HOSPITAL COURSE: The patient’s hospital course was characterized by a progressively downhill course. He was initially hospitalized and found to be mildly hypoxic, which rapidly corrected with supplemental low flow oxygen therapy. However, he gradually became more oxygen dependent on high flow oxygen, eventually requiring intubation with mechanical ventilation in order to maintain his oxygenation. He underwent an open lung biopsy in an attempt to delineate the etiology of his pulmonary situation, and this was reported as idiopathic pulmonary fibrosis and alveolitis. The specimen was sent to the Forest General Pathology Department for further evaluation, and they were able to give no further help concerning the ideology of his pulmonary status. An echocardiogram showed left ventricular wall motion hypokinesia and an ejection fraction of approximately 35%.…
From its state-of-the-art Birthing Center and Pediatrics Department to its Pain and Physical Therapy Center; from its expert surgeons to its specialists in wound care, diabetes treatment and hospice; you know that when you decide to use Sturgis Hospital in Sturgis, Michigan you are choosing exceptional medical care.…
M.S. is a 35-year-old female who came into urgent care at Kaiser Permanente Riverside. She presented with a sore ankle that was causing her problems after accidently twisting it by missing a step in going down a set of stairs. The only prior medical history that M.S. has is a history of asthma that is currently managed with appropriate medications. Even though she has a history of asthma, she reports smoking cigarettes and often drinks alcohol. She also reported not having a very healthy diet. Upon examination of M.S. ankle, it is concluded that she minors sprained. During normal examination, her vitals signs are obtained which showed a respiratory rate of 16, pulse of 100, temperature 97.2OF, blood pressure of 151/91, pulse oximetry of 99%. Since it was noted that her blood pressure and heart rate where both high, it is assessed on the opposite arm and it showed a blood pressure…
Reason for Consultation: Continued deterioration with COPD, subcutaneous emphysema, and recurrent pneumothoraxes (ces). Evaluate for possible transfer to Forrest General Medical Center, thoracic unit.…
Edgewood Lake Hospital (ELH) which opened in 1945, is a 30-bed, independent, not-for-profit hospital located in rural northern California. It provides inpatient and outpatient services to the close-knit community that resides within the forested and lakeside town the facility is nestled in. Although it is known for its great track record for quality and is held in high regard by the surrounding community, it has steadily experienced financial losses from 2006 through 2009. These losses can be attributed to factors both internal and external to the facility itself.…
In Humble Surgical hospital, the leadership is the owner of vision. The vision and mission of the hospital have shaped its the culture which has helped to establish hospital values.…
Grady Memorial Hospital frequently referred to as Grady Hospital or simply Grady, is the largest hospital in the state of Georgia and is the public hospital for the city of Atlanta. Historical segregation of its hospital units meant that it was also called "The Gradys," a name that still surfaces among elderly Atlanta residents, especially African Americans. Grady is a Level I trauma center. Trauma is any life-threatening occurrence, either accidental or intentional that causes injuries. The leading causes of trauma are motor vehicle accidents, falls, and assaults. Located downtown near the campus of Georgia State University, Grady is considered to be one of the premier public hospitals in the Southern United States. Grady Hospital is named for Henry W. Grady, an Atlanta Constitution journalist and later owner who became a major force in Georgia politics, and advocated for a public city hospital. Grady is now the flagship of the Grady Health System (Grady, 2009). Marketing plays an important role at Grady Memorial Hospital. This paper will explain product, price, place and promotion of this hospital as well as examine the relationship between the organizations marketing and partnerships. It will also touch on why…
Eighty percent of patients at RRMC were Medicare or Blue Cross and the administration experienced much difficulty when it came to negotiating prices with Blue Cross due to monopoly”(Richards & Slovensky, 2004). In this market, buyers have high bargaining power because reimbursements rates are low. Because Medicare and Blue Cross held monopoly in these services area, negotiating prices remained extremely difficult for RRMC. The suppliers have lower bargaining power due to low Medicare reimbursements and difficulty negotiating prices with Blue…
Huntsville Hospital (HH), located in Northeast Alabama, is part of the Huntsville Hospital Health System, originating in downtown Huntsville, Alabama in the late 1800’s. As the not-for-profit, public hospital system developed, HH became the second largest employer in Madison County, Alabama with an estimated 7000 employees, 2000 nurses and 1000 physicians.…
We interviewed our friend Eric Ordona who currently works at Scripps Memorial Hospital as a…
Admitted to the medical-surgical unit with a chief complaint of “breathing problems”. She speaks broken English & requests that her daughter be allowed to stay with her. She is on nasal cannula oxygen & sitting up in bed. At this time, she seems slightly short of breath, but is not in acute distress. You note that she is pale & has a petite frame. Her ankles are swollen. Her daughter tells you that she has been complaining of feeling more tired in the evenings & “unable to catch her breath”. While at home, she has been sitting up either in an easy chair or in bed with three pillows. Her daughter states that Mrs. Lee has not had to urinate as much in the last 2 days, but she gets up twice each night to use the bathroom.…
Hammond General Hospital is a 334 bed general hospital located in a Mid-western town of 45000 and serves a countrywide population of approximately 140,000. Recently the board of directors at Hammond awarder the management contract of the Food Service Department to an outside company, Master Host Company. Master Host appointed Dave Smith as director of food service. It must be noted that this is the first time in the hospitals history that someone outside the hospital has been appointed as director of a department.…
Janet is offered a job as a primary care physician at Hospital Z. The offer letter she receives includes a salary of $137,000, shared lab space at an adjacent research center, and start up funds of $10,000 for her research. Janet gathers additional information regarding the details of the offer and has to decide which aspects of the offer to negotiate. Here are some of the issues Janet is facing:…
As a CEO of Nashville General Hospital at Meharry I would ensure my employees understand the decision making process and where their decisions fit in the big picture by ensuring they are ready for the workforce. Change readiness helps an organization to manage change, once it identifies and labels the most important forces impacting change and develops strategies to address those forces (Dhingra & Punia, 2016). As CEO of my hospital I would make sure employees really understand their role in the organization and how important it is. According to Goetsch & Davis (2013), if you are determining whether employees are ready for empowerment, you need to ask the following questions: Are the employees accustomed to critical thinking? Are the employees…