Personal Statement: Truly The Cleveland Clinic

I was surprised myself when I saw the figure until I find out that they have a Multisite healthcare delivery system with local, national and international reach. They have facilities all over Ohio, in fact the leading healthcare provider in Ohio. They also have hospitals in states like Nevada and Florida and internationally in countries like Canada and Abu Dhabi in United Arab Emirates. See link below for more facts about Cleveland Clinic. With that many facilities and a top five health care system in the country it will not be impossible to record 5.9 million outpatient visits in a year.

Highly Reliable Organization are guided by five principles based on quality. The first three are anticipatory principles Preoccupation with Failure, Sensitivity to Operations and, Reluctance to Simplify. The remaining two are containment principles Commitment to Resilience and Deference to Expertise. The Cleveland Clinic and ThedaCare both have elements of being a Highly Reliable Organization. The Cleveland Clinic formed an entire Institute dedicated to Quality and Patient Safety. Cosgrove’s message was the everything matters, including housekeeping. Both organizations were highly focused on operations. ThedaCare in particular took time to train staff organization staff when a new unit opened so they would better understand their new roles

St. Jude Children’s Research Hospital is a non-profit organization that helps battle pediatric cancers. St. Jude Children’s Research Hospital is not your typical children’s hospital. The services and support they provide to their patients is unique as their founder Danny Thomas. I will explore their founder’s history, mission, and how they are able to continue the work today.

The Cleveland Clinic strives on dedicating its medical services and expertise to their surrounding communities. They are able to do so by performing periodic assessments to evaluate the medical needs of the communities in question and are then able to base their services around these findings.

As you all know, I have spent all of my professional career at ALSAC/St. Jude. Throughout this time, I have witnessed some amazing things that until this past month I think I have taken for granted. And I am not just referring to the miracles our doctors perform every day for our patients.

My second clinical day at Mercy Defiance Hospital, progressive care unit, was overwhelming but rewarding and very educational. Through the 8 hours I was there, I learned a lot. I engaged myself in many self-directing learning practices to futher promote my professional growth. My first time interaccting with my patient,I was joined with my clinical instructor. While in the room, I got to listen to to my patients heart, lungs, and bowel sounds. I was able to see and examine the patients ostomy bag, as well as help them to the bathroom. There were ways that I can improve my professional growth, suchas,having the confidence to not second guess my self about things to do in assessments. For example, I know how to assess the lungs, I should not second guess where to listen for the sounds. One of my goals for next week dealing with professional growth would be to have the confidence to know what I have learned and use it. My second one being to go into the room with a confident attitude and believe in myself.

As a medical assistant student I participated in a month long internship at North Country Family Health Center in Watertown New York. I was interning at the Health Center where I was active with many Medical Assistants and LPN’S.

One of the major goals of the Mayo Clinic is to provide outstanding care to patients and to offer superior education programs that ensure the success to all who attend. The name Mayo Clinic comes from Dr. William Worrall Mayo and his sons. They invited physicians as well as students to visit and learn about their innovative and surgical practice. Not only were the Mayo brothers distinguished scholars but they also traveled and to learn from others and bring back the latest in medical developments so that they could bring it back to their own practice. The Mayo Clinic is ranked #1 in the Nation and many people come from all over the receive treatment here. As the Mayo Clinic continues to grow and integrate the importance of education is still the central focus. In 1915 the Mayo Clinic partnered with the University of Minnesota and developed the Mayo School of Graduate Medical Education and by 1917 the first graduate degrees in Mayo’s programs were conferred to two women and two men.

As I mentioned in my personal statement, I am in pursuit of a quality education and here, I share a few reasons why I believe the Yale School of Medicine will provide me with what I seek. Firstly, I am interested in the Yale School of Medicine because I will be groomed for success in my long-term goals at this institution. I believe this because the school’s mission involves educating and inspiring medical scholars as well as future leaders. As an aspiring physician, I do not plan to use the knowledge I will gain in medical school solely in my practice of medicine. I intend to also use that knowledge to pilot positive changes in the practice of obstetric medicine in Nigeria. Consequently, I know that attending this institution will not only teach me to be a scholar in the field of medicine but also a leader.

At St. Jude Research Hospital their mission is to find cures and means of prevention for life threatening pediatric illnesses. Thanks to Danny Thomas’s vision, no child is denied treatment based on religion, race, or a family's ability to pay. St. Jude has achieved a survival rate of ninety-four percent, since the hospital was opened in 1962. It was also the first organization to develop a cure for sickle cell disease, that require a bone marrow transplant and now has one of the largest pediatric sickle cell programs in the country.

Florida Hospital was founded in Orlando by the Seventh Day Adventist church in 1908. It is part of a 46-hospital network, with 20 nursing homes and 25 health care agencies extending across 12 states that make up Adventist Health System (AHS). AHS is one of the nation’s largest hospital systems, and is a not-for-profit healthcare organization.

My second clinic rotation is internal medicine and I’ve had many encounters, both with patients and colleagues, which have made me pause and reflect. One of those encounters, in particular, will still be on my mind long after I finish typing this reflective journal. The patient at the center of it all is a lady I’ll refer to from here on as “Mrs. Flowers.” Mrs. Flowers is an 81 year old female with dementia and diabetes. She arrived on our unit with a diabetic foot infection that had progressed from a simple toe ulcer to wet gangrene. Over the last 2-3 months, gangrenous changes encompassed the distal half of her left foot. During pre-rounds, our medical team unanimously agreed that we would contact surgery for a consult. At time, it was obvious

As I was finishing my last shift as a Health Leads advocate at Boston Medical Center I couldn’t help but think back to my first shift three years earlier. I was nineteen years old walking into the Pediatric Unit eager to make a difference. Being located in a poverty-stricken part of Boston many uninsured and low-income families would bring their children to Boston Medical Center. As an advocate, it was our responsibility to make sure they had everything they needed from food to shelter while working hand in hand with their physician. I expected to reaffirm my desire to become a physician by witnessing all the positive work that can be accomplished. What actually happened was something quite different, something that made me wonder, “Do I really want to go into medicine?”

The Johns Hopkins Hospital, located in Baltimore, MD, is one of the greatest institutions in modern medicine. Established in 1889 from the donation of philanthropist Johns Hopkins, the hospital and university serve millions of patients annually for emergency, inpatient, and outpatient visits. Patient care is the focus of Johns Hopkins vision. The hospital uses quality care and innovation to enhance patient care. It is the hospital’s goal to have great precision, safety, comfort, coordination, and improved workflow to achieve an outstanding customer experience. An added feature to the customer experience are the design elements that can be found flowing throughout their newest facilities which helps foster healing and stress free environments. From the dramatic art collections that fill the walls and windows of patients rooms, to its 20-year reign as U.S. News and World Report’s “Best Hospital”, Johns Hopkins has made its mark on society. At some point, however, every great dynasty loses its ranks. Unfortunately, Johns Hopkins is no different. With the creation of a federally-mandated patient satisfaction survey for Medicare and Medicaid reimbursement, the stakes for high ratings is of fiscal importance. In an effort to increase its patient satisfaction ratings, the hospital created performance measurements to highlight strengths and areas of improvement with patient outcomes. The implementation of this new initiative, the Patient Toolbox, considers the fundamental reasons

Cleveland Clinic 's overall strategy for improving value for patients is to live by it 's message of "patients first", developed by the Clinic 's CEO, Dr Cosgrove. The overall strategy for improving value for patients was on by putting patients first and giving them the best that they could offer. They aimed their strategy at not only patients, but to providers as well to ensure that they would improve the value of service or experience that they would provide to patients. This was done in 6 components that will be described below.