High Risk Obstetrical Care Case Study

Patton Fuller Community Hospital (PFCH) has been a not for profit healthcare facility since 1975 with a focus on providing the highest quality of healthcare. PFCH specializes in the following services; emergency medical care, specialized surgical procedures, baby delivery and prenatal care, physical therapy, and has a well-established radiology department. Being one of the primary healthcare facilities in their area, PFCH has raised the bar by providing a diverse selection of health programs that support the local community. This paper will review the current business systems in place, suggest improvements and provide how those changes could overall improve PFCH, both internally and externally.

Another threat is the current state of rural hospitals nationwide. According to the case study, about 25% of Americans live in rural areas and only about 10% of physicians actually practice in rural areas. There is a 15% gap in the ratio of rural citizens to available practicing physicians. This is a threat to ELH’s need to attract and hire more physicians. In relation to rural hospitals, citizens have longer drive times to their medical facilities. This causes them to delay routine visits which subsequently exacerbates

Thank you for the opportunity to participate in the care of Ms. Megan Robertson, who as you know is a 20yo female, G2 P0101, currently at 16 weeks 5 days EGA with a pregnancy complicated by a history of prior spontaneous preterm delivery at 35 weeks of gestation and maternal underweight status. She presents today for evaluation of cervical length and fetal growth due to her history of prior preterm delivery and started her course of 17-alpha hydroxyprogesterone caproate injections today and these are weekly injections for her to reduce the risk of preterm birth secondary to her history of prior spontaneous birth.

Peace Memorial Hospital is a 600-bed, independent, not-for-profit, general hospital located on the southern periphery of a major western city. It is one of six general hospitals in the city and twenty in the county. After doing much research, the Board of Directors has decided that they should open an ambulatory location in the downtown area, to be known as the Downtown Health Clinic (DHC). The clinic will have 4 major objectives: “1. To expand the hospital’s referral base, 2. To increase referrals of privately insured patients, 3. To establish a liaison with the business community by addressing employers’ specific health needs, and 4. To become self-supporting three years after opening” (Kerin

Healthcare access and delivery in rural area has been challenging not only within the U.S., but also in many developed countries. Many issues seem to be common to this maldistribution of physicians and other HCPs. According to Weinhold and Gurtner1, ” [c]ommunities have become progressively disempowered by the continuous centralization of services and the dismantling of infrastructure.” Rural populations tend to be at

Historically, the United States medical system has gone through three distinct time periods. The pre-industrial, post- industrial and corporate periods indicating the advancement of medical changes. The changes developed through cultural beliefs, values, social, technological innovations, economic constraints and political opportunism. Consequently, the U. S. health care system has a challenging geographic distribution of primary care physicians and specialists.

While the hormonal changes are unpreventable, the early identification of post-partum high-risk women helps significantly in its prevention. Provision of education on its significance, the risk factors, symptoms identification, and when to seek help can be done by health care providers to possible depressed mothers. Thurgood et al (2009) stated, “the sooner these women are identified, the sooner treatment measures can be implemented to prevent postpartum depression from worsening into a more severe, chronic course.”

[abn] is a non-abortion pregnancy care center in Baton Rouge. If you aren't planning to be pregnant experiencing pregnancy symptoms can be stressful.

5. The Apgar scale alarms doctors on the state of an infant who needs medical attention.

With facilities within three different states and a total of three countries, Hospital X has established itself as a world class organization. Another facility is slated to open in another country within the next year. There are other markets within the United States that the hospital could continue to grow and thrive in as changes are seen in the healthcare industry. Many patients will travel to see one of the physicians, but the opportunities are there for expansion into other markets as the needs of the population arise.

Increasing access to health care coverage and transportation will increase overall access to medical care for underpriveldged communities, who, have the hardest time accessing these services. Those living in rural areas will have to travel longer distances to a medical center and the time and money it takes to get to these appointments imposes a significant burden. The American College of Obstetricians and Gynecologists report that less than half of rural women live within a 30 minute drive to the nearest hospital offering perinatal services (Healthcare). Transportation barriers can contribute to missed appointments, delayed care, and missed or delayed medication use leading to overall poorer health (Syed). A survey reported that 38 percent of white cancer

Long's OB/GYN practice, healthcare management can apply the risk/benefit analysis model implemented in medical research to its decision making process. The ultimate goal of healthcare is to provide outstanding care to its patients. To do so, difficult decisions must be made when resources are limited. In an effort to provide the greatest good to the greatest number, the potential benefits of an acquisition must outweigh the potential risks, based on an established baseline. Healthcare management often employ a board of directors to help make decisions, much like researchers rely on RECs to ensure its compliance with research standards. RECs determine if a study can be conducted without the use of human subjects, much like a board of directors may consider alternatives to expensive medical equipment when a less expensive item is comparable (Lent, Rongen, & Out, 2014). Management of Dr. Long's office is faced with the option of hiring an additional physician or purchasing a new ultrasound machine. RECs act to protect vulnerable populations and ensure patient safety. The low-income status of the women in Petersburg make them, and their unborn babies, vulnerable populations. Therefore, this decision must be in the best financial interest of the practice to keep it operational, as it is the only option for many women in the

First, there is inconsistent obstetric practice. Hospitals across the USA lack a standard approach to managing obstetric emergencies and the complications of pregnancy and childbirth are often identified too late. A second factor is the increasing number of women who present at antenatal clinics with chronic conditions, such as hypertension, diabetes and obesity, which contribute to pregnancy-related complications. Many of these women could benefit from the closer coordination of antenatal and primary care – including case management and other community-based services that help them access care and overcome cost and other obstacles. Another factor is the general lack of good data – and related analysis – on maternal health outcomes. Only half

college I realized that my interests lay in business. In college, my courses in business were the ones

1.) Obstetric services are provided to pregnant women for before, during, and after birth. These services are very expensive; however, they are very important. Discontinuing these practices could create a multiple of problems. A pregnancy can be a very scary time in a women’s life, especially if this is her first birth. Obstetricians help a soon-to-be mother understand a variety of different facts, such as due date, nutrition for the fetus, monitoring complications and so much more! With such a heavy expense with not equal return, hospitals are beginning to stop these services. The article by Commins explained how hospitals are cutting the costs by having a family doctor deliver a child, instead of hiring obstetricians. Without a specialist there could be a raise in postnatal deaths. My older sister was born with the umbilical cord wrapped around her neck. Without a team of specialized, well trained doctors, my sister may have not of survived. Not only would the death rate of infants increase, women would also feel uneasy about their pregnancy. Take Moberly, Missouri for example, the Moberly Rural Health Clinic is about 30 minutes from where I grew up. Moberly Rural Health Clinic has one obstetrician/gynecologist for labor, which is awesome for those who live in the surrounding area. I visited my little cousins who had just been born there. It was a happy experience; if my aunt had to drive an hour to Columbia to give birth she could have not made it to the University