The Positive Surgical Governance (PSM) Rate

Coastal Surgical Specialist Incorporated does business as Coastal Surgical Institute (CSI). CSI operates in conjunction with Dignity Health (which runs the hospital in Arroyo Grande) and the governing body or board (comprised of 49% [22-23] physicians who work within CSI and 51% shareholders from Dignity). The Medical Executive Committee (comprised of five board member physicians, among them the Medical Director and Anesthesia Director) answers to the board, and beneath the Medical Executive Committee is the medical staff. Medical Staff includes the Administrator: Director of Nursing, the Pathology Lab, and the Anesthesia Services. The structure of CSI follows Mintzberg’s five-sector model (Bolman & Deal, 2008) in that it is a top-down organization with a clear strategic apex consisting of the governing body of CSI. This administrative component funnels down to the Medical Executive Committee and ultimately the Director of Nursing who is directly in charge of the operating core, which consists of the nursing staff. The technostructure seems to be those specialists such as pathology and anesthesia services, while the support staff is comprised of front office and medical records personnel.

1.The mayor has requested that the city manager form a task force to perform "surgical enforcement" of city codes within an area made up of a particular demographic. The mayor believes that the area's residents have " a propensity to cause trouble" and that "flexing our muscle" will help stop potential problems from arising in the future. The rate of fire incidents and fire loss is the same as the city average. Why is the mayor's plan problematic?

Surgical Technologists have an important role in the operation room (OR). There are different positions within the Surgical Technology field, including Scrub Surgical Technologist, Circulating Surgical Technologist, and Second Assisting Technologist. Scrub Surgical Technologists have a number of tasks, including prepping the patient for surgery, sterilizing the OR, gown and glove surgeons and assistants, and assists the surgeon and other surgical team members in a number of ways, such as passing instruments and dressing wounds. Circulating Surgical Technologists have a number of tasks as well, including checking patient’s charts, identifying patient and verifying the surgery that will be performed with consent forms, assisting anesthesia

As the ASC continued to grow in response to the increasing number of members, the procedures that were internalized not only increased, and were more complex. During that that time of expansion, I help strengthen the collaboration among ASC leadership and personnel to ensure that all surgical initiative is a success. In my role as perioperative educator, I spearheaded the development, implementation and evaluation of training and education via clinical simulation of procedures internalized in the ASC in 2015.

Nurse Manager Alicia Hubbard, RN, MSN, NE-BC, is the Nurse Manager at Texas Health Plano, Neurology/Telemetry unit. She started her nursing career in 2003 as a LPN. She achieved her BSN and MSN from Arkansas State University. She holds a nurse executive certification (NE-BC), which is designed for current BSN or higher degree, currently holds a mid-level or higher for at least 2 years in the last 5 years (ANCC: American Nurses Credentialing Center, n.d.). She has applied to the DNP program at University of Houston to further her education. Alicia has been has a manager for total of 11 years at several different hospitals with the last three and a half at Texas Health Plano.

This paper will describe current quality outcome measures and the significance for improving medical care. Organizational accountability and transparency has improved with the emergence of Hospital Inpatient Quality Reporting (IQR) programs and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPs). This article will review the role of the nurse manager in creating a culture for quality care as well as the nurse for meeting organizational and patient expectations. Organizations like The Joint Commission (JC), Agency for Healthcare Research and Quality (AHRQ), Centers for Medicare and Medicaid Services (CMS), and The American Nurses Association (ANA) have been critical in establishing standards for quality. This paper will also report on the most recent hospital statistics and steps taken to improve HCAHP scores and reduce readmission rates at the University of Tennessee Medical Center in Knoxville (UTMCK). Statistics at UTMCK will also be compared to the Tennessee and National averages found on the Medicare website Hospital Compare. The aim of this paper is to explore if healthcare system initiatives are improving quality and enhancing patient outcomes.

According to UC Davis Heath System, Debra Johnson, a sixty-year-old woman diagnosed with endometrial cancer, had to undergo robotic-assisted surgery from a Surgical Doctor, Gary Leisoerowiz, from UC Davis Medical Center in 2006 (UC Davis Health System). Debra went though with the surgery and received positive results including a fast recovery, no severe scars, and cancer free (UC Davis Health System). However, in a different case involving robotic surgical device used on a patient thing went horribly wrong. According to the Daily News and the article, “Surgical robot da Vinci scrutinized by FDA after Death, Other Surgical Nightmares”, Juan Fernandez died during

Imagine a nation brimming with smiling workers and a swelling economy. Doesn’t that seem like somewhere you would want to live? Well you can; if you support me, Ty Goldin, a member of the Populist Party, we can make this idea come to life. Face it; America is declining before your eyes. The plight of America is characterized by the tough times for farmers to survive, the complete domination of the American economy by massive corporations, and the extremely poor treatment of the average worker. I will help fight these horrible circumstances and make America the ultimate ideal nation.

Shared governance provides clinical providers, leadership, and an organization the opportunity to establish a mutual vision and a plan on how to get there (Brull, 2015). When shared governance is not applied to healthcare organizations many patient care staff feel as though their opinion does not matter. This model allows for staff to have higher job satisfaction, improved retention, and increased staff involvement (Sanford, 2016). Currently there is much success being found when there is collaboration and in healthcare with shared governance the stage for all of these is being set.

1. What are the key issues that Barbara Norris faces at the GSU? Why are they important to the organization?

This essay will discuss about the medical dominance, how power and hierarchy have influence on both patient and medical professionals in the Australian health care system, especially in the field of midwifery. The general concepts of power and the hierarchy in health care setting and how it has closely interwoven with the health sociology would be investigated throughout the essay. The social determinants of health in terms of social justice and equality, moreover, are significant factors in accessing appropriate health service and achieving better health outcome with the patient. It would also utilise the conflict theory to illustrate historical, structural, cultural and critical factors on supporting the power structure, agencies related

For this essay I will be reflecting on the influences on, how the role of the operating department practitioner (ODP) has developed within the multi-professional healthcare team. I will also be discussing in this text some of the historical, political, legal, social, and cultural influences of the ODP. And I will be reflecting on my personal experience working within the operating department for the first time as a student, using the Gibbs cycle (1988.).

The concept of governance within a health care organization must be well design and welcome cooperation (Berger, S. (2011). When those that make policies can understand how to apply cooperative regulatory structure in healthcare setting it is noted that self-interest is not the only way of motivating positive behavior. The concept of governance spells out who is responsible for ensuring and providing support and services to all members needing health resources (Berger, S. (2011).

As some people may know, socialization focuses on the childhood. However, it actually focuses on several different stages that we may encounter throughout life, commonly categorized as childhood, adolescence, adulthood, and old age. According to the book, the sociological significance of the life course is twofold. First, as you pass through a stage, it affects your behavior and orientations. You simply do not think about life in the same way when you are 30, are married, and have a baby and a mortgage, as you do when you are 18 or 20, single, and in college. Second, your life course differs by social location. Your social class, race—ethnicity, and gender. [85]

Country music is constantly changing, an example of this is how women are now viewed in country music. The American form of music became popular in the 1920’s, and continued to grow, artists of this era include the Carter Family, Jimmie Rodgers, and Vernon Dalhart. One of country’s most well-known female singers is Dolly Parton, becoming a major country star in the 1970’s. Dolly was one of the first female artists to challenge the gender stereotypes in country music, this major success led to her long career. She has contributed over 35 hits to country and popular music, including her album Coat of Colors released in 1971, by RCA records was the album that changed her career. The 8th solo album made it onto Time Magazine 's 100 Greatest