MODULE 04 WRITTEN ASSIGNMENT – EXPANSION OF HOSPITAL SERVICES
The previous decade has seen profound adjustments in how the hospital business has organized itself, together with the rising significance of hospital techniques. Theoretically, system consolidation can have constructive results from improved effectivity and high quality or unfavorable results from higher market energy. Moreover, these developments have led to hospital bankruptcies and closings, reductions in mattress enhances, and mergers and takeovers, in addition to the formation of an ever-increasing variety of hospital networks.
On this module, you studied how vertical integration can impression a well being care system. In your opinion, ought to hospitals broaden into different companies with the intention to strengthen their monetary standing, or is that this a technique of “self-referral,” reaching out for income-producing areas which can be exterior the realm of the hospital’s mission assertion?
In a 1-2 web page paper, written in APA format, tackle the next:
Clarify how vertical integration can impression a well being care system.
Clarify how a hospital’s growth into different companies can strengthen their monetary standing.
Clarify how a hospital’s growth into different companies can have a unfavorable impression on a system by working exterior the scope of the hospital’s mission assertion.
MODULE 04 CASE SCENARIO – OUTPATIENT SURGERY?
Know-how and reimbursement patterns have elevated the quantity of surgical procedure carried out on an ambulatory foundation. Hospitals all around the nation are experiencing an increase within the variety of surgical sufferers who come into the hospital and go residence on the identical day; instances that beforehand required a minimum of an in a single day keep within the hospital. The transfer to outpatient therapy can considerably have an effect on a hospital’s use of beds and its total group. Nonetheless, the transfer to outpatient care additionally poses some dangers, particularly to sufferers with tough medical histories. The transfer from inpatient to outpatient care is pushed by value containment, in addition to by new applied sciences. Nonetheless, there are dangers to care offered within the ambulatory setting. For instance, superior age (particularly older than 70 years) is related to elevated hospital keep and perioperative morbidity and mortality. Moreover, the kind of surgical procedure is vital within the threat evaluation.
Within the following three case situations, decide if the affected person has an elevated threat for surgical problems based mostly on their present well being standing and medical historical past. Write a 1-2 paragraph response for every situation, and decide the next:
Does the affected person’s medical historical past pose a possible threat for problems prior/publish surgical procedure? Clarify your reasoning.
Primarily based on the affected person’s present well being standing and their medical historical past, ought to they obtain surgical procedure or be evaluated and handled exterior of the ambulatory care setting? Clarify your reasoning.
Case Situation 1:
Mr. Rogers is a 51-year previous male. Throughout his pre-operative examination, he tells the nurse, “I’ve an ache in my proper foot”. He gives a proof, suggesting, “I will need to have stepped on one thing or twisted my ankle. Possibly I acquired bitten by a bug after I was exterior yesterday”. The nurse notes that the affected person’s ankle is reddened, barely swollen, and heat to the contact. Nonetheless, his temperature is inside regular limits. Mr. Roger’s ankle is x-rayed and there’s no fracture famous. He has full range-of-motion of his proper ankle. Mr. Rogers has a preexisting medical situation of gout. He’s scheduled for outpatient surgical procedure on his thyroid.
Case Situation 2:
Mr. Sanders is a 61-year previous male who presents with nausea and has been vomiting for 2 days. He’s additionally experiencing psychological confusion. His blood glucose is 796 mg/dL. He’s a newly recognized diabetic and has not been getting medical therapy. Intravenous common insulin is run to Mr. Sanders with the intention to carry his blood glucose degree right down to a standard degree. Additional checks present that his Hemoglobin A1C is 10.three%. Mr. Sanders has a preexisting medical situation of coronary coronary heart illness and hypertension. He’s scheduled for outpatient surgical procedure on his thyroid.
Case Situation three:
Mrs. Miller is an 88-year previous girl who presents with nausea, vomiting, and extreme stomach ache. Additional checks reveal that her white blood cell rely is 13,000/mm3. Her bodily examination reveals that her stomach is distended and really tender to the contact. Her physician suspects that she has acute pancreatitis. Mrs. Miller has a preexisting medical situation of coronary heart failure and gastroesophageal reflux illness (GERD). She can be scheduled for outpatient surgical procedure on her thyroid.