At U.S. Ground Zero for Coronavirus, a Hospital Is Transformed
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Acronyms and Terms for Consumer Engagement
ACRONYMS AND TERMS FOR CONSUMER ENGAGEMENT This table has a list of acronyms and a list of terms for phrases often used in health care. It aims to help people who want to get involved as health consumers or community members. Acronym Phrase What it means ABHR Alcohol Based Hand Rub Alcohol-based hand rubs eliminate micro-organisms from the hands more effectively and cause less irritation than soap and water hand washing. ABI Acquired Brain Injury Damage to the brain through accident or illness ABS Australian Bureau of Statistics Australian Government organisation that collects measurements of our lives in Australia including our health and wellbeing. ABCDEFG Airway, Breathing, Circulation, Disability, ABCDEFG is the structured approach used when assessing a deteriorating patient. Exposure, Fluids, Glucose ACC Altered Calling Criteria Calling criteria provide early recognition of patients whose medical condition is deteriorating. Standard calling criteria (e.g. a patient’s temperature or respiration rate) are set within a chart called a Standard Observation Chart. Patients’ observations are ideally “Between The Flags”, which is termed the White Zone. Yellow and Red zones indicate observations that are of concern and trigger a facility’s Clinical Emergency Response System. Standard calling criteria can be altered for Yellow or Red Zone observations, based on a patient’s health care requirements. For example, the threshold for the calling criterion for systolic blood pressure may be altered downwards to alert to re-bleeding of a cerebral aneurysm or may be altered upwards to better reflect the patient’s usual observation patterns. Changes must be clearly documented by a medical officer, in consultation with the Attending Medical Officer, on the appropriate Standard Observation Chart. -
Options for a Statewide Health Data Reporting System in Mississippi
Options for a Statewide Health Data Reporting System in Mississippi Prepared by the National Association of Health Data Organizations for the Center for Mississippi Health Policy November 2007 THE NATIONAL ASSOCIATION OF HEALTH DATA ORGANIZATIONS Options for a Statewide Health Data Reporting System in Mississippi Prepared by the National Association of Health Data Organizations for the Center for Mississippi Health Policy November 2007 THE NATIONAL ASSOCIATION OF HEALTH DATA ORGANIZATIONS Table of Contents i Table of Contents Table of Contents ............................................................................................................................. i List of Figures & Tables ................................................................................................................ iii Executive Summary ........................................................................................................................ v Summary of Recommendations ............................................................................................... viii Introduction ..................................................................................................................................... 1 The Benefits of a Patient-level Statewide Health Data Reporting System ................................... 12 Public safety and injury surveillance and prevention ............................................................... 12 Public health, disease surveillance and disease registries ........................................................ -
Tool 1. Scenarios Guide
Tool 1. Scenarios Guide Tool 1. Scenarios Guide The following 18 scenarios were developed specifically for the privacy and security project to provide a standardized context for discussing organization-level business practices across all states and territories. The scenarios represent a wide range of purposes for the exchange of health information (eg, treatment, public health, biosurveillance, payment, research, marketing) across a broad array of organizations involved in health information exchange and actors within those organizations. The product of the “guided or focused” discussions will be a database of organization-level business practices that will form the basis for the assessment of variation upon which all other work will be based. Each scenario describes a health information exchange (HIE) within a given context to ensure that we cover most of the areas in which we expect to find barriers. Clearly, these scenarios do not cover the universe of exchanges. However, the purposes and conditions represented should be more than adequate to get the discussions of privacy and security policy moving forward. Exhibit 1 shows a mapping of stakeholder organizations identified in the HIE scenarios. A shaded box containing an “X” with some additional text indicates stakeholders that are explicitly identified in the scenario. A yellow box with no text indicates a stakeholder group that could conceivably weigh in on a scenario. For example, Scenario 1: Patient Care Scenario A, involves an exchange between the emergency room in Hospital A and an out-of- state hospital, Hospital B. Both the requesting and releasing organizations are hospitals, regardless of the actors that may be representing those organizations in the work group meetings, which may include physicians, nurses, health information management professionals, and others. -
The Change of the Hospital Architecture from the Early Part of 20Th Century to Nowadays: an Example of Konya
New Trends and Issues Proceedings on Humanities and Social Sciences Volume 4, Issue 11, (2017) 23-34 ISSN:2547-8818 www.prosoc.eu Selected Paper of 6th World Conference on Design and Arts (WCDA 2017), 29 June – 01 July 2017, University of Zagreb, Zagreb – Croatia The Change of the Hospital Architecture from the Early Part of 20th Century to Nowadays: An Example of Konya Dicle Aydin a*, Department of Architecture, Necmettin Erbakan University, 42090 Konya, Turkey. Esra Yaldiz b, Department of Architecture, Necmettin Erbakan University, 42090 Konya, Turkey. Suheyla Buyuksahin c, Department of Architecture, Selcuk University, 42075 Konya, Turkey. Suggested Citation: Aydin, D., Yaldiz, E. & Buyuksahin, S. (2017). The change of the hospital architecture from the early part of 20th century to nowadays: an example of Konya. New Trends and Issues Proceedings on Humanities and Social Sciences. [Online]. 4(11), 23-34. Available from: www.prosoc.eu Selection and peer review under responsibility of Prof. Dr. Ayse Cakir Ilhan, Ankara University, Turkey. ©2017 SciencePark Research, Organization & Counseling. All rights reserved. Abstract The hospitals that served in the name of ‘darussifa’ in Seljuk Empire period in Anatolia continued their service during Ottoman Empire period. The health institutions in different areas in Ottoman period were replaced by ‘Gureba hospitals’ in 19th century. The change in Anatolia was realised, after the declaration of the Republic and with the development of its economy, and lived in every area; hospital buildings were constructed first as ‘Gureba hospitals’ then as ‘country hospitals’ in Anatolia cities like Konya after the big cities like İstanbul, Ankara and İzmir. -
ER Is for Emergencies Medicaid Quality Initiative(MQI) Training Webinar
ER is for Emergencies Medicaid Quality Initiative(MQI) Training Webinar • Collective • Washington State Hospital Association • July 9, 2020 Washington State Hospital Association Welcome & Introductions Collective Washington State Hospital Association Washington State Hospital Association Introductions-Collective • Janel Grimmett • Director of Product Operations • Rachel Leiber • General Manager, PNW Washington State Hospital Association Introductions-WSHA • Matt Shevrin • Senior Data Analyst • Tina Seery • Senior Director Safety & Quality Washington State Hospital Association • Review ER is for Emergencies Initiative • Discuss the WA State Collective Platform and MQI Patient Cohort Today’s List • Example the Data Reporting Discussion • Engage with audience to share frequently asked questions • Support members with Q & A Session Washington State Hospital Association • In Washington State, as in other states, patients may visit the hospital emergency department (ED) for conditions that could be effectively treated in an alternative, less ER is for costly setting. • Third Engrossed Substitute House Bill 2127 set forth seven best practices aimed at Emergencies reducing unnecessary emergency Initiative department use by Medicaid clients. • Percent of Patients with Five or More visits to the Emergency Room to the same facility with a Care Guideline (adult acute and pediatric hospitals with emergency rooms only). Washington State Hospital Association ER is for Emergencies: Seven Best Practices 1. Track emergency department visits to reduce “ED shopping”. 2. Implement patient education efforts to re-direct care to the most appropriate setting. 3. Institute an extensive case management program to reduce inappropriate emergency department utilization by frequent users. 4. Reduce inappropriate ED visits by collaborative use of prompt (72 hour) visits to primary care physicians and improving access to care. -
Muffled Voices of the Past: History, Mental Health, and HIPAA
INTERSECT: PERSPECTIVES IN TEXAS PUBLIC HISTORY 27 Muffled Voices of the Past: History, Mental Health, and HIPAA by Todd Richardson As I set out to write this article, I wanted to explore mental health and the devastating toll that mental illness can take on families and communities. Born out of my own personal experiences with my family, I set out to find historical examples of other people who also struggled to find treatment for themselves or for their loved ones. I know that when a family member receives a diagnosis of a chronic mental illness, their life changes drastically. Mental illness affects individuals and their loved ones in a variety of ways and is a grueling experience for all parties involved. When a family member’s mind crumbles, often that person— the brother or father or favorite aunt— is gone forever. Families, left helpless, watch while a person they care for exists in a state of constant anguish. I understood that my experiences were neither new nor unique. As a student of history, I knew that other families’ stories must exist somewhere in the recorded past. By looking back through time, I hoped to shine a light on the history of American mental health policy and perhaps to make the voices of those affected by mental illness heard. Doing so might bring some sense of justice and awareness to the lives of people with mental illness in the present in the same way that history allows other marginalized groups to make their voices heard and reshape the way people perceive the past. -
Admitted Patient Mental Health Related Care
Admitted patient mental health-related care People with mental health problems may require hospitalisation from time to time. Patients can receive specialised psychiatric care in a psychiatric hospital or in a psychiatric unit within a hospital. Patients can also be admitted to a general ward in a hospital where staff are not specifically trained to care for the mentally ill. Under this circumstance, the admission is classified as without specialised psychiatric care. This section presents information on these non-ambulatory admitted patient mental health-related separations. The data are from the National Hospital Morbidity Database (NHMD), a collation of data on admitted patient care in Australian hospitals. Please note, as it is not possible to determine how many separations an individual patient has had, the information in this section is presented as separation events, not patients. For further information on the data see the data source section. Key points • Of the 222,567 non-ambulatory admitted patient mental health-related separations, specialised psychiatric care was provided for over half (59%) in 2009–10. • Around 31% of mental health-related separations with specialised psychiatric care were from involuntary admissions. • The largest numbers and highest rates of mental health-related separations with specialised psychiatric care were for patients aged 35–44 years. • Depressive episode (F32) and schizophrenia (F20) were the most commonly reported principal diagnoses for separations with specialised psychiatric care (18% and 16% respectively). • Mental health-related separations without specialised psychiatric care were predominantly provided by public acute hospitals (90%). • Mental and behavioural disorders due to use of alcohol (F10) was the most commonly reported principal diagnosis for separations without specialised psychiatric care (20%). -
State Hospital Bed-Day Allocation Methodology and Utilization Review Protocol for Fiscal Year 2020
State Hospital Bed-Day Allocation Methodology and Utilization Review Protocol for Fiscal Year 2020 As Required by Health and Safety Code Section 533.0515(e) Health and Human Services December 2020 Table of Contents Table of Contents .......................................................................................... ii Executive Summary ....................................................................................... 1 1. Introduction ............................................................................................. 3 2. Background .............................................................................................. 4 3. Summary of Activities .............................................................................. 6 4. Outcomes of Bed-Day Allocation Methodology ......................................... 7 5. Value of a Bed Day ................................................................................. 11 6. Factors that Impact Use of State-Funded Beds ...................................... 12 7. Outcomes of Implementation - Utilization Review ................................. 21 8. JCAFS Recommendations to Enhance the Effective and Efficient Allocation of State-Funded Hospital Beds ............................................... 23 9. Conclusion .............................................................................................. 27 List of Acronyms ......................................................................................... 28 Appendix A. JCAFS Recommendations for Updated -
Medicaid Payment Policy for Out-Of-State Hospital Services
January 2020 Advising Congress on Medicaid and CHIP Policy Medicaid Payment Policy for Out-of-State Hospital Services Although most Medicaid enrollees obtain medical services within their state of residence, some enrollees seek care out-of-state under certain circumstances. Current Medicaid regulations describe four situations in which states must provide out-of-state coverage: • a medical emergency; • the beneficiary’s health would be endangered if required to travel to the state of residence; • services or resources are more readily available in another state; or, • it is general practice for recipients in a particular locality to use medical resources in another state (42 CFR § 431.52). States have broad flexibility to determine payment rates for services provided out of state and the processes that providers must follow to enroll as an out-of-state Medicaid provider. Specifically, many states pay out-of-state providers at lower rates than in-state providers and require out-of-state providers to undergo provider screening and enrollment even if the provider is already enrolled in Medicare or Medicaid in another state. Some providers have raised concerns that these policies may reduce providers’ willingness to serve out-of-state Medicaid beneficiaries and may result in delays in care while provider enrollment is processed (Manetto et al. 2018). Hospital services comprise the largest category of Medicaid spending and the only one for which we have reliable data about out-of-state service use. This brief reviews the use of out-of-state hospital services in Medicaid and the various ways that states pay out-of-state hospitals. -
National Health and Hospitals Reform Commission – June 2009
A HEALTHIER FUTURE FOR ALL AUSTRALIANS FINAL REPORT JUNE 2009 A Healthier Future For All Australians – Final Report of the National Health and Hospitals Reform Commission – June 2009 ISBN: 1-74186-940-4 Publications Number: P3 -5499 © Commonwealth of Australia 2009 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from the Commonwealth. Requests and inquiries concerning reproduction and rights should be addressed to the Commonwealth Copyright Administration, Attorney-General’s Department, Robert Garran Offices, National Circuit, Barton ACT 2600 or posted at http://www.ag.gov.au/cca 30 June 2009 The Hon Nicola Roxon MP Minister for Health and Ageing Parliament House CANBERRA ACT 2600 Dear Minister It is my great pleasure to present the Final Report of the National Health and Hospitals Reform Commission. A Healthier Future For All Australians: Final Report is the culmination of 16 months of discussion, debate, consultation, research and deliberation by a team dedicated to the cause of strengthening and improving our health system for this and future generations of Australians. We acknowledge the many people who contributed to our work through consultations and submissions – including governments, health professionals and other experts, health and consumer interest groups, and members of the general community. Our Final Report builds on the work of our two earlier reports – Beyond the Blame Game (April 2008) and A Healthier Future For All Australians: Interim Report (December 2008). With the needs and interests of the Australian people at the centre of our thinking, our reform agenda urges action to: Tackle the major access and equity issues that affect people now; Redesign our health system to meet emerging challenges; and Create an agile, responsive and self-improving health system for future generations. -
Section 12 Public Hospitals
12 Public hospitals CONTENTS 12.1 Profile of public hospitals 12.1 12.2 Framework of performance indicators for public hospitals 12.5 12.3 Key performance indicator results for public hospitals 12.7 12.4 Definitions of key terms 12.34 12.5 References 12.37 Data tables Data tables are identified in references throughout this section by a ‘12A’ prefix (for example, table 12A.1) and are available from the website at https://www.pc.gov.au/research/ ongoing/report-on-government-services. This section reports on the performance of State and Territory public hospitals. Further information on the Report on Government Services including other reported service areas, the glossary and list of abbreviations is available at https://www.pc.gov.au/ research/ongoing/report-on-government-services. 12.1 Profile of public hospitals Public hospitals provide a range of services, including: • acute care services to admitted patients • subacute and non-acute services to admitted patients (for example, rehabilitation, palliative care and long stay maintenance care) • emergency, outpatient and other services to non-admitted patients • mental health services, including services provided to admitted patients by designated psychiatric/psychogeriatric units PUBLIC HOSPITALS 12.1 • public health services • teaching and research activities. This section focuses on services (acute, subacute and non-acute) provided to admitted patients and services provided to non-admitted patients in public hospitals. These services comprise the bulk of public hospital activity. In some instances, data for stand-alone psychiatric hospitals are included in this section. The performance of psychiatric hospitals and psychiatric units of public hospitals is examined more closely in the ‘Mental health management’ section of this Report (section 13). -
Internal Medicine Resident Handbook
Internal Medicine Resident Handbook Jhoanna M. Santos, MD Program Director June 2018-2019 Updated 8/15/18 This handbook is provided to prospective and current residents for information and guidance only. The main purpose is to describe our residency and address common questions concerning our program. This handbook will be updated regularly to ensure accuracy. This handbook is not meant to supersede SRH contracts or policies. ACKNOWLEDGMENT I, acknowledge that I have received a copy of the Internal Medicine Resident Manual on . I understand that I am responsible for reading the contents, including the Osteopathic Oath. Signature of Resident Date Section 1 – Program Description Facilities Description Overview Skagit Valley Hospital (SVH), located in Mount Vernon, Washington, strives to be the best regional community hospital in the Northwest, working with our communities to promote health and wellness. We provide a full continuum of care to our community, ranging from outpatient diagnostics and rehabilitation services to surgery and acute care. Our services also include a Family Birth Center, heart and vascular care, orthopedic services, surgery and cancer treatment at our Regional Cancer Care Center. Our Emergency Department is staffed 24 hours a day and features a Level III trauma unit. The hospital has a total of 137 beds and all rooms are private. On July 1, 2010, Skagit Valley Hospital merged with Skagit Valley Medical Center, the largest multi- specialty physician practice in the region, and renamed the operation Skagit Regional Clinics. A total of 105 physicians and allied healthcare professionals in 20 medical specialties and more than 350 staff became employees of Skagit Valley Hospital in the integration, bringing the hospital’s total to more than 1,800 employees.