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Health Services Hospitals (Health Care Facilities Project)
Transcript of Health Services Hospitals (Health Care Facilities Project)
& Profit From Hospitals Staff Utilized by Hospitals Arrangement of
Staff Organization Services
Patients Typical Patients Most Frequent Reasons
for going to the Hospital Typical Services
offered & provided Associated Agencies Staff Roles Accepted Types Not Accepted Types Process Of Consideration & Elimination Deciding Accreditation Process Process Being Accredited Hospitals Around the Salem Area References- Questionnaire- Salem Hospital Silverton Hospital Sacred Heart Medical Hospital Legacy Emanuel OHSU Birthing Centers (Complicated Births) Minor Surgical Procedures Gas Efficient Procedures Emergency Room Broken Limbs and Critical Injuries Non-Critical Injuries Emergency Room (Fast Care) More Specialized Care than Salem More Sufficient Equipment (small IVs) PACU, PICU, NICU, NACU Premature Birthing Care Specialist Clinics Connected to the Hospital Good Samartian & Legacy Children's Hospital Accessible throughout Portland Vaccinations Hospitalists specialize in caring just for hospital patients Doernbecher's Children's Hospital Advanced Cancer Treatment Specializes in Pediatrics PICU, PACU Teaching School Oregon Hospital Levels Of Trauma
comprehensive care for the severely injured adult and pediatric patient with complex, multi-system trauma. Level I Highly specialized care for pediatric trauma, burns, spinal cord injury, eye injury, limb reimplantation. An emergency physician, general surgeon, anesthesiologist, and nursing and ancillary personnel who can initiate immediate surgery resident training, research, regional quality improvement, community education, outreach, and injury prevention. A neurosurgeon is on call Level II severely injured adult and pediatric patients with complex trauma. neurosurgeon, general surgeon and anesthesiologist are on-call broad range of specialists available for care, and comprehensive diagnostic capabilities Level III provide initial evaluation and stabilization, including surgical intervention, of the severely injured adult or pediatric patient. provides comprehensive inpatient services to those patients who can be maintained in a stable or improving condition without specialized care Critically injured patients who require specialty care are transferred to a higher level trauma system hospital Level IV Resuscitation and stabilization may involve surgical intervention. trained nursing personnel are immediately available to initiate life-saving maneuvers. Helipad Offer bare minimal emergency care Salem Hospital Goals Every year, Salem Hospital is committed to giving back to those we serve throughout the Mid-Valley. Direct charity care and financial assistance Community education Programs and partnership that support those in need Hippocratic Oath Exceptional Experience every time "True North"- engagement, quality, safety, patience and values Our Mission- To improve the health and well-being of the people and communities we serve. Mission & Goals Includes helipad to air lift patients Highest Level Trauma Center Burn department and ED Level One Trauma Center Level II Adult and Pediatric Trauma Center Level IV Trauma Center Level I Trauma Center Level ll Trauma Center Level V Really small; for very non critical care Doesn't specialize just offers simple procedures We accept all insurances. We are in-network with Medicare, Medicaid and most major insurances. It is recommended that you contact your insurance company for verification of network status. Salem Hospital will accept all insurance for the most part though your insurance may reject covering depending on your plan and corresponding treatment Others may require you visit a certain hospital they provide or provide a copay West Valley Hospital Willamette Health Partners Urgent Care Sleep Disorders Center Surgical Specialty Clinic (West Valley) Robotic Surgery (daVinci) Psychiatric medicine Pharmacy Pain Center Rehabilitation Spine Center Wound care Gynecology Heart & Vascular Imaging Infusion therapy Joint Replacement Center of Excellence Laboratory Midwives Neurosciences Obstetrics Maternal-Fetal Medicine Additional Treatments/Clinics Offered in Associated Clinics 1) How do you prepare yourself for each day, since you never know what you will need to handle ?
2) How do you like working in the Salem Hospital environment? How does it compare to other hospitals (if so)?
3) What is your favorite are of medicine to study or apply knowledge to perform a successful treatment? Why? 4) How does working in the Salem ED compare to how media portrays it( such as in Grey's Anatomy)?
5) Is there a difficulty difference when it comes to treating adults versus pediatrics? Which do you prefer? 6) How has the hospital changed in terms of technology , availability of new treatments and/or trauma level ? Has this change been effective for you individually and/or the hospital as a whole? 7) What is your daily goal and role in the ED does it vary between days/shifts? 8) What type of patient do you see most frequently in the ED, what is the most common complaint? 9) Is there an accreditation process?
10)How often do you have patients without insurance or perform pro bono work? 11) How has the economy effected your salary and your ability to supply the ED and accomplish the job at hand? 12) How often do you have to transfer patients to a higher level trauma hospital for example (OHSU, Legacy)?
13) Are there a lot of patients with special diseases you are unable to treat, diagnosis or provide care to? 14) On a daily basis, what does your day consist of? Do you prefer working the day or night shift? Is one more difficult than the other? 15) How do you try to improve your wait time and provide accurate care sometimes with little knowledge of the problem and/or the patient?
16) Name: ____________________________________________________________________________________________
Education (certifications)__________________________________________________________________ Closest Hospital for emergencies If a higher trauma level hospital is necessary, they can life lift faster than driving. Depending on your specific issue find one that specializes Hospitals must care for patients with health emergencies
Out/inpatient surgery The basis of the health care system allowing patients to be diagnosed, treated and offered support http://salemhealth.org/ http://public.health.oregon.gov/ProviderPartnerResources/EMSTraumaSystems/TraumaSystems/Pages/desiglvl.aspx Picking
The Best Hospital Kids- #1) Fever
#4) Injury to the
head, neck or face Adults- #1) Headache
#2) Chest Pain
#4) Abdominal Pain Usually they have the flu or an infection
Need inpatient or outpatient surgery for less threatening conditions (appendicitis) Most offer pain management
Out/inpatient surgeries Vaccinations Imaging Narcotics for Pain Relief Infection treatment Child Labor http://www.bing.com/images?FORM=Z9LH More than 447 volunteers provide non-medical support for the hospital. 442 physicians on the active medical staff representing 46 different specialties 20 physician offices and clinics are located on the upper floors Bariatric Surgery Center Cancer Neonatal Intensive Care Pediatrics Education Community Health Education Center Nutrition Services Emergency Department Family Birth Center Family Medicine Heart & Vascular Laboratory Joint Replacement Center Infusion therapy Pain Center Psychiatric medicine Rehabilitation Sleep Disorders Center
Robotic Surgery (daVinci) Wound care Obstetrics Imaging Gynecology Salem Hospital is a non-profit hospital Board of Directors: Chair- Kathy Gordon Medical Staff Executive Committee: Steven Mattison-President Healthcare facilities may apply for accreditation by: Completing and submitting an application Pay required fees and attach documents. The application is processed, a survey team is formed and the survey is scheduled. Once the survey is completed, the information gathered by the surveyors is forwarded to the HFAP office for review. Each program in the hospital is accredited separately.
3.Denial of Accreditation-
does not meet HFAP requirements. There are 3 levels of accreditation: 1.Full Accreditation-with resurvey within 3 years-this indicates that a healthcare facility meets the HFAP 2.Interim Accreditation-indicates that a facility generally meets the standards, but that certain areas do not. Salem Cancer Institute Joint Replacement Center of Excellence Heart and Vascular Center
Bariatric Center of Excellence Comprehensive Pain Center Family Medicine Main Centers Within the Hospital: 2 cups of coffee and an ice-cold shower before I feel ready to leave the house. The ER stuff I prepared for over time with training and experience. Most of my co workers are a fun crowd and Salem Hospital has all the facilities and services (except for a pediatric ICU) I need to take care of whatever may come through the door. The mix of patients here includes way too many meth-heads though. I like procedures the most. In emergency medicine, we need/get to do some fun stuff, like opening the chest wall or reducing a dislocated joint or broken bone or shocking someone's heart back into rhythm. In the shows, the action and excitement is broken up by drama and romance. In real ERs the action and excitement is broken up by sore throats, belly aches and rashes. Kids are usually not as sick. When there is a really sick kid, though, the stakes feel WAY higher than with sick adults. The actual decision-making is about the same. Dealing with the parents can be challenging in pediatrics. Only a few years ago, electronic medical records arrived. Medicine and surgery always evolve of course. Our hospital just gained Level II trauma status - meaning that all critical specialties are available in an emergency and we can handle any trauma.Level I designation requires an active academic department and the publication of a certain number of papers. That's more usual in a university hospital with resident Same goal 24/7: correctly diagnose and treat everyone who comes through the door. maybe abdominal pain. 4 years med school, 3 years residency, board exam for general medicine (USMLE), board exam for emergency medicine, advanced trauma life support, advanced cardiac life support, advanced pediatric life support.
Then Oregon medical license and Salem Hospital staff privileges. The US has a mandate, a law called EMTALA, which guarantees everyone emergency care. I don't know the exact percentage, but would estimate that 1/3 of our patients are uninsured. Everyone gets treated the same. Small effect on my reimbursement. There is a bigger need for social services though, and a lot of patients don't have a primary care doc. Once a month or less for me. Maybe every other day overall. Some tests take a day or longer to result and some conditions should first be observed and may need more testing later. In those cases, we refer patients back to their own doctor or a specialist for follow up or admit them to the hospital for further treatment. On average, I see 20 patients per shift. If there is no trauma or crashing/critical patient, I see the one who's sickest or has been waiting the longest next. I listen to a patient's story, examine them, order any needed X-rays or labs, and meds or treatments. Then re-evaluate a prior patient or do a procedure. Then
the next patient. I use a computer to enter orders and check results. I get phone calls the entire time and talk with the nurses and other staff about the cases. Sometimes 3people line up, all needing questions answered. Of course, we joke around to keep it light. Asking lots of questions and doing a thorough exam help a lot. Electronic records are awesome for important prior history and medication lists. Wait times we try to improve by constantly fiddling with the staffing of nurses, techs and docs. Klotz attending emergency physician See #9 Dr. less specialized