Total Renal Care ( Trc )

Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care, medication and meals. Mrs Gale has a history of weight fluctuation owing to lifestyle but is currently at risk of malnutrition due to Parkinson’s disease. Mrs Gale shows signs of early dementia and suffers from poor mobility and pain caused by arthritis. Mrs Gale also has mild depression triggered by loss and has become socially isolated. All names have been changed as per the Nursing and Midwifery Council confidentiality guidelines (2008).

For this professional practice, I decided to interview a professional who deals with the subject of death and dying on a regular basis. The interview was conducted at Calvary Hospital which is located at 1740 Eastchester Road in the Bronx. Calvary Hospital was established in 1899 and works in connection with the Roman Catholic Archdiocese of New York. Calvary Hospital is a non-profit institution and it has a total of 225 beds. This hospital is one of the largest which focuses on end-of-life hospice and palliative care. Other programs include inpatient care, pain management, home care with bereavement and support programs for families and friends, therapeutic recreation, and music therapy. All these

In 1918, the ACS began implementing their Hospital Standardization Program to inspect hospitals and enforce minimum standards. The initial inspection results were troubling, of 692 hospitals assessed, only 89 met the minimum standards (Chassin & O'Kane). Over the years, the program began to show significant improvement in the quality of care. By 1950, the Hospital Standardization Program accredited over 3,200 facilities across the country. Today, accreditation promotes a continuous cycle of quality improvement, rather than sustaining minimal levels of performance

The forced-ranking leads the management of DaVita to the third step of the control process comparing results with objectives and standards. The results of the changes made to the recruiting department were that the organization was able to save $12.1 million in overtime and temporary nurse because of the ability to fill position at a faster rate (“DaVita: Optimas Award Winner for Competitive Advantage,” 2009). The percentage of empty positions fell to four percent as of 2009, and recruiting is now ranked as one of the top 10 corporate departments (“DaVita: Optimas Award Winner for Competitive Advantage,” 2009).

The Continuum of Care is the variety of health care services provided to numerous individuals who are in need of it. All the various Long Term Care providers work as a unit, helping an individual handle their disability with various health care amenities accessible. The Continuum of Care, as stated in Long Term Care: Managing Across the Continuum (2010), is “comprehensive, integrated, and client-oriented”. All the services offered should be client-based and cater to the client’s needs and suitable care. The client’s should be able to obtain services when it is needed from the provider, making it comprehensive. All the different Long Term Care providers should be interconnected between one another, because their goal is all the same. Their goal is to care for the client’s needs. The Continuum of Care consists of: nursing facilities, sub acute care, assisted living, residential care, elderly housing, and a variety of community-based services (Pratt, 2010). All these different providers work together to care for the individuals within the health care industry, creating the continuum and making it integrated. The continuum has many positive attributes, along with many barriers. The range of barriers are: poor transitions from Long Term Care setting to setting for the clients, the continuum is reimbursement-driven, it is fragmented and uncoordinated, it is under staffed with medical professionals, and there are major language and literacy problems.

Stanford Hospitals and Clinics (SHC) is a world renowned academic health system that is comprised of 386 primary and specialty care clinics and the 476 bed Stanford Hospital (US News & World, 2015). The hospital and most clinics are situated in Stanford, California or the surrounding cities. The mission of SHC is “to care, to educate, and to discover for the benefit of patients and the larger community” (Denend, Mendelson & Zenios, 2010). They exemplify this mission by being nationally ranked in 13 adult specialties, including: #9 in ear, nose, and throat; #10 in cancer; #13 in diabetes; and #18 in cardiology (US News and World Report, 2015). Their excellent across multiple disciplines has helped SHC gain worldwide recognition for

During my 4 months after my winter semester, I’ve been working for a company which seems well known around the city of Mississauga and West End of Toronto called Trillium Health Partners. Trillium Health Partners is a hospital which has a tremendous and outstanding record of their performance, fiscal responsibility and patient care. From what I’ve seen from working there, everybody achieves and support high quality care that when patients from the community come into the hospital and leaves looking satisfied. Also to add on, they have 3 main sites which includes Credit Valley Hospital, Mississauga Hospital and Queensway Health Centre to which I was very honoured to visit and work at all 3 sites during the summer. My job title was Desk side

A number of companies have entered the field of providing dialysis, where they compete with non-profit providers. This brings us to one of the most important strengths of RAI as a company: Its clients have rated it very highly as being able to blend the efficiency that they have come to expect of a company operating in a competitive market with the individual care and compassion of a non-profit health provider.

The DAV is very committed to helping people grow their knowledge and skills so that they can get back out there. In 2015 alone, more than $4 billion in new and retroactive benefits have taken care of veterans, their families and survivors. Throughout our time we have really grown as a company. Everyone who works for the DAV has many years of

Section 3008 of the patient protection and affordable care act (ACA) created the Hospital-Acquired Condition (HAC) Reduction Program to provide an incentive for hospitals to reduce HACs

The Anatomy of Care (AOC) is an interactive game where the scenario is set at Metro Hospital, which has the best medical reputation in the area. Even with a prestigious reputation, it was evident that issues regarding facility, staff, organization and budget were affecting how the organization cared for patients, but more importantly, how patients were perceiving the organization. AOC allows the user to make decisions in the role of a hospital team member, choosing from a charge nurse (Janice), a transporter (Emilio), a doctor (Dr. Klinger), a desk clerk (Clara) or an environmental services technician (Kyung). No matter the role, every team member’s encounters had an effect on a patient’s or family member’s experience.

DaVita Dialysis Center was founded in 1999, with the goal to develop programs to enrich lives. It was originally called Total Renal Care (TRC), but during its restructure it was renamed with the term, DaVita, Italian for “giving life.” CEO, Kent Thiry saved the company from the brink of bankruptcy through his leadership style. The corporate headquarters were originally in El Segundo, California, but were moved to Denver, Colorado. Today, it has grown to be an organization with over 53,000 teammates around the nation. The company has expanded to 2,251 outpatient dialysis centers in the United States and 118 outpatient dialysis centers in 10 foreign countries. It treats patients with acute kidney failure, chronic kidney failure, and end stage renal disease. The company’s core values are accountability, continuous improvement, fulfillment, fun, integrity, service excellence, and team. The core values are integrated in the organization’s vision for leadership to stress collaboration and a team-based environment. Teammates feel an emotional level of trust and mutual commitment.

DaVita is a kidney care company that services people by supplying dialysis treatments to patients that have serious “chronic kidney failure and people that are going through end stage renal disease”. “DaVita’s website states that “as of December 31, 2013, DaVita operated and also provided administrative services at 2,074 of its outpatient dialysis centers located in the United States, they served nearly 168,000 patients in that aspect as well as provided services at 73 outpatient dialysis centers that are located in 10 separate countries.” (DaVita Health Care Partners). Retrieved April 18, 2014 from http://davitahealthcarepartners.com/.

The introduction of dialysis as a lifesaving treatment for kidney failure was not the result for any large scale research

In April of 2000, the Downtown Health Clinic (DHC), which is run and overseen by Perpetual Mercy Hospital (PHC), found out some troubling news and was very concerned about it. Perpetual Mercy Hospital was concerned about the possibility of a establishing a similar clinic five blocks north of their facility. The main concerned are that the new and upcoming clinic may take away DHC’s current patients and that such a similar clinic so close could put a damper the DHC’s profitability and financial