Virginia Mason Hospital

Time WASTED  Looking for patient information, duplicate charting, checking on orders, trying to get old records, calling lab to see if a specimen was received, consulting with other nurses to figure out a handwritten order, calling physicians, searching for a drug book, figuring out a care plan, checking on orders (again). Time SAVED  EMRs

“The mission statement is a short, concise statement describing the purpose and reason for existence. It serves as the framework for the vision statement, which is composed of the key characteristics that leadership desires the organization to become” (Spallina, 2004). Baptist Memorial Hospital-Memphis is one of Tennessee’s highest volume hospitals. Baptist Memorial Healthcare mission is to follow the three-fold ministry of Christ- healing, preaching and teaching. The organization has many programs in place to spread the practices of Christ to the many communities that the hospital serves. The vision is that the organization “will be the provider of choice by transforming the delivery of health care through partnering with patients, families,

Vanderbilt University Medical Center (VUMC), a non-profit medical center, was founded in 1874 as a part of Vanderbilt University (Wood, P. 1). The U.S. News and World Report ranked VUMC as one of the top health organizations in the United States for patient care, research, and medical education (Vanderbilt Fact Book 2015). In addition, VUMC is a charity hospital that provides about $400 million in charity care per year (Framework, 2013). It should also be noted that Vanderbilt is the only level one trauma center and level four Neonatal Intensive Care Unit in this region. Vanderbilt is also unique for its comprehensive cancer center, dedicated burn center, and has Tennessee’s only solid organ transplant center, per the Vanderbilt Fact Book

World War 2 is considered one of the worst conflicts that ever took place. An estimated 50 million soldiers were killed during World War 2. It led to the economies of many countries to fail, sending them into depressions. * Many factors contributed to victory of the allies, but one aspect that may have influenced the results of the war was the correct use of propaganda. Merriam-Webster Online Dictionary defines propaganda as an idea or statement that is often exaggerated and is spread in order to spread a cause, political leader, government,etc (http://www.merriam-webster.com/dictionary/propaganda).

Information technology helps the organizations achieve many targets. The following is a needs assessment conducted in the Valley Hospital Medical Center, to determine the technology needs. This hospital does not lack an advanced technology, still, it has room for further improvement. For instance, they use the latest version of a computer program for the patient documentation. They make sure that the program gets updated as needed. There are no issues for any employee or department of this institution on accessing or documenting using this program.

Every day veterans are unattended to, or their appointments are rescheduled. So many veterans are homeless because they can’t or won’t be hired, to me this is unfair. I know many veterans that would rather not go to the VA or be cared for at the VA because of their lack of being cared. The way I see it is, if the people/ workers at the VA work there they should know what they’re getting themselves into. yes the VA is insane, and deranged etc., but hey if you work there stay committed to help and take good care of our veterans, to help the people who is or have fought for our country as a favor in return to

It was dark, very dark rather. The torch did not light the hallways like it did closer to the surface. The air was thick and moist. It had the power to make someone cough over nothing. There were piles of bones and all along the walls. Not any type of bones, but human bones. There was mold covering all the places that were damp. Wine was the only reason for being in such a dark careless place or so we thought. Montresor’s family was known for taking revenge on others. In The Cask of Amontillado, Poe included Fortunato’s pride and connoisseurship in wine and how Fortunato’s drinking allowed him to get manipulated easily which ended up blinding him, that later led to his death.

“Lean is a systematic approach to identifying and eliminating waste (non-value-added activities) through continuous improvement by flowing the **product at the pull of the customer in pursuit of perfection.” Lockwood [24].

Tracking patient history, medications, procedures and other information is much easier and communicating this information with other providers is much more effective.

The nurses at Memorial Hospital work a regular schedule of four 10-hour days per week. The average regulartime pay across all nursing grades is $12.00 per hour. Overtime may be scheduled when necessary. However, because of the intensity of the demands placed on nurses, only a limited amount of overtime is permitted per week. Nurses may be scheduled for as many as 12 hours per day for a maximum of five days per week. Overtime is compensated at a rate of $18.00 per hour. In periods of extremely high demand, temporary part-time nurses may be hired for a limited period of time. Temporary nurses are paid $15.00 per hour. Memorial Hospital has a policy that limits the proportion of temporary nurses to 15 percent of the

Lean is defines the manufacturing philosophy that reduces the time between the shipping and customer demand, which based on the systematic method by eliminating waste, that means giving the customer what they want when they want it, and don 't waste whatever. Rahmana, Sharif and Esa (2013) suggested lean production is mentioned to improve the company 's performance from the philosophy in reducing waste in order. That means, lean system destination is the decrease cost by removing the non-value activities, which they are applying a category of tools and techniques for checking and eliminating defective in the production process. In the Evenort Company should emulate the five overriding principles of lean thinking in terms of implementing lean that there is guarantee the company has been driving correctly in the lean manufacturing (Cardiff 2015) as can show in table 1.

Lean is a process where creating more value to customers by minimizing wastage, time with less resources. Lean organization understand the customer value and try to increase proceed which adding more value to the business. In order to accomplish the lean thinking

The Delphi panel stressed the importance of regular performance measuring to ensure improvements are sustained. When staff understood the reasons behind the changes and how they improved the productivity and quality of care for patients, they were more likely to sustain the implementations. Developing a culture with the appropriate elements to support continuous improvement was seen as vital to see success with the lean methodologies.

The application and implementation of lean principles or thinking is a process that requires commitment from every stakeholder in the organization. This process entails commitment to the organization's workers and to the system itself in order to make changes towards improvement. Generally, the implementation of lean thinking is geared towards continuous improvement through the elimination of waste. However, lean management or implementation of the principles sometimes incorporate mistakes that are made by leaders in the execution process. This is mainly because lean leadership appears to be simple though its complex because of the costs associated with it. The mistakes usually occur because of intrinsic complexities of exploring deeply into organizational philosophies, business strategy, psychology, and macroeconomics.

Aging! We all do it every day, but have you ever thought how it is going to affect the rest of your life or more importantly your career? Aging isn’t something that we get to choose if we participate in, however working is, and aging may affect that choice. Right now, I want you to think about the age of sixty-five. What words pop into your head when you think of someone sixty-five? I’d imagine some of the words you thought of were retired, old, fragile, slow, as well as many others. Those words right there all help to explain the many concerns that one’s employer may have when hiring someone that is of the older population. When we think of the older population in the work force we don’t necessarily think of positive things, instead we think of things. When we think of this population in the workforce we generally think of lower production rates and higher costs. These can create issues among the older population, as employers must consider all the possibilities when hiring someone. We know that more people in the older population are continuing to try to continue their careers, but why? How hard is it for them to continue? What changes have made it easier? How are the younger and middle aged populations perceiving them in the work place? This are only some of the many question surrounding the increase of aged workers.