VCU Health System: A Case Study

Thank you for your response regards to "Rolling Meadows Community Hospital". John did not act in a fairly manner by not giving the intern the position. Even though John did confess his truly feelings it still ended up being an altercation not only for him but the hospital as well. I agree where you stated "This provide an understanding that just because one doesn’t physically touch or ask for physical contact doesn’t mean you can’t get in trouble for comment." I believe John felt like he could get away with this case just because he was the CEO of the hospital but it obviously does not matter what type of position you hold in a work environment; this should not be tolerated at any work environment.

In the interest of improving services to Veterans, VA San Diego Healthcare System (VASDHS) is now offering text message reminders for appointments. Currently, VASDHS sends reminders for appointments in some locations that provide mental health, along with various clinics such as Traumatic Brain Injury, Neurology and Gastroenterology.

In 1636 U.S. veteran administration hospitals were made to help and take care of the war veterans that come in injured or ill. Also, the bills for this should be taken care of so there are no worries for the most part, but none of this is happening the way it should be or how the system was created to be. Veterans are turned away and avoided by the U.S. veterans hospitals, they have a big thirst for money that has not been quenched and because of this, the veterans that come in are not being treated properly and this effect is turning out very negative.

The Miami VA Healthcare System serves Veterans in Miami-Dade, Broward and Monroe counties and operates a total of 372 hospital beds (US Department of Veterans Affairs, Veterans Health Administration, n.d.). Since the VA system is owned and run by the federal government, audit requirements in order to provide dietary and nutrition care services in the inpatient, outpatient or long term care setting are different compared to private sector hospitals. Hospitals and health care organizations get accreditation from the Joint Commission in order to meet federal requirements and get payment from Medicare and Medicaid programs (The Joint Commission, n.d.). However, since the Miami VA Healthcare System is a government organization and at a higher level is not required to do so (M. De La Cera, personal communication, January 12, 2017). Nevertheless, the Miami VA requests unannounced visits from The Joint Commission every three years to monitor and strengthen their performance excellence as well as keep their ongoing commitment to the safety and quality care of their patients (Office of Public and Intergovernmental Affairs, 2016). Furthermore, the Agency for Health Care Administration (AHCA) conducts unannounced onsite reviews of the Community Living Center (CLC) to review processes and procedures. Inspectors from AHCA seek

The drugs protected by the law are safe yet still harmful. War veterans feeling the worst of the pain, after being honorably discharged for injuries sustained in action. While going through treatment for the injuries the veterans found themselves addicted to the pain medication. The veterans needing help through their addictions, PTSD, and injuries found themselves sedated for most of their treatment at the VA hospital. Waggoner; a patient at the VA hospital was addicted to pain medication and expected help from the medical staff. However instead of getting the help he needed he was given more drugs than necessary according to Cironline “The VA hospital in Roseburg kept him so doped up that he could barely stay awake. Then, inexplicably, the

Vanderbilt University Medical Center (VUMC), a non-profit medical center, was founded in 1874 as a part of Vanderbilt University (Wood, P. 1). The U.S. News and World Report ranked VUMC as one of the top health organizations in the United States for patient care, research, and medical education (Vanderbilt Fact Book 2015). In addition, VUMC is a charity hospital that provides about $400 million in charity care per year (Framework, 2013). It should also be noted that Vanderbilt is the only level one trauma center and level four Neonatal Intensive Care Unit in this region. Vanderbilt is also unique for its comprehensive cancer center, dedicated burn center, and has Tennessee’s only solid organ transplant center, per the Vanderbilt Fact Book

The reporting party (RP) arrived at the facility on 6/9/16 at 7:40AM in response to male resident Douglass Gass DOB: 7/3/42 "911" call. The resident had fallen at approximately 11:00PM the night before. Consequently the resident was non-ambulatory and sustained minor injuries. The resident was treated and transported to the VA Hospital in Westwood. The RP disclosed that the resident was the "911" caller who stated he had been on the floor the entire night and no caregiver responded to his aid. During the conclusion of the call a caregiver appeared and was of the ongoing incident. The RP state several concerning conditions were observed. The facility was in violation of several Fire Code items. The resident and his roommate had no operable signal system.

On August 27, 2016 worker received a letter from Dr. Andrew Duxbury, MD, Mr. Walker’s doctor at the VA Medical Center. The letter stated Mr. Walker has both physical and mental limitations that render him dependent on a third party for care. He is unable to understand normal decisions for daily living and patient’s need for 24-hour care and supervision was discussed with family on June 9, 2016 during home visit.

The Miami VA hospital has been troubled after the scandal that involved thousands of patients being exposed to the risks of HIV/AIDS and other diseases. The major issue arose on the fact the management in place was not making any progress to deal with the problem. After going through the case study, the hearing on the situation and further research on the internet regarding the Miami VA Hospital, I made several findings that enabled me to come up with the following recommendation to help rejuvenate the hospital.

On June 22, 2016 to August 4, 2016, I began work at Cape Fear Valley Medical Center in the Infection Prevention and Control department; where I had the pleasure of completing a total of 120 credit hours. Cape Fear Valley Health Systems has four additional hospitals, including Cape Fear Valley Medical Center; with 880 beds regional within the health systems. Cape Fear Valley Health Systems is affiliated to several primary care physician offices located throughout the Cape Fear region and surrounding areas.

Maggie Gill started her career with Memorial University Medical Center (MUMC) in 2004 as the VP of managed care and finance. In 2005, she became MUMC's COO, and then in 2011, she was named CEO and president by the board of directors, once they realized that the ideal candidate for the position, one who had experience in both finance and operations, was already employed by the health care facility.

The area that I chose to discuss under the CFO is the Director of Budgeting. The roles and responsibilities include handling the budget, and managing all expenditures and its limits, supervising staff, and analyzing profit goals, revenue, and expenses while complying the regulations of not only the company but the state and federal industry as well. Some additional methods of management that would fall under this area include directors of human resources. They work hand in hand with each other when it comes to making sure funds are available for new staff hiring, new functions of operations, employee medical and dental benefits, etc.

Trinity Community is challenged with two current healthcare trends. The first trend is related to Medicare and how doctors are paid on Medicare claims. Medicare’s primary coverage group is for people older than 65 years of age. Medicare also covers some people under 65 that have certain disabilities as well as people of any age that have End-Stage Renal Disease. Year after year, lawmakers have been trying to fix a part of the Medicare law that would cut payments to doctors. Since the late 1980’s, the cuts would continue to grow annually and eventually exceed a 20% pay cut.

Currently, the College of Osteopathic Medicine department at Nova Southeastern University offers multiple clinical services that are open to the public. Here patients have the opportunity to establish care and get treated by doctors. These clinics also help students to learn and experience firsthand what it takes to become a doctor. The students are able to work alongside the doctors, and have one on one encounters with the patients. The main clinics are located at the Sanford L. Ziff center; the clinics currently available are Internal Medicine, Geriatrics, Family Medicine, Optometry, and Dental. From Monday to Friday the clinics operate from 8AM to 5:30PM, except for Family Medicine which on Tuesdays and Thursdays provide a night clinic service, from 5pm to 7pm and a weekend clinic on Saturdays from 8am to 12pm. Nova Southeastern University relies heavily on its faculty and staff help manage and operate these clinics. There are over 350 employees currently working in this department. Employees here learn to provide excellent customer service, to learn how to deal and verify health insurances, to help and keep up to date with accounts receivables and accounts payable. It is presumably

It was in 1977 that the United Healthcare United Health group was founded by Richard Burke. The headquarters of the company are in Minnetonka, Minnesota. This organization works towards the betterment of people's health, it help them in living a healthy life by providing them with the kind of health care that would be best for them. The main focus of United Healthcare which is a major division of the United Health group is to provide the people with better health benefits and coverage.