Healthcare Case Study

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

On Monday, September 14, 2015 at approximately 12:45pm Kathleen A. Kane provided me with information pertaining to Mr. Sutherland whereabouts. According to the hospital records Mr. Sutherland return on 9/11/15 to the hospital and was admitted to 5-Central room 236B located in the Greenberg Pavilion.

As seen in this case study, TM was listed as a full code and no GOC conversation was had between the physicians and the patient until the day of his discharge to home. This led to an unnecessary swallowing study in which the patient needed to be uncomfortably scoped. Due to the lack of GOC conversation the patient also chose to go home with general nursing services instead of end-of-life (EOL) hospice support. In the inpatient medical oncology floors of a large teaching hospital like this one, most patients are covered by rotating interns and residents that are not comfortable having GOC conversations with patients and leave it up to the primary physician to come and discuss.

1. Managed care plans (PPO/HMO) have had different successes in medicine and dentistry. Explain those differences and why you think they have occurred.

Certainly, Accountable Care System(ACS) or accountable Care Organization (ACO), which is an entity that can implement organized process for improving quality and controlling the cost of care, and can also then be held accountable for these care results and the resultant costs associated with the outcomes. In this system, outpatient, rehab, long-term care, and even palliative care would be the responsibility of the ACS (Berkowitz 2017, page 37)

One in every four Canadians will be affected by lung disease over the age of 35 and the rate is predicted to increase (Gershon, 2013). These statistics demonstrate that every Ontarian, if not affected themselves, knows someone who is. North East Ontario (NEO) is a vast area and has a significant population with CRD (LELHIN,2014). Access to a northern PRP requires significant travel for patients (OLA, 2017;Crighton, Ragetlie, Luo, To, & Gershon, 2015). The geographical distance creates barriers to accessing PRPs.

Diabetes in the Native communities is on a raise, their children are obese because the fast foods are readily available and this is cause them to develop Type II diabetes around or after the age of 35.

Then plaintiff realized that on January 03 2017, she suffered a minor stroke due to exposure to CO poisoning and as of result lack of oxygen to her brain, stroke is a disease when the brain is robbed of oxygen. It was approximately 700 over-flights from January 01, 2017 through the early morning of January 03, 2017 and at that time plaintiff’s heart and breathing condition were in a very bad shape.

There are many reasons that the United States needs to address the health care system. Some of these reasons are that over 47 millions of people are without health insurance and many more are lacking an adequate plan. Also the cost of health care was too expensive for many of the lower and medial income families. The previous health care system was more focused on the volume rather than implementing quality provider care (Anderson, n. d.). The United States health care system was not focusing so much on health but leaned towards illness. There were no value in care services, patient did not have a significant role in their own treatment plan and care outcomes were not satisfactory. One example is a patient receives excellent care in the

Michelle brought a sheet from home, and said she got it off a hand out EV Staff provided for fun things to do inside with your children. Michelle fed her children first at the table then they built a fort in the living room. Michelle told EV Staff that her doctor took her off some of her medications. Michelle said she hoped that her doctor would figure out what is best for her to calm down her high strung personality. Michelle was very loud at the visit today, and referred to herself as obnoxious multiple times.

At your request I have reviewed the Boards electronic case folder in the above-referenced matter, paying particular attention to the resumption of treatment in 2017.

Over the years, the cost of health care has been increasing. Concerns such as inadequate health insurance and access to care are an issue for millions of people (Bodenheimer & Grumbach, 2012). The outcomes of these problems affect the value of health care and also the quality of it. In chapters 8 and 9, it will discuss the concerns of health care cost and some mechanisms into solving these issues. The connection between health care and its cost is to determine what is best for the community. It is not as simple as making one plan and hoping it will be beneficial for everyone.

A 60 year old male presented in the ED with a history of chronic alcoholism, diabetes mellitis type 2, aortic valve stenosis and shortness of breath. He states that he cannot catch his breath and has constant burning chest discomfort for one week without substernal chest pressure. He reports coughing with production of sputum and denies having these symptoms before. He does drink alcohol (including today) and admitted to drug use (marijuana). He developed worsening respiratory distress in the ED and was placed on a Bipap, but his oxygenation worsened and he was intubated. He was hypotensive and started on a norepinephrine drip after central line placed in right IJ. A chest x ray showed evidence of fluid overload. He shows signs of CHF,

Reducing ER visits for senior with two or more visits within the last six months begin with implementing programs that target this population. WISH is Montgomery County’s effort to begin to address this issue. The challenge is expanding the reach of the program. Currently, this program has isolated a small subset of the senior within Montgomery County. The statistics show this issue spans well beyond the population identified in Montgomery County. This is a national issue. CMS has developed several initiatives to begin to address the issues. While programs such as WISH are beginning to move the needle in the right direction, there are challenges within the program. Rapid cycle improvement measure ensures that the

For as long as people have received modern medical treatment, anything that was administered was documented on paper. This created a lot of bulky charts and the need for storage of those charts. To find paperwork relatively quickly was quite a challenge. For example some older charts were primarily kept offsite. The charts that were accessible might be on higher shelves or in different areas of the office. Unfortunately in a busy medical practice there is only so much room for charts that can be easily obtained.