Health and Medical Administration Commons^™

Dentistry And The Law: Risk Of Employment Discrimination In Job Advertisements, Dan Schulte Jd

The Journal of the Michigan Dental Association

Employment discrimination in job advertisements that include religious references, such as statements like "faith-based practice" or symbols like crosses, is a legal concern. Federal and Michigan state laws, particularly the Elliot Larson Civil Rights Act (ELCRA), prohibit discrimination in employment, encompassing various protected classes. ELCRA applies to all employers in Michigan, regardless of their size. Violating ELCRA can lead to legal consequences, including injunctive relief and compensatory damages. Including such references or symbols in job ads can be used as evidence against employers in discrimination claims, even if rejected candidates have lesser qualifications. Publishers of these ads are also at …

Staff Matters: Independent Contractor Or Temporary Employee?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

Determining whether temporary hygienists should be classified as independent contractors or employees requires careful consideration. While treating them as independent contractors offers advantages, such as avoiding payroll taxes and paperwork, it must align with specific IRS criteria. The classification hinges on the degree of control the practice exerts over their work, encompassing behavioral and financial control. If the practice significantly controls aspects like duties, hours, and business aspects, it may be wiser to classify them as employees. The IRS provides a form (SS-8) to assess the relationship in-depth. Additionally, if hygienists request employee status and you cannot definitively prove otherwise, …

Negotiating Reimbursement Rates With A Ppo Plan, Dana Moss

The Journal of the Michigan Dental Association

Dentists often struggle to negotiate reimbursement rates with dental insurance companies. This article discusses the importance of managing reimbursement from benefit plans and highlights the advantages and disadvantages of participating in insurance networks. It provides a step-by-step guide to negotiating insurance allowances effectively, emphasizing the need for preparation, data analysis, and communication skills. The article suggests ways to maintain profitability in practices with a significant PPO patient base. It includes recommendations for keeping fees balanced, choosing negotiation plans, and building relationships with insurance representatives. The emotional aspects of negotiation are also addressed, promoting a respectful and collaborative approach.

Physician Assistant Global Advancement Through The Use Of Medical Relief Organizations, Kara Crafts Pa-C, Sarah Mistrot Pa-C, Mary Henningsgaard Pa-C, Kaley Morris Pa-C, Tamarrah Oliver Pa-C, Kevin Tran Pa-C, Trevor Crafts Md

Journal of Nursing & Interprofessional Leadership in Quality & Safety

Objectives: The physician assistant (PA) model has been adopted by many nations to alleviate health care disparities. The objective of the project is to understand how medical relief organizations are utilizing physician assistants and contributing to the advancement of the career globally.

Methods: A search was conducted to create a list of all U.S. based medical relief organizations. An 18-question online survey was sent to 493 organizations that met inclusion criteria.

Results: Total response rate of the survey was 56.2%. 75.6% of organizations reported using PAs on their medical relief projects, and PAs were used in clinic/hospital/and operative settings.

Conclusions: …

Care Alert Program In Chronic Recurrent Ed Utilizing Patients, Kaitlyn Phelps, Jonathan Bryan, Jonathan Leggett, Erica Gibbons, Brian Griggs

HCA Healthcare Journal of Medicine

The Care Alert program is designed to help navigate encounters with patient populations that are high utilizers of emergency department (ED) resources. These populations often have chronic medical conditions, have a poor understanding of their conditions, are unfamiliar with the EDs’ role in the management of these conditions, and commonly lack outpatient resources. The Care Alert program intends to address the needs of this challenging patient population by designing individualized care plans that are approved through a multidisciplinary committee. Data from this study showed a 37% decrease in ED visits and a 47% decrease in hospitalizations during the initial 8 …

Health Equity In Medicine, Tracy Macintosh, Barbara L. Gracious, Jeremy R. Brooks, Graig Donini

HCA Healthcare Journal of Medicine

Healthcare disparities exist when, due to racial, ethnic, or gender identity differences linked to social, economic or environmental factors, certain populations lack equitable access to quality healthcare and insurance coverage. Such disparities across history carry profound future implications that we have only begun to contemplate as a profession. This special issue of the HCA Healthcare Journal of Medicine examines the critical issue of health equity in medicine and how the medical community can advance health equity through inclusive behavior and interactions in clinical and educational settings, and our communities.

Analisis Produk Katering Sehat Di Rumah Sakit Izza Menggunakan St (Segmenting, Targeting, Positioning) Dan 4p (Product, Price, Place, Promotion), Helmi Agustian

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The food industry (culinary business) is an industry that is always in demand by the public. During the current COVID-19 pandemic, public awareness of adopting a healthy lifestyle is increasing. Choosing a healthier diet is one way. Izza Hospital is one of the private hospitals in the Cikampek area, which has its Nutrition Installation Unit. As a hospital where most patients are BPJS, there has never been any development of new service products related to patient nutrition. The research conducted is descriptive. The primary data is collected by distributing questionnaires to 100 patients receiving treatment at outpatient care. The results …

Evaluation Of Medical Waste Management Before And During The Covid-19 Pandemic At Sentra Medika Hospital Cikarang, Enny Mar’Atus Sholihah, Amal Chalik Sjaaf

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

One of important things in managing Coronavirus Disease 2019 (COVID-19) pandemic is managing medical waste production. Medical waste management start from waste sort until waste manage by licensed parties, both of patients’ waste and health workers’ waste. Sentra Medika Hospital Cikarang is one of the referral hospitals that handles COVID-19. This research is a descriptive analytic study. Researchers analyze hazardous and toxic waste management before and during a pandemic by conducting interviews with the nursing unit and using secondary data. Secondary data was obtained from the hospital environmental health unit. There is no significant differences medical waste before and during …

Transformasi Digital Sebagai Bagian Dari Strategi Pemasaran Di Rumah Sakit Siloam Palangka Raya Tahun 2020, Kevin Chrisanta Budiyatno

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Digital transformation in healthcare is implemented through a technology-based approach to improve patient-centered care. In relation to marketing strategic planning, digital transformation is included within the marketing mix of product, promotion, and place. Assessment of healthcare technology development can be based on seven major areas, which are 1) Integrated management of information technology in health; 2) Medical images; 3) Electronic Medical Record; 4) Information technology and portable devices in health; 5) Access to e-Health; 6) Telemedicine; and 7) Privacy of medical data. Digital transformation in Siloam Hospitals Palangka Raya has shown to improve cost efficiency and work process flow, although …

Faktor Pada Perawat Yang Berhubungan Dengan Persepsi Melaporkan Kejadian Tidak Diharapkan (Ktd) Di Rumah Sakit Prima Medika Denpasar Tahun 2020, I Putu Wirama, Adik Wibowo

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Hospital is complex and full of risk medical facility. Adverse events reporting is one part of the patient safety system that has an important roles to improve the hospital’s quality. Nurses have the longest contact's time with patients so they become the most important component in reporting the Adverse Event Reporting. This study aims to determine the factors that affects perception in adverse event reporting at Prima Medika Hospital Denpasar 2020. Prima MedikaHospitalis a type C private hospital.This studies quantitative study using a cross- sectional design with 140 nurses as samples and conducted in June 2020. The nurses’s perception who …

Analisis Resume Medis Rawat Inap Tidak Lengkap Dengan Menggunakan Konsep Masaaki: Sort, Straighten, Scrub, Systematize, Sustain (5s) Di Rsu Parama Sidhi Singaraja Bali, Idn Yunita Pratiwi, Adik Wibowo

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The quality of the hospital’s medical resume is one of hospital’s services quality indicator, which Parama Sidhi General Hospital still have figure of 17,1% for the incompleteness of medical record data (KLPCM). The goal of this research is to improve the attending physician medical resume’s completion through Sort, Straighten, Scrub, Systematize, and Sustain concept (5S) by acknowledged connection between 5S concept and medical resume completeness efforts based on continues improvement. This research is a mixed method analysis, by using primary and secondary data. The secondary data showed 26,80% among 1362 medical resume files were not completed. Univariate analysis of the …

Prevalence Of Sexual Harassment Toward And Burnout Among Allied Healthcare Professionals, Stephen A. Cage, Meredith N. Decker, Brandon J. Warner, Kendall Goldberg, Diana M. Gallegos, Julianne Goza

Internet Journal of Allied Health Sciences and Practice

Purpose: Burnout is a psychological cognitive-affective syndrome that is defined by emotional exhaustion, depersonalization, and reduced accomplishment. Burnout has been identified as a common issue in several allied healthcare professions, and is often contributed to by stress, workload, and social support. At the time of this study, there appears to be no published research on the relationship between levels of sexual harassment and levels of burnout. The purpose of this was to describe the prevalence of burnout and sexual harassment among allied healthcare professionals and students. A secondary purpose was to examine the potential relationship between sexual harassment and burnout …

Progresemos En Comunidad Apoyados En La Colaboración Social, Maria Nieves Avila Avila, Claudia Del Rocío Contreras Rodríguez, Sandra Patricia Carmona Urueña, Sindy Alejandro Cifuentes Guerrero

Ciencias de la Salud

La cartilla educativa Manejo de intoxicacionespor plaguicidas, y primeros auxilios proporcionar información a lostrabajadores agrícolas y sus familias, con el fin degenerar acciones de promoción y prevención quedisminuyan los riesgos de intoxicación por plaguicidasy contribuir a la creación de ambientes saludables.Los plaguicidas ocasionan riesgo para la salud delos agricultores y las personas que manipulan estassustancias, lo que lleva a la población en generala realizar una manipulación incorrecta que puedeocasionar intoxicaciones y la muerte. La mayoríade los casos de intoxicación por plaguicidas sepueden prevenir; esta cartilla brinda informaciónsobre la forma de reducir los riesgos para la saludy acciones prácticas sobre primeros …

Podium Presentation: Racial Inequities And Breastfeeding In A Nicu: A Quality Improvement Project, Emilia C. Garcia

2022 Providence Nurse Research Conference

No abstract provided.

High Reliability Through Charge Nurse Huddles: Improving Communication To Decrease Absenteeism, Audra Ellis Overman

2022 Providence Nurse Research Conference

Abstract:

It is important we show staff we as leaders are listening to their concerns and frustrations. Lack of communication with immediate supervisor is a cause of absenteeism among nurses, and that absenteeism leads to decreased quality of care, disrupted work routines, and increased workload for staff that are present. Communication is a proven tool to help develop teamwork, reduce absenteeism, and manage conflicts. Staff commitment to the workplace can be increased by management working toward a democratic style of supervision with increased open communication to decrease staff absenteeism. Absence of or poor communication creates a negative work environment and …

Optimization Of Transfusion Administration Process: A Quality Improvement Project, Nannette Berg, Jennifer Togioka

2022 Providence Nurse Research Conference

BACKGROUND:

Transfusion of blood products (transfusion) occurs infrequently for most nurses yet is a high-risk procedure for patients. To ensure patient safety, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) created regulatory standards for transfusion administration and documentation. To meet regulatory standards, transfusion events require documentation of all six critical steps and nurse leaders must monitor compliance with regulatory transfusion documentation, taking action when rates are suboptimal. Yet, transfusion documentation in the electronic health record (EHR) has been described as fragmented, confusing, and devoid of built-in prompts to facilitate completion. Checklists can organize tasks with multiple …

Employing Strategies To Increase Ebp Competency In Frontline Nurses While Aligning Nursing Skills With Current Evidence: A Quality Improvement Project, Stacey Spradling, Jamie Roney

2022 Providence Nurse Research Conference

Background: Clinical nurses are required to demonstrate expertise for diverse patient conditions while balancing efforts to improve both staff satisfaction and clinical outcomes. Nurse leaders must implement and measure the effectiveness of strategies to empower nurses to maintain clinical competence for themselves and their peers to ensure the highest quality of evidence-based care is delivered at the earliest patient touchpoints reliably and consistently.

Purpose: The purpose of this quality improvement project was to engage direct care nurses as skills “champions” to improve the clinical skills of nurses working in a resource pool in a large urban hospital.

Methods/Approach: Clinical …

Converting Clinical Orientation Materials From Paper To Electronic: A Quality Improvement Project, Megan Bowles, Abby Lust, Teresa Bigand

2022 Providence Nurse Research Conference

Background:

In one region including 4 hospitals, acute care nurses historically met with professional development practitioners (PDP) and received binders containing printed, specialty-specific policies and a competency checklist (required to be signed and returned to the nurse leader) upon new hire or transfer. Creating physical orientation packets is costly, time-consuming, and restricts the ability to share appropriate orientation materials in the event of a PDP sick call. Real-time communication between the orientee, preceptor, PDP, and nurse leader regarding status of the competency checklist cannot occur with a physical binder. Providing electronic onboarding materials is a potential solution.

Purpose:

To …

Quality Improvement In A Hospital Setting: Central Line-Associated Bloodstream Infections At An Acute Care Hospital In South Texas, Hoang Anh T. Nguyen, Jose E. Campo Maldonado

MEDI 9331 Scholarly Activities Clinical Years

Background: Central line-associated infections (CLABSI) are life-threatening nosocomial infections that are associated with significant increase in healthcare expenditure, prolonged stays, and risk of mortality.

Objective: To identify outcome trends and risk factors that contribute to incidence of CLABSI at an 866-bed acute care hospital in South Texas.

Methods: A retrospective chart review was conducted on 38 patients who met the National Healthcare Safety Network criteria for CLABSI during the period of January 2021 to March 2022

Results: There was a total of thirty-two CLABSIs in 2021. Hospital-wide CLABSI rate was 1.76 hospital-wide per 1,000-line days. Half of cases were COVID-19 …

Organizational Compassion: Ameliorating Healthcare Workers' Suffering And Burnout, Rachel Thienprayoon, Shane Sinclair, Beth A. Lown, Teresa Pestian, Eli Awtrey, Naomi Winick, Jason Kanov

Journal of Wellness

No abstract provided.

Improving Satisfaction Of Patients Living With Hidradenitis Suppurativa Through Administration Of An Intake Form, Emilia M. Clementi, Steven Daveluy

Medical Student Research Symposium

Background

Hidradenitis suppurativa (HS) is an incurable, chronic inflammatory skin that is caused by follicular occlusion and affects around 1% of people in the United States ¹. Because of its chronic, grave nature, patients may be dissatisfied with their care. Improving the fecundity of HS patients’ interaction with their physicians may be an important step towards improving patient outcomes. Currently, there is no standardized patient intake form for HS patients at Wayne Health. The intake form describes key patient details, such as their current treatments, pain level, and associated symptoms. This project measures the efficacy of this tool after …

Language Preference Impact On The Outcomes Of Those Lost To Follow-Up After A Diagnosis Of Pregnancy Of Unknown Location, Erin A. Leestma, Mayra A. Shafique, Megan Mcnitt, Annmarie Vilkins

Medical Student Research Symposium

Pregnancy of unknown location (PUL) is a temporary diagnosis when there is a positive pregnancy test but an intrauterine gestational sac and/or fetal pole are not visualized with ultrasonography. The three potential outcomes for such a pregnancy are failed pregnancy, an early intrauterine pregnancy or an ectopic/abnormal pregnancy. Given the serious associated morbidity of ectopic pregnancy, these PUL require strict follow up of bHCG levels to help the clinician determine the likely outcome of the PUL (failed vs early vs ectopic) and choose the best intervention (expectant management, surgical management or medical management). One potential barrier to follow-up identified in …

Do Orthopedic Surgeons Follow Through On Verbal Commitments To Participate In Deficit Recovery Efforts?, Maxwell T. Yoshida, Wendy Jin, Joseph S. Files, Austin M. Meadows, Charles S. Day M.D. Mba

Medical Student Research Symposium

No abstract provided.

The Short-Term Effects Of Fine Airborne Particulate Matter And Climate On Covid-19 Disease Dynamics, El Hussain Shamsa, Kezhong Zhang

Medical Student Research Symposium

Background: Despite more than 60% of the United States population being fully vaccinated, COVID-19 cases continue to spike in a temporal pattern. These patterns in COVID-19 incidence and mortality may be linked to short-term changes in environmental factors.

Methods: Nationwide, county-wise measurements for COVID-19 cases and deaths, fine-airborne particulate matter (PM_2.5), and maximum temperature were obtained from March 20, 2020 to March 20, 2021. Multivariate Linear Regression was used to analyze the association between environmental factors and COVID-19 incidence and mortality rates in each season. Negative Binomial Regression was used to analyze daily fluctuations of COVID-19 cases …

Assessing The Contribution Of Immigrants To Canada's Nursing And Health Care Support Occupations: A Multi-Scalar Analysis, Rafael Harun, Margaret Walton-Roberts

Social Work and Urban Studies Faculty Research

Background

The World Health Organization adopted the Global Strategy on Human Resources for Health Workforce 2030 in May 2016. It sets specific milestones for improving health workforce planning in member countries, such as developing a health workforce registry by 2020 and ensuring workforce self-sufficiency by halving dependency on foreign-trained health professionals. Canada falls short in achieving these milestones due to the absence of such a registry and a poor understanding of immigrants in the health workforce, particularly nursing and healthcare support occupations. This paper provides a multiscale (Canada, Ontario, and Ontario’s Local Health Integration Networks) overview of immigrant participation in …

The Experiences Of Collegiality By Early-Career Counselor Educators, Jessica M. Tyler, Malti Tuttle, Marina Naviaux, Sara Ellison

Journal of Counselor Preparation and Supervision

It is essential to develop a work culture that supports faculty needs, be it professional for promotion and tenure, or personal. This phenomenological study examined the lived experiences of collegiality by early-career counselor educator faculty members (CES) working in a CACREP institution. Relational support, expectations, administration, and doctoral experiences emerged as themes from these narratives. Implications for the field are discussed to address these experiences and provide recommendations to counselor education faculty and departments.

2022 Community Needs Assessment Of Klamath County Residential Services And Housing Needs, Karen Cellarius, Aliza Tuttle, Jennifer Blakeslee

Regional Research Institute for Human Services

The PSU Regional Research Institute for Human Services (RRI) was asked by Klamath Basin Behavioral Health (KBBH) and the Oregon Health Authority (OHA) to conduct a community-wide needs assessment focusing on residential services and housing needs for populations that (1) Have behavioral health needs, and (2) Identify with a community experiencing inequities in access to health care resources.

The assessment was conducted in collaboration with KBBH and other community partners. Data sources included key informant interviews, written surveys of individuals impacted by mental health challenges and/or housing needs, and focus groups with representatives from underserved communities in Klamath County, Oregon. …

Dentistry And The Law: Purchase Price Allocation When Selling Your Practice, Dan Schulte Jd

The Journal of the Michigan Dental Association

This Dentistry & the Law column advises a dentist on the importance of carefully considering the purchase price allocation when selling a dental practice. While the initial letter of intent may contain such terms, the author emphasizes that they are not binding, and negotiations on the purchase agreement will determine the final allocation. The article highlights the significance of tax implications for both the seller and the buyer, urging involvement of an attorney and accountant in the process. The Internal Revenue Code's requirements for purchase price allocation and potential tension in negotiations are discussed, emphasizing the need for informed decision-making.

Staff Matters: More Tips For Hiring And Developing A Great Staff, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

Addressing the challenge of hiring staff in the current job market, this Staff Matters column provides insights for dental practices. With a focus on creating an attractive work culture, the article suggests developing partnerships with educational institutions and emphasizes the importance of continuous learning opportunities. The author encourages practices to define key skills, establish clear expectations, and implement training processes for effective communication, conflict resolution, and teamwork. Emphasizing the role of ongoing coaching and mentoring, the column outlines the necessity of investing in training and development to build a skilled and cohesive dental team.

Eagle Medical Tray Denesting & Debris Removal Process, Nicholas Allen Ungefug, Noah Chavez, Susana Shu-Lin Okhuysen, Michael Augustine Pennington

Industrial and Manufacturing Engineering

Eagle Medical Incorporated is a contract medical device packaging and sterilization company. The company purchases thermoformed medical packaging trays, which maintain the sterility of medical devices, from various manufacturers. To ensure packaging quality and to prevent cleanroom contamination, Eagle Medical inspects and sterilizes each blister tray that they order. This process is an essential non-value-added activity that creates a bottleneck. Cleanroom employees must stop packaging medical devices and attend to the processing of blister trays and packaging solutions. The blister trays arrive at Eagle’s facility in nested stacks. Vibration and movement during shipping further compresses the stacks, which makes separation …