Salina Family Health Care Center

| 1- Collaborative work environment.2- Cooperation between physicians.3- Changing lines of authority.4- RNs maintain professional standards across care centers.

Trinity Community Hospital conducted a focused community health needs assessment centering on cancer, orthopedic and cardiovascular services. The information was obtained through a multitude of sources including: epidemiological surveys, focus groups, interviews with healthcare professionals and healthcare facilities’ planning guidelines.

Dignity Health Methodist Hospital of Sacramento is a nonprofit general acute care hospital located in the southern part of Sacramento on 7500 Hospital Dr, Sacramento, CA 95823. Methodist Hospital has been serving the Sacramento region since 1973. The hospital has 329 licensed bed in total, out of the 329 beds 162 are acute care bed type. Methodist hospital provides patients a full range of services ranging from skilled nursing, Family Birth Center, Emergency Room, Orthopedic, to Physical Therapy Center. It offers 24-hour basic emergency services but unfortunately, it does not offer trauma services. Provider Id 050590.

This is a report of an Interview with Karen Gordon-Sosby, associate director at Texas State Student Health Center. Karen is a highly motivated professional, an experienced healthcare administrator and appears to possess inherent management and leadership skills that are quite significant and noteworthy. Her expertise in performing the indispensable task in managing and analyzing financial records, brings a unique blend of health administration and public health prowess to the healthcare industry.

The underserved populations have increased exponentially. The Rural Policy Research Institute (2009) defines the medically underserved as, “the ratio of primary care physicians per 1,000 population, the infant mortality rate, the percent of the population with incomes below the poverty level, and the percent of the population age 65 and over.” By that definition, over half the state is considered to be an underserved population. With the demand and needs of the state, it is no surprise that the FNP has become a more utilized provider of healthcare is many settings. There has also been a recent emergence of nurse-managed health centers or (NMHCs), as a form of primary care delivery. According to Espirat and Debisette (2012), NMHCs reduce Medicaid costs, are a great Segway to community outreach and provide quality primary prevention.

As Executive Director, I will provide staff leadership for Better Health Association. Our goal for the company is to improve the well-being of individuals. Audiences of all ages will be able to take part in learning about living a healthy lifestyle and developing the skills needed to make healthy choices to prevent diseases and ameliorate conditions for those already afflicted with illnesses. Over the course of the following year, it is my responsibility to develop and lead the staff, management structure, dedicated to achieving the mission for Better Health Care Organization. I plan to make significant changes to our organization, to help guide individuals in Central Ohio, to living a better and healthier lifestyle. My goal is to empower the staff with the training needed to meet our company’s standards.

Growing up in a little South Carolina town, Chesnee taught me so much and I would never give it up for the world. I found myself humbled to the utmost of levels and with only an undersized family practice centrally located in the town, the importance of having access to health care was monumental. The doctors in this community were astounding and more so than anything, they had developed relationships with the people of Chesnee that surpassed their call of duty.

Surgical Same Day Unit at, St. Angles faces multi-layered issues in the organizational level. As the newly appointed decision-making head to set up a corrective action plan at the unit, the issues beseeching the unit were first analyzed. After identification of issues, the overall pressures on the unit are studied with attention paid to the inter-profession conflict, communication gaps, issues of bullying, negative opinion of staff that there is no scope for practice, apart from retirement issues. The recommendations to resolve the crisis situation and help Surgical Same Day Unit to be

Seasons care center is located in Kansas City MO, off of Woods Chapel Road. The center is nestled in a private eleven acre atmosphere with horses and wildlife wandering the surrounding areas. They offer a wide range of secure services form long term care, day programs, and respite care. Seasons is one of the few facilities in Missouri that offers care dedicated solely to individuals with Alzheimer’s disease (G. Channing, personal communication, July 28, 2015).

Smithson Healthcare System (SHS) is a not-for-profit health system which serves the greater community of Newland County and other rural satellite counties within the state. In 2013, SHS unfolded a new heart clinic located at their Smithson East hospital as a tactical response to some disturbing outcome data and the evolving healthcare environment. The clinic’s purpose was to improve outcomes for patients with a primary diagnosis of heart failure and respond to reimbursement changes associated with the Affordable Care Act (ACA). After three years of aggregating data on the operating performance of the heart clinic, an evaluation of the impact and success of the clinic is required. This analysis will offer conclusions and suggestions that will influence the future of the heart clinic’s vitality for consideration to Smithson East’s Chief Operating Officer (Chelsea Rigland) and its senior staff.

Schneck Medical Center (2013) began in 1911 as a 17-bed facility, named Jackson County Schneck Memorial Hospital. Schneck Medical Center (n.d.) remains committed to serving its community by continually improving staff and technology. Schneck views every situation as a priceless opportunity to deliver patient- and family-centered care. Schneck Medical Center (SMC) recognizes the importance of personalized care. Their mission is to provide quality healthcare to all they serve (Schneck Medical Center, n.d.). Through integrity, compassion, accountability, vision, and excellence, staff promote SMC’s (n.d.) vision, “to be a healthcare organization of excellence…every person, every time.” SMC’s healthcare professionals use these guiding principles daily.

Arroyo Fresco (AF) currently provides services through eleven clinics and four mobile service vans across western Arizona. The three counties that are served through AF provide high quality primary care and preventative services to demographic areas with diverse geography, culture, income, and other varying factors (“Arroyo Fresco,” 2006). The facility guides its decision making process for organizational strategies with the combination of FOCUS and SWOT analysis. This allows for a well-rounded check and balance system to manage and prepare for current and future strategies for short term and long term processes. The increase in financial demands, consumer

The mission of Hawaii Health Systems Corporation is to provide accessible, comprehensive healthcare services that are quality-driven, customer-focused, and cost-effective. The vision of the organization is to be the provider of choice for the communities it serves, the employer of choice for its staff, and the system of choice for its physicians (www.hhsc.org, 2014). The organization works with the physician base along with other service providers to plan and implement business ventures that will enhance the services offered to its patients. Employees and community leaders are included in the decision making processes to ensure adequate representation. Each facility has its own separate mission and vision statement that integrates into the overarching statement of Hawaii Health Systems Corporation.

Thus, Kaiser Permanente is working in a rapidly changing health care environment that requires constant change. Their mission is to provide high quality, affordable health care services and to improve the health of their members and the communities they serve (KP, 2016a). Their vision states they are trusted partners in total health, collaborating with people to help them thrive, and creating communities that are among the healthiest in the nation (KP, 2016a). Therefore, advancing the mission on affordability will help them achieve their main goals, to perform, grow, and lead while keeping affordability at the center (Kaiser Permanente, personal communication, February 2015). First, drive performance in care, quality, and service at a lower cost, enabled by their people, places, and technology. Second, pursue core and new growth with an increasing focus on consumers. Third, lead national health care change through expertise, trust, and

In order to accomplish the program’s specified mission, the HRPP/NICP developed goals which include: (1) early identification of women and children at risk of mortality and morbidity, (2) education for health professionals, families, and communities, (3) linkage of infant, toddlers, and pregnant women to risk appropriate services, and (4) establishment of standards of care (ADHS, 2009). As a result, the program has provided a safety net for Arizona families and a method for ensuring availability and accessibility of risk appropriate care to critically ill newborns and high-risk pregnant women, regardless of their ability to pay (ADHS,