The multidisciplinary committee will consist of the Nursing Informatics Specialist (NIS), Chief Financial Officer (CFO), and a Chief Nursing Officer (CNO). This upper level of management will ensure that decisions are made within the schedule timeline. The lower level participants in this committee will provide valuable recommendations based on their experience and knowledge. They will consist of a physician with EHR experience, Director of the information technology department, and a Nurse Educator.…
Receive written correspondence inquiries and appeals from participating/ non-participating providers and affiliate healthcare vendors. Analyze all forms of written inquiries to provide a clear concise resolution within the benefit plan and contract terms. Route correspondence cases to appropriate service departments. Interacts with various departments to obtain directives and resolution. Knowledge of multiple in-house databases and portals, plan products, claim processing, authorization requirements, medical coding and terminology. In addition to the commercial group policies, I also analyze and provide response to the ND50 e-mail correspondence inquiries successfully on all product levels providing an immediate rapid reply. As required, I…
I conducted an interview with Renee Tanega, the center operations director at Concentra at 1730 Black Street. Concentra is the biggest occupational and urgent care medical practice in the United States. They help patients and employers from more than 300 walk-in clinics in 38 states across the nation. Concentra offers occupational and urgent medical care, as well as physical treatment, travel health, and wellness services. Concentra treat many things such as sprains and broken bones to coughs, colds, and flu. Their clinicians have several health care providers include board-certified doctors, licensed physical therapists, nurse practitioners, medical assistants, physician assistants, and other medical professionals (Why Concentra?, 2015). The purpose behind conducting this interview was to understand how HR handled. During the interview I ask many questions to learn more about the human resource in healthcare and also to learn about Renee Tanega experience in health care filed.…
The Joint Commission is scheduled to visit Nightingale Community Hospital for its triennial accreditation survey within the next 13 months. The purpose of this document is to provide senior leadership with an outline of the hospital’s current compliance status in the Priority Focus Area of Communication. Recommendations for corrective action are included in this document which are designed to bring the organization into full compliance in the areas where deficits have been identified.…
The first SMART goal is regarding the elevated re-hospitalization rates, and how as a team we can reduce these numbers by 10% within the next six months. I chose this goal because the Medicare requirements are changing for reimbursement rates and we are a non-for profit organization where cutting down on any costs are important for not only our organization but also for our patients.…
The HRSA Health Workforce provides multiple programs to help combat shortages of primary care, dental, mental and behavioral health services for underserved communities across the nation. Communities with underserved health care can be due to multiple reasons. Groups of people living in these areas may face economic, language, and cultural barriers to health care. The NURSE Corps Scholarship gives me an opportunity to provide my services that I strongly believe will bring value to patients in these underserved communities. It is incumbent upon me to lend a hand to help in one of many critically short healthcare facilities upon graduating from my nursing program. I will contribute to the mission of the NURSE Corps Program…
Key People/Structures Dave Burton, & Brent James - Clinical Management System Design Linda Leckman – CEO Medical Group Nancy Nowak – Chief Nursing Officer Brent Wallace – Chief Medical Officer Guidance Councils – one for each of nine care areas – ensure CPMs are implemented Development Teams - developing of and responsibility for Clinical Process Models (CPM) Bill Nelson – CEO Intermountain Healthcare…
The interviewee said that her practice is mostly providing direct care to the patients. She also sought consultation from infectious diseases department, physical therapy, and orthopedics for patients with different issues. She collaborated with physicians, nurses, case managers, case coordinators, and therapists to manage patient care. The interviewee stated that she did not participate or lead any formal research projects in her career. However, she mentioned that she keeps up to date with new knowledge and information through her continuing education using Medscape. She also attended several nurse practitioner conferences in various states as a part of her continuing professional development. She fulfilled her leadership role by being an important resource person to the department. She denied assuming any formal leadership role in her professional career. She said that she had trained and coached university nursing students in the past. Current department policies did not allow her to precept any students. The interviewee denied facing major ethical decision making dilemmas. She stated that she had been working in her current department as an NP for more than 20 years and the patients she treats are not critical. She denied being in the middle of critical life and death situations in her professional practice. The interviewee stated that whenever there was a conflict,…
1.1 Who are the range of groups and individuals whose communication needs must be addressed in own job role…
Mr. Schaefer described Ellen as a driven pioneer that had over 2000 visions (Schaefer, 2017). These visions were the basis of all the medical programs that LLU currently has with millions of students building upon the work she began. The values that these students, including myself, will continue injecting throughout our careers and life are integrity, teamwork, and excellence. Integrity showing consistent care, while collaborating with colleagues to build the upmost quality healthcare we can provide to our patients and their families is what I envision for myself, much like Ellen G. White.…
It is important to understand that as a part of our mission in this organization we need to keep people informed about any and all changes that could occur. It is also important to know and understand that both health care and media organizations will benefit if they can learn to work together (Cheesebro, O'Connor, & Rios, 2010). Being visible in the media is not only good for business but also it will boost the morale of the people both within the organization and the individuals who use the organization. When dealing with the media there are both advantages and…
Nursing is a profession that constantly evolves to improve itself. There is a high demand for nurses all across America. Excellent nursing practice is achieved by understanding the history of nursing and integrating the milestones achieved with the present practice. Through advanced education and new technology the nurse can provide the patient with the best care and promote community health. Knowledge gives us power to change and advance in healthcare. My mission is to demonstrate excellence in clinical care by my commitment to evidence-based practice research, continuing education, and by delivering culturally competent patient…
I was able to learn about the importance of effective medical education and communication with my patients through creating nutrition materials on the different food groups and chronic ailments such as diabetes, hypertension, and heart attacks as well as consulting with patients weekly to find out what they needed and desired to improve their health and how I could direct them to their needs. At Haven, I exchanged ideas with each of my patients on how they and their families can live healthier lives as I learned about their diverse lives and tried to make sense of it for them and others. Haven taught me how to become an effective listener, a fast learner, and an effective deliberator within a healthcare setting and serves as the foundation of those skills in my upcoming medical…
* Scott S S & Elliot S (2009).A success story critical care nurse. Implementation of…
Spending time in clinicals with this woman in particular, helping her with her daily routine as well as getting to know her on a personal level developed a bond I will never forget. This woman, 96 years young, was full of wisdom and didn’t hesitate to share it all with me. Through this experience I learned what it meant to be a health care provider and truly care for the person I was helping, even when I had never met them before. I’ll never forget the last day of my clinical rotations as I stopped by for a final goodbye to each of the patients I had helped care for and their reactions. Everyone I had helped was more than grateful for my time spent with them, but Beatrice, my last stop before leaving Toledo hospital, broke into tears telling me how I was the hardest worker she had ever had and how much she would miss our time together. It was that moment that I realized this is want I needed to do with my life and that making a difference in someone’s life through healthcare would be the ultimate high.…