Mercy Carter lives in Deerfield, Massachusetts the most remote settlement in the English colonies. It is 1704, and the threat of an Indian attack is real. During the night, Indians and French attack Deerfield, ripping children away from their parents, taking some adults and randomly killing other adults and their children. Forced to march over 300 miles to a Kahnawake Indian village in Canada, many will not survive the more than 40 days on the trail. Mercy's struggles to survive and tries to save some of the children. Desperately she attempts to find out if her brothers are alive and where they have been taken. She dreams of the time that ransom will arrive to secure her release. However, as time goes by she is adopted and assimilated into
Another threat is the current state of rural hospitals nationwide. According to the case study, about 25% of Americans live in rural areas and only about 10% of physicians actually practice in rural areas. There is a 15% gap in the ratio of rural citizens to available practicing physicians. This is a threat to ELH’s need to attract and hire more physicians. In relation to rural hospitals, citizens have longer drive times to their medical facilities. This causes them to delay routine visits which subsequently exacerbates
This case study looks at the challenges faced by Matt Hayes, executive director of Riverview Regional Medical Center (RRMC). Previously named as “The Holy Name of Jesus Hospital”, the facility was owned and operated by Catholic nuns. The Hospital Management Associates (HMA) bought the facility in August 1991 and modify the name to Riverview Regional Medical Center. Hospitals that were taken over by HMA upgraded to state-of-the-art facilities that provided high quality medical care. RRMC run numerous private practices throughout the city and shared common medical staff with their chief opponent, Gadsden Regional Medical Center (GRMC). However, the common staff from the Emergency and Radiology department were not shared. Over the past years, RRMC has been facing multiple challenges concerning the different services provided by the facility (Swayne, Duncan, & Ginter, 2013).
It was clear negligence when it was so obvious that the toes did not have proper circulation. If the nurses were doing their job by checking on the extremities should have quickly noticed that there were circulation issues. By not reporting this was pure negligence.
Tulsa Memorial Hospital (TMH) is one of the nine acute care hospitals that serves in the general population area. Historically, it has been highly profitable due to its well-appointed facilities, excellent medical staff, good-standing reputation for quality care and its ability to give individual attention for each of its patients. The hospital, in addition to its inpatient services, operates an emergency department and an urgent care center located two miles from the hospital across the street from a major shopping mall.
The Mercy Career & Technical High School uniform for female students, is a burgundy, gray, or yellow, cotton collar shirt with a gray skirt. The Mercy Career & Technical High School uniform for male students, is a burgundy, gray,or yellow cotton collar shirt with black or gray dress pants. Also we are not allowed to wear any type of jewelry, with the exception of earrings, which has to be the size of an penny.
The three hundred mile journey to Montreal has begun. As this moment, “The Williamses know they are destined ‘for a march . . . into a strange land,’ as prisoners” (Demos 19). Things began to get rough as the trail elongated. Out of all the captives, only ninety two captives survived the actual march to Canada. Many of the captives were killed along the journey. Many were women including John Williams’ wife. Before the captives reached Canada, the group split into smaller groups. They all ended up going in separate destinations. As days and months eventually went by, the Williams children along with many other remaining captives were eventually dispersed amongst the numerous participating Indians tribes.
How would Ed’s blood help protect him from a foreign invader such as the one now in his system?
“People are like boats, always coming and going. Sometimes never returning” (194), said Mercy, when she was talking about how her best friend, Tom, left for his dream in becoming an air pilot. This logic could be interpreted as a incoherent approach to entering a new life. When people leave for something new in their life to experience, the outcome isn’t always a good thing and could lead to a breakdown of a fresh life. Although the book written as a historical fiction novel that consists not fully accurate information and facts, however the main concept that should be focused is the character’s struggle and triumph. “When a law isn't just, I believe it's okay to disobey it. In fact, I believe we are morally obliged to disobey it” (244), said Mercy, when word spread amongst the community that the soldiers would be arresting any looters they come upon after the wake of the intense earthquake of 1906. For the most part, the character’s struggle through the aftermath of the earthquake was extreme as she lost two of her closest family members, her mother and her little brother, and is left with her dad who is nowhere to be. From her struggle with dealing with lost of her family and her destroyed home, the pinpoint of her triumph was her ability to not give up even with unstable
The hospital industry has seen a dramatic change since the 1960s. Millions of dollars were poured into the industry causing a huge boom in independent hospitals and respectively a large boom in insurance coverage. Eventually the government had to step back in and reassess their role in health care. Here is what you need to know about the industry. Types of Health Care Programs: - HMOs are Health Maintenance Organizations that provide health care for a fixed monthly fee. - PPOs are Preferred Provider Organizations are usually offered through large employers where patients can more options and not be as restricted as an HMO. Ambulatory health care services are those that are used on an
1. Using the historical data as a guide (Exhibit 6.1), construct a pro forma (forecasted) profit and loss statement for the clinic's average month for all of 2010 assuming the status quo. With no change in volume (utilization), is the clinic projected to make a profit?
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for
1) Upon the story presented, necessary actions should be taken to overcome the hospital’s problems. St. Mary’s Hospital last year’s numbers showed the necessity of such actions. For the first time, since the hospital started operating, they presented deficit on its revenue. St. Mary’s hospital had some major problems in a few departments. During the last few years, the occupancy, or the number of patients in the hospital, has been declining. Such problem is explained by changes made to reimbursement policies, a larger emphasis on outpatient services, and an increase in local competition. Another major problem the hospital faces is the performance appraisal system. It seems inadequate for the system in
A snarling wolf can be as nice as a loving grandmother, and a cute bunny might actually be a demon in disguise, but you never know until you get to know them. The Landlady, written by Roald Dahl, is a short horror story of a young man named Billy Weaver going to the town of Bath for a business trip. While looking for a place to stay, he finds a seemingly kind, old lady who offers cheap bed and breakfast. While treating Billy to tea at night, the landlady poisons Billy and goes to make him one of her taxidermied collections. Dahl uses foreshadowing, characterization, and irony to examine how innocence can change the way things seem.
The problem at Memorial Hospital is the focus on costs instead of health care. When a health care provider does not take the primary business as the core value of the operation and make strategic and tactical decisions based primary on costs, it decreases the consumers’ (patients) satisfaction in long run. As consumers reduce or stop purchasing goods and services from the hospital, hospital may make more cost oriented decisions and falls into a negative cycle. Eventually the hospital may face the fate of loosing business to competitors and the possibility of closing the door.
Mercy and her sister Charity live in a grand, dark and isolated mansion known as Century. Their house is covered by an eternal winter with the same daily routine. Mercy doesn’t know her age and what year she is living in. She is incapable of remembering her mother’s death, let alone remembering her mother at all. Her father Trajan is very distant and is consumed in a sullen mood. He is very ignorant towards his children, only getting to see them rarely. Mercy and Charity are taken care by the housekeeper Aurelia, and Galatea a strict teacher. Mercy sees ghosts. She usually sees them roaming around in her house until she meets a new one, she has never recognized before, in the lake. Mercy starts to become curious and