Northridge Hospital Medical Rehab Center Case Summary

Mariam background is 60 year old lady admitted with left sided weakness and facial droop. Once confirmed stroke using the Recognition of Stroke in the Emergency Room (ROSIER) scale. Catangui (2015) states ROSIER scale is used to distinguish whether the patient is having a stroke or stroke mimics e.g. seizures or brain tumours. Computed tomography CT brain showed ischemic stroke. Ischaemic stroke is lack of sufficient blood supply to perfuse the brain/ cerebral tissue due to narrowing or blocked arteries in the brain (Morrison, 2014). According to Stroke Association (2015) statics shows that 1520000 strokes occur in the United Kingdom.

The health issue that this artifact discusses is the significance of knowing and recognizing the warning signs of a stroke. The American Heart Association has made it their mission to provide unlimited health information and research in the hopes of eliminating cardiovascular diseases as well as helping society in maintaining a healthy lifestyle. “Stroke is the number 5 cause of death and a leading cause of

Revenues and Direct Costs are as follows: $16,000,000 in total revenues, $9,833,155 in direct expenses, $6,166,845 in contribution margin, and 38.5% in percent of revenues. Their indirect costs are as follows: $1,200,000 in facilities costs, $1,600,000 in general overhead, and $2,800,000 in total overhead. This leaves the OP

1.) Describe the method or methods you would use to determine priorities for both existing and potential services that the Lakeview Medical Center might offer.

Riverview Regional Medical Center is located in Etowah County, Alabama in the city of Gadsden and is a 281-bed healthcare facility that has been open for care since the early 1930s. As of 2000, nearly 39,000 individuals resided within the city. In 2004, the Riverview Regional Medical Center executive director, Matt Hayes, evaluated the 2004 performance indicators for the facility. While the numbers were studied, several key elements and decisions stood out as playing a significant factor in the 2004 profile. Many have predicted there has been a shift from solo practices to a more integrated, comprehensive system that would provide patients with a single medical bill as well as create an alliance that was between the healthcare provider’s services and hospital practices while reducing the costs for the parties involved (Richardson & Slovensky, 2008). The merger in care has penetrated throughout the southern states in such areas as Florida, Georgia and Alabama. Matt Hayes is in need for a new strategic strategy for Riverview Regional Medical Center to continue the growth it experienced in years past.

Hector v. Cedars-Sinai Medical Center is a case that involves Frances Hector who entered Cedars-Sinai Medical Center to have a surgical operation on her heart (Cheesman, 2013). To the misfortune of Hector, the pacemaker was defective and caused injury which resulted in a law suit that Hector filed against Cedars-Sinai. Cheeseman (2013) indicated that Hector was seeking recovery of damages for the breach of warranty of the pacemaker and that the surgery was a sale of goods under Article 2 (Sales) of the UCC.

Within the case, The Carbondale Clinic, it is apparent that a scheduling problem exists which has then resulted in patients being unsatisfied with the amount of time they must wait to be seen for his or her scheduled appointment with the physician. It is also evident that physicians prefer to have a full schedule without taking into consideration the possibility of emergencies that may arise throughout the day that will contribute to patients having to wait even longer. It is pertinent that the manager sits down with the staff to determine what is the most logical solution to help resolve the scheduling problem, taking into consideration what the physicians want along with ensuring patient satisfaction.

MMCC, a Medicaid managed care organization, is located in the low-income community of Baltimore City. It is positioned across from a major medical center that does not provide its services. MMCC seeks to reduce their medical loss ratio (MLRs). As part of their strategy, they enroll poor people of the community through incentives, utilize a distant medical center to provide their services, and cut back on administrative requirements. To get communities members to enroll, they offer turkeys to enrollees during holiday times. They fail to inform members that they must use the medical center across the city and not the one directly across from their location. Once a member of MMCC, the patients experience poor quality care. Operators are limited and cannot keep up with calls to make appointments. Health care delivery site’s parking lot has limited parking spaces. The waiting room has limited seating. The actions of MMCC are legally and ethically questionable.

I am writing to you with interest of joining your team in the position ‘New Graduate Rehab RN’. I learned of the position from a dear friend of mine who is currently a member of your team. I plan to graduate from nursing school this upcoming May and am interested in this position because I believe that it will help further my skills, education and shape me into an outstanding nurse.

* A favorable Driver Medical Evaluation was issued by Respondent's physician, Dr. Michael Tan, reporting a stable condition of seizure disorder. Respondent suffered two seizure disorders since 2015 due to her alcohol use. The recent seizure occurred on 01/09/2017 due to alcohol use. Respondent has been advised by Dr. Tan to stop alcohol use and no medications were prescribed for seizure disorder. Respondent is compliant with medical regime and knowledgeable about her condition. As long as Respondent stop drinking alcohol, her condition is well controlled. Dr. Tan did not advise against driving.

MA gave feedback on situation at Rehab unit total number of Gc, 1 Gc client had a medical request to have an X-ray will be sent today to Rayan PHCC for that.

The external stakeholders are the community, patients, MedKey System members, CMS, HMOs (ie. Blue Cross Blue Shield and Tri-Care), and any other private insurances (Richards & Slovensky, 2004). Medicare reimbursement in Alabama was the lowest rate in the nation. This was a constant struggle for the hospital administrators to try to operate on such low reimbursements for their services, which is a threat. Eighty percent of patients were Medicare or Blue Cross in which there was difficulty-negotiating prices with Blue Cross due to monopoly. Buyers have high bargaining power as reimbursements rates are low from Medicare and Blue Cross held monopoly in the services area so negotiating prices was difficult. Suppliers have lower bargaining power due to low Medicare reimbursements and difficulty negotiating prices with Blue

Stroke previously known as Cerebrovascular accident is well-defined as ‘an abrupt cessation of cerebral circulation in one or more of the blood vessels distributing the brain. Due to the interruption or diminish of oxygen supply causes serious damage or necrosis in the brain tissues (Jauch, Kissella & Stettler, 2005). There is a presence of one or more symptoms such as weakness or numbness or paralysis of the face, arm or leg, difficulty speaking or swallowing, dizziness, loss of balance, loss of vision, sudden blurring or decreased vision in one or both eyes and headache. Stoke is categorised into two types, Ischaemic and haemorrhagic

If you’ve been putting up with chronic pain for a long period of time, you may consider going to a pain management team for help. It doesn’t matter if you have pain stemming from your muscles or joints, we at New Jersey Pain & Rehab Group in Linden, NJ, can offer assistance. Our services are made to improve your overall quality of life, and we will strive to help you in any way possible.

The significance of community hospitals such as Community Hospital in Monmouth County, New Jersey, is greater than one may expect for primary and secondary care services provided to the local communities around the United States. Community Hospital’s mission is to provide exceptional primary care. However, with the declination of profitability in primary care, Community Hospital has had to compete with Shore University Medical Center (SUMC) and University Hospital (UH) for revenue restoration. The decline of Medicare and Medicaid reimbursements and the steady progression toward specialty care vs. primary care require a core alteration to the mission statement to adjust to the changes within the current healthcare system. A newly modified mission and vision statement will prove that Community Hospital has the ability to regain its relevance within the healthcare industry as a leading primary care provider in the community and increase its revenue. The implementation of the new mission and vision for Community Hospital is expected to be upheld without compromising the core values of compassion, advancement, reputation, efficiency, and physician integration. A few proposed strategies to help Community Hospital create a new and improved business model, may seem cumbersome and challenging, however could greatly improve the overall direction of Community Hospital.