Appointments For The Health Care System - 888 Words

Problem Statement Patients have been missing appointments or have canceled required follow up testing which were ordered by providers. These appointments are either canceled or no show within 24hrs before scheduled time. Missed appointments are a cost to the health care system in terms of personnel time, extended waiting lists, and the loss of potentially beneficial services. In the past quarter we have seen a decline in No Show Rate. We have 160 weekly spaces available for appointments in the hospital. The 10 % of the patients did not show up, which equals a total of 16 missed appointments a week at $120 per visit. $1,920 in lost revenue in a week which equals $23,040 in the past 3 months. Which means patients failed to receive a recommended care, and the appointment slots were wasted. Generally, no-show rates range from 5%-55% (6). Pediatric clinics might see a no-show rate of below 5%, urban family clinics often see no-show rates between 10%-20% (8). And certain outpatient and surgical clinics-colonoscopies, endoscopies, pulmonary tests and other procedures that require special prep or diets by the patient- have even higher rates, around 50% (8,11). In 2010 study shows specifically at heart failure patients has high no-show rates (3). A little survey to determine the reasons of no show in the John Adams hospitals were conducted last week. Total 356 patients missed appointments were invited to complete the survey of the reasons why. The 276 were returned out of theShow MoreRelatedAppointment Scheduling Systems For The Health Care Industry Essay2122 Words   |  9 PagesINTRODUCTION Health Care Providers, like any business, are facing increased pressure to improve their efficiency and quality of service, while also reducing their costs. Health care expenditures currently cost around 45% of public funding, and they are expected to double by 2050 (Gupta Benton, 2008). If hospitals and clinics cannot make their outpatient services more cost-effective, they may find themselves in â€Å"financially unviable positions in a fast-growing industry† (Goldsmith, 1989). OutpatientRead MoreAccess For Healthcare : A Patient Making An Appointment843 Words   |  4 PagesProblem Access to healthcare begins with a patient making an appointment. Disorganized scheduling leads to delays in providing care for patients and frustration among care teams. With patient experience becoming linked to provider payment, an emphasis has returned to reducing patients wait times and increasing patients ease of access to care [1,2]. Recent studies have shown that average wait times at the Veterans Health Administration’s primary care facilities was 42 days [1]. Limited private sector studiesRead MoreThe Political Race For The Whitehouse Evolves1674 Words   |  7 Pagesthe political system. Healthcare is a struggling environment for consumers. The current system lacks the ability to provide care efficiently and is burdening to the consumer. Candidates understand that any significant issue must be solved in iterations, one must apply this principle to healthcare. A system that accomplishes one task is better than one which attempts to account for everything wrong. One area that can be addressed is appointment scheduling. Various appointment systems have been studiedRead MoreThe And Health Care System1233 Words   |  5 Pagesmonths to get care from the V.A. medical center. Once it is time for your appointment the parasitic disease leishmaniasis has already spread through most of the body. A few weeks later doctors declare you dead, your family is angry at the V.A. health care system because you did not receive health care sooner. The U.S. veteran’s health care system fails veterans due to their long wait times but can be fixed by applying the triage system. 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For a while, the Department of Veterans Affairs (VA) has underestimated the demand for health care appointments for our returning service members, veterans and their dependents. Patient wait times have been a long-standing concern at the VA. Although they are working diligently and exhausting every effort to correct their wrong, there are still areas with the health system that are preventing Veterans from receiving timely access to healthcare and this issue needs to be evaluatedRead MoreA Brief Note On Canada s Health Care System Essay947 Words   |  4 PagesIntroduction: Canada s health care system is a group of socialized health insurance plans that provides coverage to all Canadian citizens. It is publicly funded and administered on a provincial or territorial basis, within guidelines set by the federal government. Under the health care system, individual citizens are provided preventative care and medical treatments from primary care physicians as well as access to hospitals, dental surgery and additional medical services. With a few exceptionsRead MoreAppointment Scheduling Framework And Effective Utilization Of Operation Research Techniques777 Words   |  4 PagesAppointment scheduling frameworks are used in health care enterprises across the globe to schedule appointments and provide administration to patients. There are many factors that affects the adequacy of appointment scheduling framework and the bottleneck lies in effective utilization of operation research techniques. The most common type of appointment scheduling frameworks, their difficulties and the possible conceivable arrangements with

Analysis Of John Steinbeck s Of Mice And Men - 950 Words

Peter Farnham 139678 Mrs. Hungers Of Mice and Men by John Steinbeck Honors English 10 Application Mental disabilitesy often cause disturbing or disruptives very false behavior. In the novella, Of Mice and Men, by John Steinbeck, two migrant workers, named George and Lennie, find work at a ranch, and Lennie, who has having a mental disability, causes numerous problemsincidents of trouble. When Lennie kills the wife of a worker on the ranch named Curley, Steinbeck shows how that shapes the story through George, Lennie himself, and a few other ranch workers. To begin with, George shows changes in his outlook on everything after Lennie commits this crime. Before the event, George always had somewhat of an open heart towards Lennie due to†¦show more content†¦The book says, â€Å"George moved slowly after them, and his feet dragged heavily† (98). Even though he does not want to see his companion go, he knows it is not out of line what the other ranch workers are doing. Although, George wants to be the one to say goodbye to Lennie and not h ave him be tortured, so he finds him and shoots him himself calmly before any of them reach his destination. In addition to George’s outlook on Lennie, after he kills Curley’s wife, all of his hope is lost in ever having a farm of their own. It says, â€Å"‘I think I knowed we’d never do her. He usta like to hear about it so much I got to thinking maybe we would’† (94). Ever since the beginning George and Lennie want to have a farm of their own. However, once Lennie commits this crime, all of his hope is lost. This pivotal moment for Lennie causes George’s full realization, shaping the story from thatto the point toof the climax. Additionally, Lennie shows a big change in his personality after he kills Curley’s wife. Throughout the story Lennie is known for being unintentionally rough on things such as mice, a puppy, and even Curley’s hand when the two got into an altercation together. Although in those incidents Lennie was only concerned about what George would think of him versus his own morality and safety. He felt like that after killing Curley’s wife. After Lennie kills the puppy he says, â€Å"‘Why do you got to get killed? You ain’t so little as mice. I didn’t bounce

The Ashinabe Culture Free Essays

The research is focused on one of the Indian tribes of Canada called the Ashinabe. Their culture and social customs are investigated, its importance determined and put into context within the contemporary culture. The Ashinabe of the Great Lakes tribes settled in Turtle Island in Canada before the arrival of the Europeans or the â€Å"light-skinned race â€Å"as the Ashinabe called them. We will write a custom essay sample on The Ashinabe Culture or any similar topic only for you Order Now They were a member of the group called the First Nations consisting of native â€Å"Indian† inhabitants of Canada. The Ashinabe had close family ties and kin communities. However, like other natives of modern times, the Ashinabe had to fight for their rights to their land and culture. As inherent to the natives who first inhabit the Continents of America, the Ashinabe are rich in social custom. The meaning and practices of these customs are handed down from generation to generation by the respected Elders through stories that are often identified as myths and legends. The Ashinabe had clear division of what does a woman and man do in society. The women were in-charge of household chores while the men go out to hunt for food. The Ashinabe males take pride in their hunting skills. Another particular example of Ashinabe social custom is the telling of stories, of which the prominent one is the foretelling of the future through the Seven prophecies of Fire that represents seven different eras. It is interesting to note that in these fourth through sixth prophecies, it tells of the coming of the â€Å"light-skinned people† and how they will influence the Ashinabe people and this is validated by history when the Europeans came and took over the land and introduce their own teachings and way of life. The Ashinabe people love to hold ceremonies which is often a reflection of their religious beliefs (in spirits of nature). In conducting their ceremonies the Ashinabe had the social custom of gathering together in circles. They have a ceremony called the sharing circle where a facilitator encourages the members of the circle to share their feelings or their views concerning a problem or solution. If it is a healing circle, facilitated by experienced healers, the members are asked of their desire to begin the healing process and this could be an emotional activity for the participants hence emotional supports are provided during and after the circle. For doctoring ailments, the medicine man consults the spirits for remedies. In both circles, a stick, or stone or feather is passed around to make the sharing easier and focused. In ceremonies, sacred fires are lit and tobacco offerings are offered to the Creator, Kitchi- Manitou. The most well known ceremony of the Ashinabe is the Pow Wow (feast of the pipes) with its activity of following a Pow Wow trail all summer. Unfortunately, because of commercialization and as an attraction to tourist, people forget that Pow Wow is indeed a serious ceremony for peace and giving gratitude and appreciation for the spirits of nature, with each song and dance offered as prayers to their Creator. The participants wore colorful regalia, jingle dress that is full of symbolic meaning but unfortunately recognized by most as just a costume. Feasts are then held after the Pow Wow ceremony where squash, corn and beans (the Three Sisters that sustained their ancestors) are always included to feed the people. A spirit plate, containing a sample of every dish, is made before any one partakes of the food and it is passed around for the guest. Feasts are also held for other occasions like weddings or when naming a child. The Ashinabe also practice the giving away of gifts in their ceremonies and feasts to honor someone and this gifts should be meaningful to the giver and to the one with whom the gift is given. The social custom of the Ashinabe people is very important as it reflect the way of life of the past and hence, the history of the early inhabitants of Canada. Although their ceremonies are considered now as one of the main tourist attractions and their ritual object as souvenirs, to the Ashinabe it held a deep symbolic meaning and tells so much of who they are as a person and people. Moreover, the social custom of the Ashinabe tells so much of how they view life and understanding these social customs is the key to understanding the Ashinabe mind and culture. The Ashinabe culture in some ways contradicts the contemporary culture which can be a source of conflict and tension, like for example in contemporary culture, tobacco is not used as an offering and women seeks fulfillment outside the home. However, one can observed that Ashinabe culture is similar to the contemporary culture like having a feast and ceremony for special occasions. Moreover, as the Ashinabe culture gets intermingled in the mainstream culture they help enrich and give color to the culture of the whites. For example, the Pow Wow had become a good attraction for business, the arts and objects of the Ashinabe people had become favorite souvenirs and home decorations. However, the Ashinabe also adopted the culture of the whites, making them lose their own culture and hence their leadership and confidence in themselves. At present, Ashinabe people are trying to revive their culture but the problem however is with the Cultural Appropriation that takes place when the dominant whites claim as their own the culture (their arts and literature, for example) of the minorities like the Ashinabe. The whites gain profit by selling the arts of the Ashinabe. Moreover, the most painful is the taking of the Ashinabe historical lands (without their consent and often through a betrayal of trust and promises) which had played a major role in their cultural history. This has been one of the sources of contention and conflict between the government and the Ashinabe people at present. How to cite The Ashinabe Culture, Papers