new peer responses

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Peer Responses : Only write 3-6 sentences responses!!!!!!!!!!!!!!!!!!

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· Week #7-Chris H.

The first thing to do in this issue is to understand what “failure to diagnose” actually is and what it illustrates about a healthcare organization. Failure to diagnose is defined as “when your doctor completely misses the connection between your symptoms and a medical condition and no course of treatment is taken” (1). In other words, a failure to diagnose is the lack of a diagnosis and subsequent treatment of a patient’s medical condition. This illustrates the amount of liability that an organization has, and more importantly, is dealing with. As such, there are a couple of solutions to mitigating such failures to diagnose. One such way is to provide continuous education programs, as some physicians may lack or lose certain skills over time and would need to improve those insufficient skills or re-acquire them. In this way, the hospital mitigates the amount of failures to diagnose due to failures from deficiencies in technical skills. Another way is to provide more comprehensive follow-up care systems, such as increased EHR scheduling applications, to rapidly follow-up about the effectiveness of treatments. In this manner, the hospital can prevent further damage from a misdiagnosis or correct the error before it becomes fatal, thus decreasing the amount of failures to diagnose due to insufficient or non-existent treatments.

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· Vanscoy, Week 7

A recent study divided diagnostic related failures into three categories: emergency department, inpatient care and primary care.  57% of all cases occurred in ambulatory care (2,685 cases).  This study also shows that almost ¾ of diagnostic failures in ambulatory care are due to a lapse is clinical judgment (Guglielmo,2015).  This includes failure to order a diagnostic test, misinterpretation of tests, and failure to give a differential diagnosis.  Other issues with diagnostic failures are lack of patient compliance and communication errors (Guglielmo,2015).

Looking at studies such as this, show that there needs to be a concentration on education and communication.  Many errors are made when a physician is rushed.  As a facilities manager, I would look into the patient schedule and see where changes can be made in order to reduce errors while still optimizing the hours of operation.  Educational courses are offered by the CDC, for no to minimal costs.  I would encourage all staff to take advantage of this, and if funds allow, offer some of the courses in office.  Medicine is a field that is ever-changing, and every staff member would benefit from current courses and continual education. 

Another issue is communication errors.  One study shows that care centers that had better communication from physician to physician, reduced the rate of errors by 25% (Reinberg, 2014).  Implementing a hand-off program at the end of each shift will allow for better patient care. This hand-off program will cover:  patient illness & condition, care plan, medications, and time for questions to be asked and answered.

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· Week 5--Billie

There are numerous ways that the FCC has a role in health care markets.  One way is with the Rural Health Care Program which includes the new Healthcare Connect Fund.  On December 12, 2012 the FCC created this program in order to expand access by healthcare providers to robust broadband networks.  The Rural Health Care Program provides funding to eligible health care providers for telecommunications and broadband services that are necessary for the provision of health care.  The goal of this program is to improve the quality of health care available to patients in rural communities by ensuring that eligible HCPs have access to telecommunications and broadband services.

Additionally the FCC has created guidelines to help the Health Care Sector ensure their continuity of operations and manage the security and operability of their communications systems and networks during emergencies.  These guidelines are not required but can be used to further develop their current emergency and disaster preparedness.  These guidelines cover preparations stages,

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· Mack- Week 5

A monopoly occurs when there is one entity in control of the market. This occurs on the supplier end and is generally created when it is hard for competitors to enter the market. The supplier is able to generate a great deal of profit because the supplier is then in control of the effects of the supply and demand of the remainder of the market in regards to the specific product or service that a company offers.

An example could be Walmart, but there are able competitors, so that complicates it. Walmart makes upwards of 100 million dollars a year. They are able to sell the volume of products they do because of the volume of customers they have and the cycle perpetuates. Walmart has a monopoly because they have control over the demand of the market as a result of having the cheapest supply. 

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