Shouldice Hospital Limited Essays

The Palms Hospital is considering an expansion project that would utilize land previously purchased. By expanding into ambulatory surgical services, the hospital has the opportunity to increase revenues and capture market share in this area. Investigation in the NPV of the project and a scenario analysis reveal that the project would be profitable.

* The current amount of patients treated for liver transplant volume totaled 120 patients annually, with a reimbursement rate of $140,000, providing the hospital with the ability to handle 30 more patients before the fixed costs would increase. 120 +30= 150. This means that the hospital can sufficiently handle a

After twenty years the true allocation facility cost for the Dialysis Center should be zero, since the facility would be paid off and should have only minimal allocating facility costs such as opportunity costs and costs of using the center. If after the twenty years the building is not occupied it can be used from other medical centers or it could be rented out or sold. It is difficult to try to determine the opportunity costs for space occupied by all activities. The current system of facility allocation assigns equal opportunity cost across all activities and services and avoids the problem inherited in the new method.

As an NP I would choose to take care of 24-patients-per-day and have 141,887 left

The capitated managed care agreement with the city allows the hospital to receive $250 per month per family for taking care of the 300 city employees and their families, whether they are sick or not. Utilizing the full cost method, the hospital incurs a profit loss of $51,898,395, meaning that a rate increase of $14,166.22 is required in order to cover the full cost for the year. When applying the differential cost the hospital also incurs a profit loss of $15,119, and a rate increase of $3,949.72 is required in order to cover the differential cost for the year.

With a shortage of nurses, the care and safety of patients may become compromised. The nurses themselves may be having feelings of dissatisfaction, overwhelm and distress. Nurses who may become overwhelmed with the high number of patients may become frustrated and burnt out. And inadequate staff of nurses may lead to a negative impact on the patient’s outcome. The quality of care the patients may receive in facilities with low staffing may be poor.

The economic cost for the clinic due to waiting times rise. By taking more time to process the patients, the clinic cannot reach its potential of seeing 108 patients. This of course results in less revenue. Currently the clinic operates at 74% capacity, resulting in a loss of 26% revenue.

My goal in attending a United States Service Academy and becoming an officer in the military is to provide myself ample opportunities to reach my established life goals. I plan to pursue a career in aerospace engineering, and developing that career through one of the academies will help me to achieve the dreams I had as a child. I have many strengths that will help me stand out in the application process, but at the same time, I have challenges to overcome. However, these obstacles will not hinder me from from pursuing my passion.

4. Now focus solely on the expected profitability of the proposed marketing program. How many incremental daily visits must the program generate to make it worthwhile? (In other words, how many incremental visits would it take to pay for the marketing program, irrespective of overall clinic

2. Analyze the available MD and NP capacity.  How effective is the clinic in matching supply and demand?

The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute, respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells per microliter or lower than 4000 cells per

Per week each surgeon should work 1200 minutes a week, a combined 2400 minutes, to have a 10% safety capacity, meaning that the two surgeons are really only going 15 minutes above the recommended time. If each surgeon works 1200 minutes a week that means there should be about two hours per surgeon for a safety capacity. The total available hours per surgeon with the safety capacity in effect is 1080 minutes per week, or 2160 minutes between them. So if the demand for the clinic is 2415 minutes, and each surgeon with the 10% safety capacity can work 1080 minutes per week, then the

Shouldice wanted to find a way to increase the hospitals capacity while maintaining the same quality of service. One of the ways they can work toward this goal it by continuous improvement. Continuous improvement is “the philosophy that seeks make never-ending improvements to the process of converting inputs into outputs” (Stevenson, 2012, p.385).

Diagnosing and treating patients defines the overall goal of any hospital. In providing healthcare to a patient, the first step in handling a concern is a diagnosis. Delivering the correct diagnosis determines the resulting healthcare needed to treat a patient. If an error in diagnosis were to occur, improper treatment may be given to the patient or the correct treatment may be postponed or even withheld.6 Diagnostic errors occur frequently, can be caused from a variety of reasons, and have adverse effects on patients, their families, and even the hospitals that they occur at.

Shouldice Hospital had an excellent well-developed, focused service delivery system. The business strategy was to not only provide its patients with a quick, quality and low cost surgery but also providing an unforgettable experience and comfortable environment in the facility.