Primary Care

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

the population that the health center caters to must be identified as an unserved or underserved one

Save Wounded Knee Ancestor of the Lakota tribe, Chief Joseph Brings Plenty, in his essay, Save Wounded Knee (april 11, 2013), argues that the massacre site should be saved as a sacred site instead of being sold at an auction. He explains his claim by first depicting the history of the battle at Wounded Knee, then retells stories from his childhood, and finally describes the struggles his tribe goes through to keep their land. Plenty’s purpose is to emphasize the unknown struggle of the Lakota tribe in order to shed truth on the past and potentially help save his land. He constructs an informational and truthful tone for people interested in Native American history and preservation.

- There is a large physician aftercare population for referrals. Healthcare needs are high and there are four hospitals within a 15 mile radius leaving the need for more

Every year that an employee has been with the hospital they will get more time off. I would also set up for a bonus program that rewards employees for being good employees so they would know that I value them and trust them. When they do something good I will give them recognition in public, so they know they are valued. I would set up a pension program and a 401k program for my employees. I would even ask my employees what they want as well to see what compensation is important to them. I want my employees to feel safe and that they have job security. I would try to be flexible I know every employee is different in there own way. Maybe even does something like Saint Thomas Health with the lifeworks pyramid? The goal is simple to empower you with the resources needed to help you achieve a healthy work life balance through a wide variety of employee benefits and support groups. The life works is a pyramid of seven levels of support. I would want feedback from my employees of what is working and what is not. I would also give my employees feedback as well. I think feedback is the best form of

Throughout the Edgewater and Rogers Park community, my focus was on the physical health and well being of the members of the community. The assets identified were doctor’s offices, small clinics and clinics that are a part of a larger chain. Each of these assets show the diversity in the medical care offered in the Edgewater and Rogers Park community. For example, the assets that we found were mostly privately owned and the clinics that are part of a larger chain such as the clinics in Walgreens or CVS, were small and run by only a few people. There weren’t any assets that were part of a large medical institution such as Advocate or Nova health. There was only one hospital which is Methodist Hospital which is one of the largest assets we found. This illustrates how in the Edgewater and Rogers Park community, smaller and more convenient methods of receiving healthcare is emphasized more than larger scale hospitals.

The HCO has plans to provide primary, acute and preventative care to the people of rural South Florida via a state of the art Community Healthcare Center. Our mission and objectives are to deliver high-quality healthcare to improve the health and overall wellbeing of our perspective

"Tom is 35 and works in advertising. He has had a stressful time over the past 12 months and work pressures have been high. He also separated from his long-term girlfriend about 5 months ago. Tom has withdrawn from many of his usual activities and, when he does meet up with friends, he is quieter than normal and he doesn’t seem to express enthusiasm for anything. Colleagues have noticed that he isn’t as eager to pitch to potential clients and is content to take a back seat in meetings, whereas he was often at the centre of things before. On occasions he has been quite short-tempered with people, although he is usually mild-mannered. Tom is struggling to fall asleep at night and has complained that he is waking up fairly early in the morning too, without being able to return to sleep." There have been two previous episodes when Tom experienced similar difficulties: he had some time off work a couple of years ago and in his mid-twenties Tom struggled after his father died.

Furthermore, it’s recommended that the patient set up a physical exam with her primary care provider to rule out other problems that could also cause symptoms. Patients with OCD and other related disorders can show remarkable signs of improvement with effective treatment. She is a moderate drinker and denies smoking or use of illicit drugs. She consumes alcohol in conjunction with sleeping pills to help her sleep. She denies using any other prescription pills. I think it’s best to consider discontinuing the sleeping pills to see if the antidepressant will subside the symptoms. She should also follow up with her Primary Care Provider (PCP) in regards to her sleeping pills. Taking sleeping pills along with alcohol is not feasible and can hinder

Austin, A., & Wetle, V. (2012). The United States health care system: Combining business, health, and delivery. (2nd ed.). Upper Saddle River, NJ: Pearson Education.

Gail you bring up valid points in response to the article content. The increased health needs of the upcoming baby boomers and the paradigm shift presently taking place in primary care will impose more engagement and interaction among entities between physicians, care teams, and patients to address these needs (Altschuler, Margolius, Bodenheimer, & Grumbach, 2012). The Concierge model, an alternative practice identified by Altschuler et al. (2012) offers a solution to addressing the upcoming health care needs by providing a total care option for a set amount of patients and a yearly fee. However, the authors foreworn that this alternative method may not be conducive in meeting the standards due to the lack of primary care clinicians accessible

The health center strives to improve the health and well being of traditionally underserved, low-income and ethnically diverse Worcester area residents. Family Health Center services through a “Family Practice” model

This section describes innovations in primary care: the keys to effective ambulatory – hospital integration. Some important issues are highlighted. Demand for primary care will be on the rise. As a result, a team approach will be developed to deliver the primary care. New ways will be found for patients to interact with team care through phones, emails, and secure portals. Behavioral health will be more integrated with primary care. Innovations will be more about high-utilizing patients. As implications, healthcare leaders will be required to demand collaboration from primary care professionals in exchange for higher reimbursement, identify effective clinical leaders, and build accountability into physician contracts. Medical leaders should

As Dr. Iram Lee Flores, MD I can see myself being a board certified Family Physician in a medically underserved area in Texas such as Cameron or Hidalgo County. Having established my own medical practice, I will be affiliated with Knapp Medical Center and Doctors Hospital at Renaissance. The Dr. Flores MD clinic will be open Monday – Saturday from 8:30 a.m. – 8:30 p.m. where walk-ins are welcomed and new patients are accepted. Patients of all ages, backgrounds, etc. Some of my mornings will consist of visiting the hospital to check up on some of my patients. Followed by a return to the clinic in the afternoon where my team and I will give the patient the best quality care they can

There is growing evidence showing that healthcare systems with a strong primary care system provide care that is accessible and high-quality at a good value. A strong, ongoing relationship is key to what patients need. It is important that when someone is in need, a provider is accessible, is aware of their individual circumstances, and knowledgable about their health problems and history. As will be discussed, there is a major correlation between a strong, accessible primary care network and lower healthcare costs (not to mention increased quality).