The Importance of Hospital

A hospital is an institution for health care providing patient treatment by specialised staff and equipment, and often but not always providing for longer-term patient stays. A hospital today is a centre for professional health care provided by physicians and nurses. During the Middle Ages it could serve other functions, such as almshouse for the poor, or hostel for pilgrims. The name comes from Latin hospes (host), which is also the root for the words hotel and hospitality. Hospital-acquired infections (HAIs), also known as health-care-associated infections, encompass almost all clinically evident infections that do not originate from a patient’s original admitting diagnosis.

Within hours after admission, a patient’s flora begins to acquire characteristics of the surrounding bacterial pool. Most infections that become clinically evident after 48 hours of hospitalization are considered hospital-acquired. Infections that occur after the patient’s discharge from the hospital can be considered to have a nonsocial origin if the organisms were acquired during the hospital stay. Today, hospitals are usually funded by the state, health organizations (for profit or non-profit), health insurances or charities, including direct charitable donations. In history, however, they were often founded and funded by religious orders or charitable individuals and leaders.

Similarly, modern-day hospitals are largely staffed by professional physicians, surgeons and nurses, whereas in history, this work was usually done by the founding religious orders or by volunteers. There are several kinds of hospital. The best-known is the general hospital, which is set up to deal with many kinds of disease and injury, and typically has an emergency ward to deal with immediate threats to health and the capacity to dispatch emergency medical services. A general hospital is typically the major health care facility in its region, with large numbers of beds for intensive care and long-term care, facilities for surgery and childbirth, bio assay laboratories, and so forth. Larger cities may have many different hospitals of varying sizes and facilities. One plum wall says it all: Hospital services are separate and distinct from boarding and grooming services-yet both are easily accessible to pet owners and team members.

During a candid conversation with his architect, Dr. David Gordon, medical director of VCA Arroyo Animal Hospital (formerly Arroyo Pet Care Center) in Lake Forest, Calif., mentioned he’d like to distinctly separate the hospital and medical functions and the boarding and grooming functions. Yet his idea of using a scalpel handle and blade on the outside of the building to depict that separation didn’t quite seem appropriate. Some patients just come just for diagnosis and/or therapy and then leave (outpatients), others stay the nights (inpatients). Putting the patient first is a challenge that requires not just a huge change in the mindset of all the stakeholders in health care provision, but also the means by which to measure the levels of satisfaction of patients, and to discover what matters to them before, during and after their visit to any hospital. Patient quality initiatives, with their softer, experiential focus than clinical audit, with its precise and scientific methods of measurement, demand different measurement techniques.

Often, the most effective means is to adapt from the survey techniques widely practiced in social research and market research by using surveys and objective self-completion questioning techniques. Yet, without careful management, the measurement teams can drown in a sea of questionnaires. Surveys are labor intensive, so it makes sense to use software developed to handle surveys in this context too, and make the process into something that can be managed by the small teams usually given this responsibility within the hospital.

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Nurse Jackie’s Hospital Administrator

Nurse Jackie is one of Showtime’s hottest shows this season. Featuring Edie Falco, an HBO veteran from the hit The Sopranos, as an amoral emergency room nurse dedicated to saving lives, while cheating on her husband and indulging in powerful painkillers to combat her back pain, the show transcends typical medicine dramas popular in primetime television by focusing on those who heal, not those who diagnose.

This Showtime drama also features The West Wing’s Anna Deavere Smith as Gloria Akalitus, a nurse-turned-hospital administrator. Akalitus is the butt of many a joke in the show, getting giddy off of Jackie’s Percocet-laced coffee, accidentally tazering herself in an elevator, and questioning a gay nurse about how to obtain adoption papers for a child left at a nursing station.

Where lies the line between fact and fiction in the characterization of this hospital administrator? Frankly, the line zig-zags. Hospital administrators play an important part in the inner workings of the hospital, and help to keep everything running smoothly. But in a dark comedy like Nurse Jackie, Akalitus is a walking punch line, providing a much needed dose of laughter amidst so much darkness. However, if her employees behaved themselves, Akalitus would most likely seem like an average nursing supervisor.

In one notable episode, Akalitus urges Jackie Peyton to make a dying man vacate a bed due to overcrowding. Jackie asks her to look at the man again, not as a healthcare administrator, but as a nurse. Akalitus allows Jackie until the end of the day to find him another place to stay, because she realizes that he’ll be dying soon.

This aspect of Akalitus’ character may be legitimate. It would be logical for a nurse to become a supervisor. Many hospital administrators began as healthcare workers. However, it’s not a simple jump from nurse to administrator. Most have at least a Masters degree in Health Services Administration, although some pursue degrees in public or business administration. Hospital administrators with financial backgrounds may go on to become Chief Financial Officers or Chief Executive Officers.

Education includes a year of interning in a health care center, and most administrators begin as administrative assistants for large hospitals, before pursuing higher positions in smaller institutions. Therefore, it’s unlikely that Akalitus would be working alongside her former peers, as she probably would have needed to move elsewhere to find a position.

In another episode, Akalitus stays late to oversee Jackie making the time schedules, having noted that she always seems to be working with friends. One of the responsibilities of the hospital administrator is the maintenance of the budget. The hospital administrator would be responsible for the schedule of the nurses being overseen.

Finally, Gloria Akalitus appears to work alone. This is definitely true. There is often only one hospital administrator in a small hospital, and larger hospitals need a single administrator for each department. All Saints, the fictional hospital at which Nurse Jackie works at, seems like a large hospital. As a result, it would be common for a health care administrator to oversee the entire department alone.

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Where To Find Help With Medical Bills

The present times have brought us technological advancements that lengthen our life span and make living easier even with debilitating diseases. Nevertheless, these medical treatments also come with steep medical bills. In fact, most people tend to delay going to the hospital in hopes that they don’t need to pay for the hospital bills that come with seeking medical attention. However, when an unexpected accident or a disease comes up, there is no longer a choice left but to go to a hospital. Luckily, there are now different methods and organizations that are willing to help with medical bills. You only need to find which one works the best for you.

  • Ask your hospitals. Typically, hospitals are willing to refer you to their charity service cases, which will help with medical bills by approximately 50-75%. These charity cases exist in return for the decreased tax revenues the government will charge of the hospitals. However, you may need to be in a certain income range to be able to qualify. Another option is to negotiate with the hospital and your doctor by explaining your situation. Most of the time, they cut the costs and you can pay less than you are expected to.
  • Approach your government. You may not be aware of this but the government provides various grants to help pay hospital bills of those who are qualified. Typically, the grants are open for children, for senior citizens for disabled people and for those who are suffering from diseases that need lifetime treatment. If your case qualifies then you can easily get help with medical bills.
  • File for medical loans. This is usually done even when people don’t have health insurance. With affordable interest rates, it is easy to pay back your loans and pay hospital bills at the same time. It is also easier to qualify for a medical loan compared to charity services or government grants.

Finding help with medical bills don’t need to be strenuous. As long as you are determined to pay off your hospital bills then it will be worth it.

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The Importance of Hospital Billing in the Medical Community

The medical industry is comprised of many divisions and sections which all work together to offer patients a positive experience. This is true whether services are provided through an emergency care center, doctor’s office or any of the many types of medical help offices available. While many will focus on procedures performed at various hospitals and treatment centers, medical service administrative functions are equally as important, including hospital billing.

Hospital billing brings together charges based upon patient stays or procedures performed at a hospital. By coordinating with doctors’ offices throughout the community, this financial department can ensure a smooth relationship between doctors and patients. Because the medical billing process can be complicated, it is important for all entities involved to check information and avoid any discrepancies the patient might find.

While many hospitals employ their own accounting departments, the practice of outsourcing accounting services has risen over the years. This practice can save money while offering a more streamlined process to keep errors to a minimum. Outside sources work hard to provide state-of-the-art technology that can keep transaction costs down while eliminating problems such as fraud. Finding a service that can balance the complexity of a medical network can be a cost saving option that is valuable in economic down times.

In order to maintain a smooth accounting process, doctors should be willing to coordinate their own billing practices with the medical community. If they choose not to participate, errors might occur due to inconsistencies between accounting sources. Doctors should consider being on the same system as community hospitals in order to experience the best value for money invested.

Many healthcare practice management companies exist to provide integrated accounts receivable services for medical communities. Offering professional services with highly experienced staff and management, they often provide a group package at considerable savings that can encompass the entire community’s needs for consistent accounting and collections. Through proven success with the companies they represent, healthcare billing services enable doctors and medical services to focus on their patients’ needs and provide excellent health care.

Medical accounts receivable services will cover all aspects of hospital billing. This includes insurance transactions and follow-up as well as self-pay with follow-up and third-party payments. All aspects of the process will be scrutinized and followed through so that patients can enjoy a more relaxed experience at potentially trying times. Allowing for a more personal patient/doctor relationship, the right hospital billing service can work with the medical community to put an end to financial headaches while making doctors’ practices and hospitals’ procedures more profitable.

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Where To Go For Medical Care in Hangzhou, China

Hangzhou is a city blessed with immense natural beauty and a rich historical heritage. It is also the capital of the Zhejiang Province of China. Apart from being a tourist attraction, the city is also an important hub for economic activity. It has been called the “Cultural State”, the “Tea Capital” and the “Town of Fish and Rice”. The city lies along the Qiantang River in the delta region of Yang-Tze-Kiang.

Sir Run Run Shaw Hospital (SRRSH) is a reputable hospital in Hangzhou and is considered one of the best hospitals in the eastern region of China. This is the first hospital in mainland China to be accredited by the Joint Commission International. The hospital is a major healthcare provider in Hangzhou and has a 1200 bed capacity. The hospital offers excellent services and receives a large number of foreign patients annually. To facilitate the treatment and stay of the visiting patients the hospital has an International Service Clinic which is staffed by bilingual nurses and primary care physicians.

An important hospital for the city, Hangzhou City Hospital is equipped with latest medical technology. The hospital is a complete healthcare institution which covers the entire range of medical needs for the whole family. The hospital is well maintained and the services received at this hospital are excellent. Due to its reputation and its team of skilled doctors, the hospital receives a large number of patients from within the city. The hospital can be found at Hangzhou Xiasha Gaosha Business Source Street 1227 and can be contacted by telephone at + 86-571-56611999.

For visitors who do not speak Chinese, the North American International Hospital of Hangzhou (NAIHH) is a good choice because of the numerous doctors who speak English due to their training in Western countries. This hospital is very close to Wushan Square. The hospital offers treatment for a wide range of medical issues, but is particularly focused on family medicine. The hospital offers services both night and day and all available services are of top-notch quality. For the benefit of its foreign patients, the hospital has centers in numerous countries. These centers offer assistance to all aspects of the visiting patients treatment and stay. The hospital can be reached at the following number: +86 571 87780120.

The Women’s Hospital, School of Medicine is a hospital focused on women’s health issues. The hospital is affiliated with the Zhejiang University and so carries out research in many medical fields, while also imparting education and offering consultation on family planning issues. The medical care services rendered by the hospital focus on obstetrics and gynecology. The hospital has the latest medical technology and is the leading hospital in China for women’s health issues.

China is famous for its traditional medicine therapies and for patients wanting to try traditional healing therapies the Hangzhou Hospital of Traditional Chinese Medicine is an ideal choice. The hospital has been operational since 1952 and is a complete medical care facility providing treatment, rehabilitation, health care, education and carrying out scientific research. The hospital receives a lot of foreigners both as patients and students.

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Haunted Hospitals in Massachusettes

Plymouth County Hospital/Hanson Tuberculosis Hospital is located in Hanson Massachusetts. The hospital was built during the late 1910’s, primarily as a Tuberculosis hospital. The facility was operational from 1923 until it closed its doors for good in 1991.

In 1982, the hospital officially became the Cranberry Specialty Hospital and received people who were terminal ill. In 1991, the last remaining patients were transferred to a different location. The Spanish-style architecture of the Plymouth County Hospital is much different then most of the New England hospitals, which is a look that makes it very unique. The Spanish-style design gives it an almost ominous appearance.

The sprawling 56-acre property was sold from Plymouth County to the town of Hanson in 1999. In 2001, 23 of the 56 acres were sold to Baran Partners who planned to build townhouses and an assisted-living facility, but those plans never came through.

Many people that have visited the hospital believe that it is indeed haunted. Strange noises, eerie screams, and whispers have all been heard both inside and outside of the building. Laughter and music playing are also sounds that are commonly heard. A general feeling of being watched or not being alone when going near the building is also something that is commonly reported.

Supposedly, during a paranormal investigation of the property strange EMF readings were picked up even though there is no electricity in the building. Reports of equipment, such as video cameras, failing or shutting off is also quite common. Orbs captured in pictures have also been documented. Whether visitors experience strange phenomenon or not one thing is for certain and that is that everyone who visits agrees that the place has a very eerie feeling to it.

Haunted or not, one thing is for certain and that is that the general over all feeling after visiting or seeing pictures of the hospital is that it is indeed one creepy place. Given the hospital’s history and strange Spanish-style design, it is hard not to feel that way about the place.

Sadly, fire destroyed the North wing of the building in 2004. A second fire happened a year and a half after the first and was found to be arson. In addition to the fires, the hospital has also been victim to much vandalism over the years. As a result, the grounds are patrolled heavily, by the Hanson Police Department. Trespassing on the property is against the law.

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The Best Hospitals in Surabaya

Surabaya is the capital of the East Java province and is the second largest city in Indonesia. Surabaya is a commercial center with a big seaport – probably one of the largest in the region. The population of this city is approximately 3 million. It is the gateway city to Mount Bromo and to Mount Bali. Though many residents speak the local language Javanese, the national language of Indonesia is Bahasa. Bahasa is the official language and is used in business and education. Recently, English is also used for different purposes such as advertisings and public signs.

There are many views regarding the origin of the name Surabaya. A Javanese myth says that this name comes from two words suro or sura meaning shark and boya meaning crocodile. Some locals are of the belief that two heroes by the name of Sura and Boya clashed with one another in their attempt to become the king of the region.

The Airport in the city is called Juanda Airport and has regular flights to the capital city, Jakarta and to other major cities of Indonesia. This is the second busiest airport in the country after Jakarta. A few direct international flights are also available from this airport. A fixed fare taxi service is available from the airport to the city which is around 18 km away.

There are a few good hospitals in Surabaya offering excellent medical care to all locals and the patients from various other countries. Outlined here are some of the most prominent hospitals of the metropolis.

Siloam Hospitals Surabaya

Siloam Hospital Surabaya is one of the largest hospitals in the city. It offers the highest class of medical care in the region and has 160 operational beds and all different types of modern facilities. It is an initiative of a large private property group called Lippo Karawaci. Their other three International hospitals are located in Jakarta. In Surabaya alone, this hospital has 210 specialist doctors as well as 184 nurses. The hospital also provides 24 hours emergency and ambulance service, both of which are available throughout the week.

Rumah Sakit Surabaya International is located in the calm and quiet area, east of the city. It is another major hospital in the city. It began its operations with a vision to create and uphold a reputation of excellent medical service. This hospital belongs to a branch of Ramsay Health Institute, the largest health care company in Australia. The company as a whole has around 70 health care centers in Australia alone. It started its operation Surabaya in 1998. With 168 bedrooms and the professionalism of the doctors from Australia and Indonesia, this has become a unique center for medical care. Other medical facilities such as a 24 hours emergency unit, ambulance, and number of medical doctors in each department make it a favorable place for patients to visit.

Husada Utama hospital became operational in 1993 with a vision to become a five-star hospital that provides complete satisfaction to its patients and to their families. The infrastructure has 220 beds, emergency care service, and modern facilities in the operating theatre. All of these factors make this medical center an excellent healthcare institute. Husada Utama continues to provide the most outstanding healthcare service with the highest professional standard medical technology.

Menur Psychiatric Hospital is another hospital that provides medical care to mentally disordered patients in the region. They have 30 VIP rooms and other world-class facilities to provide medical care to such patients.

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Better Choices Than a Nursing Home or Hospital-A True Story!

It’s been a month since my wife, a former nurse yielded to three phone calls from a friend to get her out of the nursing home. When she came to us, she needed a wheel chair–she couldn’t walk, talk or smile. Now she has all three and her humor rewards us!

The average number of prescriptions in a nursing home is 9-13 and these figures are nearly a decade out of date. The benefit to the patient is very low–they are prescribed for the nurses who don’t have to put up with any complaints; the patient is zonked out.

A patient can stand in the hall and fill his or her diaper while staring into space. They will say everything is fine. No brain, no pain, as we said in medical school.

Adverse drug reactions have made medical care a leading cause of death. These reactions put 2.2 million people in hospitals and 106,000 died, “making these reactions between the fourth and sixth leading cause of death.” Journal of American Medical Assoc. 4-15-1998

But how many died at home? 199,000 according to the Western Journal of Medicine… June, 2000. Deaths in and outside hospitals from Rx totaled 305,000 then, with 8 million admissions to the hospital and 3 million for long-term care (nursing homes–these people were messed up for life!)

“From 1998 through 2005, reported serious adverse drug events increased 2.6-fold… fatal adverse drug events increased 2.7-fold… ” Archives of Internal Medicine, Sep 10, 2007, p 1752.

This information makes prescription drugs the #1 cause of death, but we still hear “heart disease… heart disease… heart disease.” That’s a smoke screen for the real culprit, and it justifies giving more drugs for cholesterol, blood pressure, diabetes control when ALL of those conditions are diet related, but never mind–eat as you please and take the prescriptions?

When a patient dies in a nursing home (and half of them do within a year of admission) the doctor signs the death certificate as dying from heart disease in most cases. The heart stopped, but no autopsy is done to discover the coronary arteries are OK and it was probably the drugs that affected the heart rhythm.

So how did Miriam do so well at our place? It’s mainly a low fat vegan diet and none of the prescriptions that she was taking in the nursing home! And her blood sugars (finger stick device) have been lower than at the nursing home. A side benefit to Miriam–only once a day compared to four finger sticks daily in the nursing home.

For more information on reversing most conditions by diet, watch the YouTubes by Drs. Daniel Amen, Neal Barnard, Colin Campbell, Caldwell Esselstyn, Michael Gregor, John McDougal and Neil Nedley. “The life you save may be your own.”

They are totally at odds with the medical establishment and drugging industry that has congress on their side because they donate to their re-election campaigns. The damnable greed of media for their advertising dollar is also part of the problem.

Oddly enough, the Bible was 2000 years ahead of medical science when it said the nations were deceived by sorcery where the Greek word for sorcery is pharmakeia in Revelation 18:23. This is not the only truth that translators have hidden.

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An Overview of Hospital Care in Guayaquil for the Tourist

The largest city of Ecuador, Guayaquil is also one of its busiest and most industrialized cities. The city is one of the most popular tourist spots in South America as it offers superb scenery as well as a lot of different entertainment options. It is sometimes referred to as the “Pearl of the Pacific” and has a number of interesting monuments and cathedrals. Tourists are visiting this city in large numbers recently. The city is one of the most developed in terms of its medical care and treatment fields. Therefore, on a trip to Guayaquil you can be assured that you will be well attended to in the case of a medical emergency.

The hospitals in Guayaquil are all well-funded and have updated standards. These hospitals house the latest equipment and have the necessary facilities for advanced intensive care. The doctors and other staff members are well-trained in their fields. Patients never receive any discriminatory treatment despite the fact that they are non residents. The charges in the hospital are usually lower than those of most hospitals in the United States. The treatments are however, not compromised in any way.

The best hospitals in Guayaquil that both offer first class treatment and are a hugely popular with tourists are Clinica Alcivar, Hospital Clinica Kennedy, Clinica Moderna, Clinica Guayaquil, Clinica Idrobo and the Clinica Kennedy. All these hospitals are privately owned and offer excellent treatment. There are separate wards for emergencies and specialized departments for various types of disorders. Most of the doctors understand English. In any case, if you continue to experience any trouble on the language front, it may be best for you to hire an interpreter. The local students can usually be hired as interpreters as many of them speak English. As a visitor you will never feel let down by the medical services in Guayaquil.

Another important piece of advice for all tourists visiting Guayaquil is to keep their passports and related papers handy as this is their only proof of identity in a foreign land. Make sure that you carry all necessary over the counter medications in sufficient amounts. Bring enough medications to last you for the entirety of your trip. Due to differentiation in the names of certain medicines across the continent, you could end up getting a wrong medication if you try to get it over the counter in Guayaquil.

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Three of Osaka’s Best Hospitals

Osaka is the second largest city of Japan. This financial centre is home to 7% of the Japanese population and also draws in outsiders with its reputation as a major tourist destination. Osaka has many renowned recreational parks, castles, shrines, aquariums and beaches. In general, the health care sector of Osaka is well developed and has many world class hospitals with English speaking employees to care for the needs of visitors to the country. This article outlines some of the better hospitals of Osaka.

Kitano Hospital, located at 2-4-20 Ohgimachi,Kita-ku,Osaka was founded in 1928 and is operated by the reputable Tazuke Kofukai Foundation. Kitano Hospital has 707 beds and more than 1000 staff. It has full fledged sectors for all medical specialties including dialysis and mind-body medicine. The hospital has well designed OPD, a research center and a relaxation room. The surgery sector features a central operation theater and conducts a variety of general and specific surgeries. The modern hematology department offers effective treatment for leukemia, lymphoma and myeloma. The hospital has 24-hour emergency and ambulatory care and a well equipped emergency room(ER) where service of many physicians and surgeons are available. The departments of anesthesiology and critical care medicine are comprised of 7 staff doctors and 5 residents who work in association to provide the best possible care. The ICU has modern facilities to provide respiratory, sedative, circulatory and analgesic care to patients. This is also a premier institution for medical education and research. Tel: 6-6361-0588

Sumitomo Hospital situated at 2-2 Nakanoshima 5-chome, Kita-ku, Osaka is another reliable hospital in Osaka that provides high quality health care service. This modern hospital founded in 1921 employs eminent doctors and offers especially good personal care to its patients. This huge health care facility has full fledged departments in all medical specialties including some rare specialties. These special centers include a cancer chemotherapy center, a diabetes center and a digestive disease center. The surgery department has the necessary facilities to perform various operations such as thoracic surgery, plastic surgery, and cardiovascular surgery. In addition, the hospital has well equipped ICUs, an emergency department and various laboratories. Warm accommodations in spacious rooms are provided in the hospital. Tel: (06) 6443-1261

Nissay Hospital is situated at Itatibori 6-chome, Nishi-ku, 550-0012 in Osaka. It is a well equipped general hospital that offers quality medical service. This modern hospital has achieved the certificate of approval from the Council for Quality Health Care and is recognized by numerous medical societies of Japan. The hospital provides comprehensive health care in every medical department. It has a minimally invasive medical center, a cancer treatment center, and a center for lifestyle-related diseases. The surgery section of the hospital is prepared to conduct endoscopic surgeries such as thoracic, spinal, abdominal, gynecologic and urological surgeries. The hospital also offers effective service in hemodialysis, bone marrow transplants, blood stem cell transplants, antibody therapy, glaucoma surgery, laser photocoagulation and much more. Luxurious accommodations are also available. The hospital is also a well known training and research center, approved by the ministry of health. Tel: 6543-3581

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