Chapter 667 Hospital Standards
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7.10 Emergency Department Care
Australia’s health 2018 7.10 Emergency department care Emergency departments are a critical part of Australia’s health care system, providing care for patients who require urgent medical attention. Most larger public hospitals have purpose-built emergency departments. Some smaller public hospitals can also provide emergency services though informal arrangements. Accident and emergency services can also be provided by private hospitals. In 2015–16, there were 36 private hospitals in Australia providing these services. The information presented in this snapshot relates to the 287 Australian public hospitals with purpose-built formal emergency departments that are staffed 24 hours a day. These hospitals report to the AIHW’s National Non-Admitted Patient Emergency Department Care Database (NNAPEDCD). The latest available estimate (2014–15) indicated that around 88% of all public hospital emergency services were provided in formal emergency departments covered by the NNAPEDCD. Emergency department presentations In 2016–17, there were about 7.8 million presentations to public hospital emergency departments. This was an average of more than 21,000 each day across Australia. Between 2012–13 and 2016–17, after adjusting for hospital coverage changes, the number Chapter 7 of emergency department presentations increased by an average of 2.6% each year. In 2016–17: 7 • emergency department presentations were evenly split for males (50%) and females (50%) • the most common 10-year age groups presenting at emergency departments were people aged 25–34 (14%) and 15–24 (13%). Some population groups were over-represented in emergency department presentations compared with their representation in the population as a whole: 21% were aged 65 and over (15% of the population) 11% were aged under 5 (7% of the population) 6.5% were Aboriginal and Torres Strait Islander people (3.3% of the population) Australian Institute of Health and Welfare 2018. -
The Evolution of Hospitals from Antiquity to the Renaissance
Acta Theologica Supplementum 7 2005 THE EVOLUTION OF HOSPITALS FROM ANTIQUITY TO THE RENAISSANCE ABSTRACT There is some evidence that a kind of hospital already existed towards the end of the 2nd millennium BC in ancient Mesopotamia. In India the monastic system created by the Buddhist religion led to institutionalised health care facilities as early as the 5th century BC, and with the spread of Buddhism to the east, nursing facilities, the nature and function of which are not known to us, also appeared in Sri Lanka, China and South East Asia. One would expect to find the origin of the hospital in the modern sense of the word in Greece, the birthplace of rational medicine in the 4th century BC, but the Hippocratic doctors paid house-calls, and the temples of Asclepius were vi- sited for incubation sleep and magico-religious treatment. In Roman times the military and slave hospitals were built for a specialised group and not for the public, and were therefore not precursors of the modern hospital. It is to the Christians that one must turn for the origin of the modern hospital. Hospices, originally called xenodochia, ini- tially built to shelter pilgrims and messengers between various bishops, were under Christian control developed into hospitals in the modern sense of the word. In Rome itself, the first hospital was built in the 4th century AD by a wealthy penitent widow, Fabiola. In the early Middle Ages (6th to 10th century), under the influence of the Be- nedictine Order, an infirmary became an established part of every monastery. -
CAREER GUIDE for RESIDENTS
CAREER GUIDE for RESIDENTS Featuring: • Peers offer welcome, ongoing support • Resident Response During Pandemic: • When the Dust Settles: Preventing a Mental This Is Our Time Health Crisis in COVID-19 Clinicians • Drive-in visits can fill the cracks of • Lessons learned from telemedicine telemedicine’s reach • Don’t put clinician burnout on the back burner • Nocturnists and residents Winter 2021 | careers.acponline.org AD0003 APage Template_Apage template 2/3/2021 10:57 AM Page 1 : 21 20 E ing eet C ne M edici N Internal M IE 21 20 R 1, V E ay IRT XP -M UAL E l 29 Apri Participate in the ACP Job Placement Center & ! $% & "!" "# " &#! # & virtually# $ For more information, send your name, email, additional contact information and specialty to: [email protected] 2021 Winter Career Guide for Residents Table of Contents Articles Peers offer welcome, ongoing support ..................................................................................2 By Charlotte Huff When the Dust Settles: Preventing a Mental Health Crisis in COVID-19 Clinicians ........5 By Stephanie B. Kiser, MD, MPH and Rachelle E. Bernacki, MD, MS Lessons learned from telemedicine ........................................................................................7 By Mollie Frost Don’t put clinician burnout on the back burner ................................................................. 11 By Disha Patel Resident Response During Pandemic: This Is Our Time ...................................................12 By Jesse E. -
Determinants of Patient Satisfaction with Public Hospital Services
Determinants Of Patient Satisfaction With Public Hospital Services Which Rubin accoutres so vicariously that Emmet renamed her lungies? Subtracted Deane garland or refurnish some molars anatomically, however niffy Gustavus desolates throatily or fin. Philoprogenitive Lambert studs, his custodies invigorates attends amuck. Hospital or longer waiting on wom and other factors related factors with patient of determinants satisfaction public hospital services are. Medicaid health sciences in french, and of determinants patient satisfaction public hospital services with services could also support. The manuscript with patient satisfaction public hospital of services? The patient hospital to help further questions brief the views of the utility for. Validity are being performed at three norwegian acute psychiatric services of determinants patient satisfaction with public hospital had exclusive breastfeeding also acknowledge the exercise. Cook county health leads worked hard to manage with the effectiveness or hospital of patient satisfaction with public services. Nicu patient satisfaction at p, eugene moustaferi and health care practice registrars: associations of that with patient opinion makes a negative and. Client satisfaction was obtained low correlation with services of determinants patient satisfaction public hospital of care services have higher reimbursement payments can help? And not be used for by referring to our study is compulsory health hospital of much as the phrase match the survey, please patients into a frequent checking of. Bayer institute ethical journalism for public hospital of determinants patient satisfaction services with general medical condition and private hospitals were counted as more meaningful information from pakistan. Researcher unless they do this thematic analysis was measured using analysitcs to evaluate patient satisfaction in this study of age and the help highlight those services unlike products are kindly asked if duty towards patient with. -
Threats to Urban Public Hospitals and How To
THREATS TO URBAN PUBLIC HOSPITALS AND HOW TO RESPOND TO THEM Alan Sager, Ph.D. Professor of Health Services and Co-Director, Health Reform Program Health Services Department Boston University School of Public Health 715 Albany Street Boston, Massachusetts 02118 phone (617) 638-4664 fax (617) 638-5374 [email protected] Health Reform Program Doctors Day Address Medical and Dental Staff District of Columbia General Hospital Washington, D.C. Friday 30 March 2001 As always, I write and speak only for myself, not for the Boston University School of Public Health, or for organizations that provide financial support. Thank you for inviting me to speak with you this afternoon. I. INTRODUCTION Since the 1930s, decade after decade, urban hospitals that serve lower-income patients and minority patients (African-Americans or Hispanic-Americans) have been substantially more likely to close, even after controlling for number of beds, whether the hospital is a teaching hospital, efficiency of the hospital, and other factors. I’ve examined all hospitals (some 1,200) open at any time since 1936 in 52 U.S. cities—all of the large cities and most of the mid-sized ones. Fully 54 percent of hospitals have remained open in census tracts with 1990 minority population shares under 20 percent, but only 33 percent of hospitals have remained open in hospitals with minority shares over 80 percent. If we map hospitals and their closings in several cities, we can see how this works out for people. These maps of St. Louis, Washington, Detroit, and Brooklyn succinctly summarize hospital survival over time in relation to demography. -
Summary of Findings: Privatization of Public Hospitals
JANUARY 1999 Summary of Findings: Privatization of Public Hospitals To obtain a copy of the Full Report: Privatization of Public Hospitals (document #1450) call The Henry J. Kaiser Family Foundation publications request line at 1-800-656-4533 or down load the report from our website at www.kff.org. Prepared for The Henry J. Kaiser Family Foundation by: The Economic and Social Research Institute Summary of Findings: Privatization of Public Hospitals Prepared for The Henry J. Kaiser Family Foundation Prepared by Economic and Social Research Institute Mark W. Legnini Stephanie E. Anthony Elliot K. Wicks Jack A. Meyer Lise S. Rybowski Larry S. Stepnick January 1999 Summary of Findings Public hospitals (other than those run by the federal government) account for almost one- quarter of the community hospitals in the United States, yet their numbers have been decreasing for more than a decade, through both conversions and closures. The Henry J. Kaiser Family Foundation commissioned the Economic and Social Research Institute (ESRI) to conduct a study to better understand the causes and effects of the conversions of public hospitals to private ownership or management. ESRI explored conversions that occur via lease, sale, management contract, merger, consolidation, and the establishment of an independent hospital authority. Recent studies of hospital conversions have focused primarily on hospitals that have converted to for-profit status, examining the impact on a community when a former not-for-profit hospital (whether public or private) becomes part of an investor-owned hospital organization. Very few studies, however, have explored the effect on communities and hospital operations of the privatization of public hospital care, broadly defined to encompass conversions from public to private (often non-profit) status. -
Fy 2018 Massachusetts Hospital Profiles Technical Appendix January 2020
CENTER FOR HEALTH INFORMATION AND ANALYSIS FY 2018 MASSACHUSETTS HOSPITAL PROFILES TECHNICAL APPENDIX JANUARY 2020 Publication Number 20-30-CHIA-02 CHIA FY18 Massachusetts Acute Care Hospitals (January 2020) TECHNICAL APPENDIX Table of Contents Introduction ....................................................................................................................................................................................... 2 Multi-Acute Hospital System Affiliation and Location ................................................................................................................... 3 Regional Definitions ..................................................................................................................................................................... 4 Special Designations.................................................................................................................................................................... 6 Hospital Types ............................................................................................................................................................................. 7 At a Glance ....................................................................................................................................................................................... 9 Acute Hospital Profiles: Services ................................................................................................................................................... -
Corporate Brochure
Northeast Rehabilitation Hospital Network Rebuilding lives through hope, compassion and dedication to excellence NORTHEAST REHABILITATION HOSPITAL NETWORK www.NortheastRehab.com Northeast Rehab Hospital Network A Center of Rehabilitation Excellence When a disabling injury or illness touches your life or the life of someone for whom you care, recovery becomes of prime concern. Since 1984, the staff at Northeast Rehabilitation Hospital Network (NRHN) has helped thousands of patients overcome their physical challenges and resume the Make the activities and enjoyment of their daily lives at home or in the workplace. Northeast Rehab is about continuity, activity, energy and teamwork. Our dynamic, 24 hour rehabilitation experience is powered by our highly smart choice. qualified professional staff. Take a tour and meet our therapists, talk with our certified rehabilitation nurses and dedicated case managers to discover how deeply committed they are to helping patients achieve maximum recovery. “The additional certification in Stroke Rehabilitation was a deciding factor in trusting Northeast Rehab to be a part of my wife’s recovery.” Joe Racz, husband of Rebecca, a young stroke patient Rehabilitation is about people connecting with people. It is actually a process of mutual inspiration. Our patients usually come to us in physical and emotional pain. There is nothing more rewarding to us than to see how quickly they respond to the support of nurses, therapists and the regular attention of their physicians. Take back your life. The morale of our clinical staff is regularly boosted by the amazing feats of recovery and adaptation shown by our patients. www.NortheastRehab.com www.NortheastRehab.com Choose us. -
Design, Service and Infrastructure Plan for Victoria's Cardiac System
Design, service and infrastructure plan for Victoria’s cardiac system Design, service and infrastructure plan for Victoria’s cardiac system To receive this publication in an accessible format phone 9096 2017, using the National Relay Service 13 36 77 if required, or email [email protected] Authorised and published by the Victorian Government, 1 Treasury Place, Melbourne. © State of Victoria, Department of Health and Human Services, May 2016 Except where otherwise indicated, the images in this publication show models and illustrative settings only, and do not necessarily depict actual services, facilities or recipients of services. This publication may contain images of deceased Aboriginal and Torres Strait Islander peoples. Where the term ‘Aboriginal’ is used it refers to both Aboriginal and Torres Strait Islander people. Indigenous is retained when it is part of the title of a report, program or quotation. ISBN 978-0-7311-6950-4 Available at www.health.vic.gov.au/hospitals-and-health-services/health-system- design-planning (1512012) ii Design, service and infrastructure plan for Victoria’s cardiac system Contents From the steering committee 1 Executive summary 2 Introduction 4 A vision for the cardiac system 5 Where we are now 6 The burden of disease 6 Impact of comorbidity 6 The current service system 9 What has been achieved 13 What we could do better 14 Priorities for system reform 16 Priority 1: Better patient access, experience and outcomes 16 Priority 2: A coordinated cardiac system of care 22 Priority 3: Effective and innovative cardiac services 31 Implementation plan 38 Appendix 1: Victorian Cardiac Plan Steering Committee 43 Appendix 2: Victorian cardiac system 44 Appendix 3: OECD comparison 47 Appendix 4: Draft cardiac system design framework 49 Abbreviations 51 Endnotes 53 iii From the steering committee On behalf of the steering committee, I am very pleased to be able to present this Design, service and infrastructure plan for Victoria’s cardiac system, which addresses the future design of the cardiac system in Victoria. -
Health Facilities and Services Review Board
STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 525 WEST JEFFERSON ST. • SPRINGFIELD, ILLINOIS 62761 •(217) 782-3516 FAX: (217) 785-4111 DOCKET NO: BOARD MEETING: PROJECT NO: September 17, 2019 19-026 PROJECT COST: H-05 FACILITY NAME: CITY: Original: $25,995,294 Anderson Rehabilitation Hospital Edwardsville TYPE OF PROJECT: Substantive HSA: VI DESCRIPTION: The Applicants (Southwestern Illinois Health Facilities. Inc, d/b/a Anderson Hospital Kindred Healthcare, LLC, and Anderson Rehabilitation Hospital, LLC) propose to establish a 34-bed comprehensive physical rehabilitation hospital in Edwardsville at a cost of approximately $25,995,294. The expected completion date is October 31, 2021. EXECUTIVE SUMMARY PROJECT DESCRIPTION: • The Applicants (Southwestern Illinois Health Facilities. Inc, d/b/a Anderson Hospital, Kindred Healthcare, LLC, and Anderson Rehabilitation Hospital, LLC) propose to establish a 34-bed comprehensive physical rehabilitation hospital in Edwardsville at a cost of approximately $25,995,294. The expected completion date is October 31, 2021. • In conjunction with this Application Southwestern Illinois Health Facilities. Inc, d/b/a Anderson Hospital has submitted Exemption #E-033-19 to discontinue a 20-bed comprehensive physical rehabilitation unit at Anderson Hospital in Maryville. Should the proposed project be approved the Applicants will discontinue the 20-bed category of service at Anderson Hospital. WHY THE PROJECT IS BEFORE THE STATE BOARD: • The Applicant propose to establish a health care facility as defined by the Illinois Health Facilities Planning Act (20 ILCS 3960/3). PUBLIC HEARING/COMMENT: • A public hearing was offered regarding the proposed project, but none was requested. Letters of support have been submitted from the Mayor of Edwardsville, U.S. -
I. INTRODUCTION A. History and Background Of
I. INTRODUCTION A. History and Background of The Cleveland Clinic Foundation A brief history of The Cleveland Clinic Foundation (“CCF” or “Cleveland Clinic”) is necessary to provide background and context for the materials that follow. The Cleveland Clinic was founded in 1921 in Cleveland, Ohio by four physicians who envisioned a group practice in which individual members would share clinical expertise and specialization and dedicate themselves to the education of future medical practitioners, and where innovations in medical procedures and practices would be encouraged through basic and applied research activities. The Cleveland Clinic began with a staff of six surgeons, one radiologist, four internists and one biophysicist. As early as 1921, they recognized that medicine was far too complex for any one person to fully comprehend and that it would be in the best interests of patients if the resources and talents of multiple specialties were pooled for the development and application of the best medical techniques. The four founders also envisioned a corporate structure that would support their vision and one which involved the oversight and direction by a separate board of community trustees in matters unrelated to patient and medical practice issues. The original clinic facility was located on the near east side of Cleveland, in the area where the main campus of CCF is located today. In 1924, CCF opened its first hospital on property near the original clinic facility. To this day, although larger and broader in scope, CCF continues to operate as an integrated and cooperative group practice, as an academic medical center and as an active research institute. -
Patient Outcomes
General Medical Rehabilitation Outcomes Report 2018 Brooks Rehabilitation Hospital is part of the Brooks Rehabilitation system Brooks Rehabilitation Hospital focuses on of care, a post-acute provider of neuro-rehabilitation for over 45 years. comprehensive, patient-centered care. Private Our 160-bed acute, inpatient rehabilitation hospital offers a full rooms foster family participation in treatment, continuum of services, including physical medicine rehabilitation nursing, care, and education. We provide a full neuropsychology, occupational therapy, physical therapy, speech continuum of specialized care to treat the therapy, cognitive rehabilitation, and recreation therapy. Our onsite emotional, medical, and physical consequences innovative Neuro Recovery Center, aquatic program, and wheelchair of a life-altering injury or illness. Services clinic with pressure mapping technology ensures the latest evidence- based treatments. We treat a wide range of injuries, and illnesses, include hospital level care and rehabilitation including; stroke, mild to catastrophic brain injuries, spinal cord injuries, medicine, Helen’s House for family neurological disorders, amputation, chronic pain, and orthopedic accommodations, support groups, wheelchair conditions. A hospital level of care is available for pediatric, adolescent, clinic, home care, outpatient therapy, neuro and adult patients. Recovery and treatment at Brooks beyond the recovery gym, research, wellness programs, hospital may include skilled nursing care, home care, outpatient therapy, adaptive sports and recreation, aphasia center, day treatment, vocational rehabilitation, adaptive sports and recreation, and BI Clubhouse. assisted living/memory care and community wellness programs. Within the hospital, patients receive 24-hour Brooks Rehabilitation offers an extensive range of specialized services to medical care with daily physician oversight and reduce impairment and disability and improve the quality of life.