham held a 50 percent share in North Louisiana Regional Hospital. Richard W. Williams was the only shareholder of Precision Inc and together they both owned North Louisiana Regional Hospital Partnership and they treated

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.

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.

West Florida Regional Medical Center (WFRMC) located on the north side of Pensacola, Florida competed strongly with sacred heart and Baptist hospitals for patients. WFRMC’s CEO John Kausch was an active member of the Total Quality Council of the Pensacola Area Chamber of Commerce (PATQC) (McLaughlin, C.P., Johnson, J.K., & Sollecito, 2012).. PATQC’s vision was to develop the Pensacola, Florida area into a total quality community by promoting productivity, quality and economic developments in all area organizations both public and private (McLaughlin, et, al., 2012). John

Columbus, Ohio Memorial Hospital (COMH) has implemented an electronic medical record (EMR) since 2010, which has clearly demonstrated great improvement in patient care. During my work experiences, one of the concerns the physicians voiced were they were unable to communicate patient information to other providers or staff without having access to electronic medical records (EMR) in front of them, at that given time. The concerns expressed were that there was countless times that a physician had to wait on lab results to base their decision on patient care, while located at another facility. Physicians have experienced the frustration of inconvenient, slow or missing communication in their facilities when caring for their patients. In addition,

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

On 4/14/2016 SC completed monitoring phone call with Pa's dtr and primary informal Lynda. The Pa was hospitalized at Mercy Fitzgerald Hospital on 02/23/2016 reason unknown. The Pa was discharged to Manor care Health Systems Yeadon, skilled nursing where she stated for over 30 days for rehab. The Pa was discharge home on 4/5/2016 with skilled care from Mercy Home Care. According to Lynda the Pa had no falls, or new health problems or medication change. Lynda reported that the Pa had her first post hospital visit with on 4/14/2016 by her visiting nurse practitioner from visiting physicians. She also stated that the Pa visiting nurse from Mercy’s health is scheduled to visit the Pa on 4/15/2016 followed by PT. The SC asked if the current services are stilling

Management of post- surgical wounds. Performed several procedures including suture placements, drain placements/removals, wound dressings, e.t.c

Currently, the College of Osteopathic Medicine department at Nova Southeastern University offers multiple clinical services that are open to the public. Here patients have the opportunity to establish care and get treated by doctors. These clinics also help students to learn and experience firsthand what it takes to become a doctor. The students are able to work alongside the doctors, and have one on one encounters with the patients. The main clinics are located at the Sanford L. Ziff center; the clinics currently available are Internal Medicine, Geriatrics, Family Medicine, Optometry, and Dental. From Monday to Friday the clinics operate from 8AM to 5:30PM, except for Family Medicine which on Tuesdays and Thursdays provide a night clinic service, from 5pm to 7pm and a weekend clinic on Saturdays from 8am to 12pm. Nova Southeastern University relies heavily on its faculty and staff help manage and operate these clinics. There are over 350 employees currently working in this department. Employees here learn to provide excellent customer service, to learn how to deal and verify health insurances, to help and keep up to date with accounts receivables and accounts payable. It is presumably

Organized and reviewed technical/administrative denials for all payer’s and targeted problem areas which affected claims payments.

In 2015, Jackson Memorial Hospital had $ 1,252,551,454 in total operating revenues with total operating expenses of $1,588,328,771 generating a total operating loss of 335,773,317 ( p. 18). Jackson Memorial however, ended the 2015 fiscal year with positive numbers due to its non-operating revenue. Due to Jackson’s total non-operating revenue of $467,855,586, net income ended at $209,430,749 (Public Health Thrust of Miami-Dade, 2015, p. 18). Compared to 2015, Jackson Memorial’s operating numbers were slightly low in 2014. Jackson Memorial had $1,173,157,623 in total operating revenues with total operating expenses of $1,506,814,082 generating a total operating loss of $333,565,459 in 2014 (Public Health Thrust of Miami-Dade, 2015, p. 17).

West Florida Hospital had the most favorable outcome out of Sacred Heart and North Baldwin Infirmary. The number of patients who received suitable guidance regarding a follow up screening colonoscopy was 100% with Florida’s average being 78% and the National Average being 81%. The mean time patients had to wait in the emergency room with a broken bone prior to receiving medication was the lowest of all the other hospitals listed at 28% with Florida’s average being 78% and the national average is 81%. Patients who arrived at the ER with stroke-like symptoms who received brain scans within 45 minutes of arrival was 95% while Florida’s average was 74 and the national average was 71%. Persons who developed blood clots in the hospital and were

Mental health is a substantial problem in our society and our government is. In the past, many of the severely addicted and mentally ill patients of Greater Vancouver were sent to Riverview Hospital, a mental health facility in Coquitlam that was shut down in July 2012. The aftermath of the deinstitutionalization of these patients caused unneeded problems. Riverview Hospital must be reopened to provide the beds and housing that community facilities lack for those with mental illnesses. When Riverview reopens, patients will have access to the treatment they urgently need. Intensive care in secure wards at Riverview for patients that are chronically mentally ill is absolutely necessary. Additionally, the BC government must reopen Riverview Hospital

I have six years of solid, in-depth experience in operations management. Outlined in my resume, you will see that the depth of my experience offers you the opportunity to hire a seasoned professional -- one who can begin being productive at once. Your advertisement for a Chief Operating Officer caught my eyes immediately and I am excited about potentially sharing my experience, knowledge, and energy with Jackson North Medical Center.

To help serve our patients and their families, we will be making some changes to our parking lot and asking for your assistance to help with this improvement. Effective, November 13th, 2017, staff is being asked to please not park in the 1st and 2nd row of the main parking lot. We would like to keep these spots available for patients, their families and guests.