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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

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H o m e P a g e > F r e e E s s a y s > C a s e : U n i v e r s i t y H e a l t h S e r v i c e s : Wa l k I n C l i n i c E s s a y

MoreaboutCase:
UniversityHealth
Services:WalkIn
Case:University ClinicEssay

HealthServices: University
WalkInClinic HealthCare
WalkInClinic
Essay WaitTIme
AnalysisEssay
668Words Dec16th, 654Words|3Pages

2013 3Pages
SocialWorkers
Case:UniversityHealth inMentalHealth
Services:WalkInClinic Facilitiesand
Outpatient
KathrynAngelhasbeenhired Clinics
1487Words|6Pages
asassistantdirectorfor

ambulatorycareatHarvards FreeHealth
UniversityHealthServices. CareClinicsare
Effectivefor
Byimplementingatriage TheUninsured
Essays
system,shewantedto
1036Words|5Pages

reorganizetheWalkInClinic.

Thestaffoftheclinicincludes IndianHealth
ServiceEssay
https://www.bartleby.com/essay/CaseUniversityHealthServicesWalkInClinicFKTTY2KVJ 1/19
6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

1842Words|8Pages
22physicians,2registered

nursesand11nurse Healthand
HumanServices
practitioners.
Essay
Physicians:40hoursper 1120Words|5Pages

week,inblocksofthreeto
Proposalfor
fourhoursintotal150hours International
Foodsatthe
perweekavailabletothe
University
WalkInClinic DiningServices
1313Words|6Pages
12hoursinWalkInClinic

16hoursmeetingpatientsby EssayaboutThe
NationalHealth
appointment(including2half
Services
hourperiodsreservetime) 2193Words|9Pages

5ondutyattheUHS
African
infirmary Americans
Perceptionsof
7onadministrativeandother
MentalHealth
matters andthe
Implicationsfor
Registerednurse:eighthour
HealthService
shifts,includingonehourfor Delivery
2530Words|11Pages
lunch,cantreatminor
EssayHistoryof
theNational
https://www.bartleby.com/essay/CaseUniversityHealthServicesWalkInClinicFKTTY2KVJ 2/19
6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

ailmentsshowmore HealthService
2014Words|9Pages
content
HealthStatus
AsKathrynAngel,howdo andHealthCare
Servicesin
youevaluatetheintroduction Chinawith
ofthetriagenursesintothe Comparisonto
theUnited
processoftheWalkinClinic States
2180Words|9Pages
?

Theaveragetotalwaiting

timewasmorethanexpected

(37.5minutes,including

triagetime).Thereweretwo

mainproblems:

Thetriagecoordinatorsare

sometimesclassifying

patientsasphysician/nurse

practitionertomaintainthe

flowwhentheyfeelthe

practitionersarebackedup.

Sothephysiciansshareof

patientsgetsincreasedin
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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

overloadsituations.The

meanwaitingtimetoseea

physicianwasmuchlonger

(25.2minutes)thanthemean

waitingtimetoseeanurse

practitioner(6.7minutes).

24%ofallpatientsasktosee

aspecificdoctorornurse.

Thewaitingtimefortriageis

alwaysthesame,butpatients

whoaskedforaspecific

providerhadtowaitan

averageof8.6minutes

longer.

Twoofthefivedoctorson

dutyare100%occupiedwith

walkinappointments.Sothe

availableMDresources

decreaseby40%andfillsup

thewaitingroom.People

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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

wantapractitionerwho

knowsthemwell,buttheaim

oftheUHSWalkInClinicis

toprovidethebestpossible

caretoalltheirpatients,

particularlythosewhose

medicalneedsarealmost

urgent.

Howcanthewaitingtimesbe

improvedandthecomplaints

bereduced?

Firstofall,theyneedto

expandthe13nurse

practitionerguidelinesand

theyalsohavetodefine
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furthertherolesof

Related

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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

UniversityHealth
CareWalkInClinic
WaitTImeAnalysis
Essay
654Words|3Pages

Howcosteffectiveisthis

consideringthedifferent

serviceratesofMDsand

NPs?(AssumeNPswork47

weeksperyear.)Salaryfor

MD:$3555KsalaryforNP:

$1626K.Wewillusethe

midpointsalaryofeachfor

illustrativepurposes.Table2

ServiceRateExample

MidpointSalaryHrs/Yr2080

PerHrRatePts/HrCostper

PatientMD45,00045k/2080=

$21.633.1$21.63/3.1=$6.98

NP21,00021k/2080=$10.10
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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

1.8$10.10/1.8=$5.61TheNP

costperpatientis80%ofthat
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ofanMD

SocialWorkersin
MentalHealth
Facilitiesand
OutpatientClinics
1487Words|6Pages

OutpatientMentalHealth

Clinicoffersawiderangeof

programsincluding,Individual

Psychotherapy,whichis

treatmentbetweenatrained

professionalandaclient.

Familyandcouplestherapyis

anotherserviceofferedinthe

outpatientclinics.Familyand

couplestherapy,workswith

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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

couplesandfamiliesto

nurturechangeand

developmentinthose

particularsituations.Ittends

toviewchangeinterms

interactionbetweenmembers

oftheintimaterelationship.

Grouptherapy,anotheroption
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in

FreeHealthCare
ClinicsareEffective
forTheUninsured
Essays
1036Words|5Pages

Healthproblemshave

continuedtoincreasedueto

socioeconomicchanges,

demographicsandthe

https://www.bartleby.com/essay/CaseUniversityHealthServicesWalkInClinicFKTTY2KVJ 8/19
6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

patternsofdiseaselargely

attributedtolifestyle.For

example,anareadominated

mylowincomeearnersis

likelytohavemorecaresof

illness,theirincomelowers

eligibilitytohealthinsurance

andmostoftheinvestorsas

wellascharitymaynotbe

willingtosetuphealthcare

centersintheareas.Thishas

ledtoanincreaseindemand

forhealthcareanda

challengeisposedwhere
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therearenofacilities

IndianHealthService
Essay
1842Words|8Pages

https://www.bartleby.com/essay/CaseUniversityHealthServicesWalkInClinicFKTTY2KVJ 9/19
6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

offerscomprehensivehealth

coverageforapproximately

1.9millionAmericanIndians

andAlaskanativeswho

belongto564federally

recognizedtribesin35states

(DefinitionofIndianHealth

ServiceDefinition2012).The

federalsystemconsistsof29

hospitals,68healthcenters

and41healthstations

(DefinitionofIndianHealth

ServiceDefinition2012).

Thereare33urbanIndian

healthprovidersinavariety

ofhealthandreferralservices

(DefinitionofIndianHealth
ShowMore

ServiceDefinition2012).

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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

HealthandHuman
ServicesEssay
1120Words|5Pages

nursinghomestomental

healthcenters.Therearea

numberofolderadultswith

heartfailure(HP)andneed

moreinformationabouthow

tocopewiththiscondition.

Sincetheresultssuggestthat

peoplewithHPfacesmany

challenges,likeformalhealth

caresystem,lifedisruption,

socialisolation,symptoms

anduncertainaboutthe

prognosisandsymptoms

alsoincludedealingwith

dyingprocess.Socialworkers

givethemostimportantlink

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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

withseniorsandservices
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designedtohelp

Proposalfor
InternationalFoodsat
theUniversityDining
Services
1313Words|6Pages

accustomedto,therearealso

timeswhenstudentfeellike

tryingsomethingalittle

different.Oftentimesthe

sameoldpastaorchicken

dinnerscangetboring.That

iswhyinternationalfood

servedinthedinningservices

wouldbeapleasantchange

forallstudentsatIowaState

University.Notmanystudents

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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

knowwhatfoodstastelike

fromplacessuchasIndia,

Russia,Germany,Sweden,or

Japan.Studentwouldbeable

tosamplefoodsfromthese

andotherplacesofwhich

theyhaveneverbeen
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exposed

EssayaboutThe
NationalHealth
Services
2193Words|9Pages

commissiononNational

HealthInsurancein1926

TheSankeyCommissionon

VoluntaryHospitalsin1937

andreportsfromBritish

MedicalAssociation(BMA)in

https://www.bartleby.com/essay/CaseUniversityHealthServicesWalkInClinicFKTTY2KVJ 13/19
6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

1930and1938,all

collectivelyindicatedthat

inadequacyexistedinthe

patternoftheservices

(Christopher,2004Webster,

2002).Evidentwerereports

ofconflictingcareand

duplicationofworkbetween

themunicipalandvoluntary

hospitals(Wheeler&Grice,

2000).Additionally,worldwar

hadahugeimpactonthe

healthservicesandthe
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conditions

AfricanAmericans
PerceptionsofMental
Healthandthe
Implicationsfor

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6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

HealthService
Delivery
2530Words|11Pages

notthinktheywerecrazy

andthereforedidnotneed

mentalhealthservices.Inthis

instanceparticipantsshowed

alackofknowledgeabout

whatmentalhealthillness

lookslike.Theyidentified

mentalillnessas

dichotomousstates(Hines

Martinetal.,2003).Astudy

byMentalHealthAmerica

foundsimilarresults.Inthis

study,amajorityofAfrican

Americanssurveyedbelieved

thatdepressionwasahealth

problemandinsomecases

normal(MHA,2012).
https://www.bartleby.com/essay/CaseUniversityHealthServicesWalkInClinicFKTTY2KVJ 15/19
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Talkingaboutmentalillnessis
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taboofor

EssayHistoryofthe
NationalHealth
Service
2014Words|9Pages

pensionforpersonsaged

seventyyearsoldorabove

(atthistimetheaveragelife

expectancyformenwas

around48yearsold).By

1911abasicnationalhealth

andunemploymentinsurance

actwaspassedwith

contributionslaiddownby

Parliament,withfriendly

societiesandmutuallyowned

bodiesoperatingthehealth

https://www.bartleby.com/essay/CaseUniversityHealthServicesWalkInClinicFKTTY2KVJ 16/19
6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

schemes.Duringthistime

andintothetwenties,

municipalhospitalswereset

upandtheydealtwith

treatmentforthepoororlow

incomepopulation,upper
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classes

HealthStatusand
HealthCareServices
inChinawith
Comparisontothe
UnitedStates
2180Words|9Pages

peoplehavetorelyonthe

communalhealthcare

programs,howeverrecent

trendsindicateasharp

declineintheirsubscription

https://www.bartleby.com/essay/CaseUniversityHealthServicesWalkInClinicFKTTY2KVJ 17/19
6/2/2017 Case:UniversityHealthServices:WalkInClinicEssay|Bartleby

andthegovernmentinturnis

introducingaschemeforrural

dwellers.Predominantlythe

Chinesesystemis

characterizedbyprovisionof

healthservicesatvarious

levels.Fromthetopmost

level,national,throughtothe

provincialandatthebottom,

locallevel.Alookatthis

systemfromtheearly1980s

revealsthattheseservices

wereprovidedinathreetier
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method

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