Renown: A Pediatric Emergency Room

This facility is lined academically to the Harvard University Medical School. Conduct a brief SWOT analysis for Children’s Hospital in light of the present health care environment.

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

Emergency room over utilization is one of the leading causes of today’s ever increasing healthcare costs. The majority of the patients seen in emergency rooms across the nation are Medicaid recipients, for non-emergent reasons. The federal government initiated Medicaid Managed Care programs to offer better healthcare delivery, adequately compensate providers and reduce healthcare costs. Has Medicaid Managed Care addressed the issues and solved the problem? The answer is ‘Yes’ and ‘No’.

1-2013, Boston Children's Hospital. “Achondroplasia | Symptoms and Causes.” Boston Childrens Hospital, Harvard Medical School (Teaching Hospital), www.childrenshospital.org/conditions-and-treatments/conditions/achondroplasia/symptoms-and-causes.

Emergency room overcrowding is a major issue throughout not just the United States but in many countries. There have been many strategies on how to combat this issue as patient satisfaction is often being a major variable on hospitals being reimbursed, which interventions are most helpful? One intervention that is gaining more and more popularity is advertising wait times. Through a PICO search with key words of “ED triage” and “patient satisfaction” or “wait times” provided some great original research over the past five years that has been peer reviewed in the Journal of Canadian Association of Emergency Physicians. While multiple research papers came up, the methodology and potential of taking this particular study further was of great interest.

The reporter stated on 08/05/16 at 3:15am, she received a call that a social worker was needed at Prentiss Emergency Room. Ms. Oatis stated when she arrived it was disclosed to her that Messiah had passed. According to the reporter, Mr. Simms made a statement after giving Messiah a bath, he left the restroom to get a dry towel. Mr. Simms stated when he returned to the bathroom, Messiah’s head was under water. The reporter stated physicians ruled there isn’t water in the child’s lungs. Ms. Oatis stated she was able to view the child’s body and witnessed old bruises, new bruises that were healing, cuts, and marks all over the child’s body. Per the reporter, Messiah had cuts all over his fingers that appeared to be defensive wounds, little scratches

My choice of organization is leaning towards the Floating Hospital for Children at Tufts Medical Center. I have learned so much about the organization as a solid partner of Tufts-NEMC during one of my Strategic and Planning Management classes. Similar to Tufts-NEMC, the Floating Hospital for Children has a rich history as it was established in 1894 as a hospital ship, sailing in Boston Harbor. Back then, people believed that fresh air was the most favorable alternative in treating ailing children. It has continued to provide medical care to sick children while cruising Boston Harbor for the next three decades. It has then upgraded its facilities and expanded amenities to having an inpatient service and onboard research facility. However, at some point in the spring of 1927, the floating hospital was ruined by fire. As luck would have it, none had been on board. Four years later, another facility was built – this time on land providing a comprehensive service pediatric facility with ongoing research activities.

These were my sixth (10/15) and seventh (10/16) night shifts following Meagan on the medical/surgical floor at Rady Children’s Hospital. On Thursday, the floor was full with 39 patients and we were unable to accept any more patients. Since it was so busy, Meagan and I stayed at the front of the floor where no one else was sitting to prevent distractions so that we could complete our assessments and charting in a timely fashion. Many patients were discharged during the day on Friday, so there were significantly less patients for my second shift on Friday night. However, it was still busy with 4 admits right at the beginning of shift, 12 nurses, and a total of 35 patients by the end of the shift.

The SickKids Hospital is mainly aimed at maintaining a suitable and financial status. The graphs provided above provide a suitable outlook of the hospital’s main source of revenue, available assets, and the specific areas as well as percentage of funds invested in children’s health. The main sources of revenue as presented in the pie chart include events, corporate partnerships, direct marketing, individual giving, net lottery, and parking fees. With the funds collected, a great percentage of the investment is directed towards child care, research, education, national and international relations. Through profitability generated from the performance, SickKids Hospital invests the remaining section of its funds to asset acquisition.

I believe the two facilities that I found most interesting while my fellow peers were presenting would have to be Paxton and Hannah’s which they discussed the facility the Mayo Clinic and then Jacob and Joel’s which was Nationwide Children’s Hospital.

This analysis shows the aggregated number of patients by age groups that were transferred to acute care inpatient institution in the fiscal year 2002-2003. This discharge category includes transfer to another acute, subacute, acute psychiatric, acute rehabilitation, acute cancer centre and acute paediatric centre.

Kids Emergency Doctor - is a new casual puzzle toy, where we will have to engage in responsible business - to engage a girl named Molly treatment. The poor girl attacked by microbes, and she was not feeling well because of this. Take her to the doctors who treat ear, nose and throat - are used for this professional doctor tools, and in breaks between physicians device costume show, or solve puzzles unpretentious style "Find the

It is with mixed emotions that, after more than thirty years, we advise you we will no longer be seeing patients admitted to or born at Riverside Medical Center as of August 1, 2016.

Patients have been missing appointments or have canceled required follow-up testing which was ordered by providers. These appointments are either canceled or no show within 24hrs before scheduled time. Missed appointments are a cost to the health care system in terms of personnel time, extended waiting lists, and the loss of potentially beneficial services. In the past quarter, we have seen a decline in No Show Rate. The 10% of the patients did not show up out of the 160 weekly spaces available. A total of 16 missed appointments per week at $120 per visit which equals $1,920 in lost revenue in a week which equals $23,040 in the past 3 months. Which means patients failed to receive a recommended care, and the appointment slots were wasted.

* Check for ambiguity in wording the question – can respondents interpret the meaning of words differently?