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J Mechanic

Publications and source records attributed to J Mechanic.

8 recordsLinked to original sources

The ambulatory treatment unit. An innovative model.

Changes in the healthcare delivery system have created a competitive marketplace that demands new programs to contain healthcare costs while providing more efficiently for patients' healthcare needs. One major change is a trend toward outpatient ambulatory healthcare. Procedures once performed in the hospital currently are done routinely on an outpatient basis. Drug/alcohol treatment units, rehabilitation centers, and occupational health centers provide long-term care on an outpatient basis. Home healthcare programs provide nursing services for patients who are chronically ill and for those with special recovery needs after discharge; hospice programs provide nursing care for terminally ill patients. Although change can be unsettling, it also provides new opportunities for nursing to be creative and innovative in providing client services that meet present demands. This article presents one such innovation, the development of an ambulatory treatment unit.

Ambulatory Care

The medical/surgical nurse program. A flexible response to the changing patient care environment.

The medical/surgical nurse program at Stanford University Hospital was designed to provide patient care units with clinical professional support to manage emergency or other unpredictable situations in a challenging healthcare environment. As a result of this program, staff members have access to clinical nursing experts who provide valuable support to improve patient care services in the most cost-effective manner.

California

The proliferation of health care contracts at a tertiary care hospital: organizational and financial impacts.

The impact of negotiation and management of numerous health insurance contracts on one tertiary care hospital's organization and costs is explored. Contract-related activities have proliferated within the organization, requiring extensive labor time and costs. Information exchange is the most time-consuming activity, suggesting that systems are needed both to facilitate transmission of information among hospital personnel, insurers, physicians, and review organizations and to reduce the variation among contracts.

Contract Services

The intrapreneurial nursing department: nature and nurture.

By creating and promoting an "intrapreneurial climate" with appropriate "actions" within the department of nursing, nurses may exploit their creativity and commitment to health care without leaving the organization. This article discusses an approach to fostering nurse intrapreneurship and gives examples of success achieved at Stanford University Hospital.

Connecticut