Nikki and Chris {a preview}

Oh Scotland. We've missed you. 











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Features of a disabled friendly hospital

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A disabled friendly hospital is one which enables people with disabilities to freely and safely move and access facilities within the hospital. Such hospital building provides an environment of independence to individuals with disability, which is their right granted under Persons with disability act, 2016. Patient with a disability is considered as a vulnerable patient and hospitals are required to take care of their safety. Being disabled friendly uplifts the image of a hospital and is also expected by various accreditation agencies. So what are those features that makes a hospital, ‘disabled friendly’? Well, such hospital building typically accounts for the need of two kinds of disabilities, i.e. loco-motor disability and visual disability. People with loco-motor disability will either be on wheelchair or crutches and which requires a disabled friendly hospital to make its interior easily accessible for wheelchair. People with limited vision will need mechanism to understand ways a...
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Oregon PCMH Saved 240 Million But Spent Over 250 Million

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The latest headlines spout 250 million saved for Oregon in the movement to Primary Care Medical Home. Claims of savings often fail to consider the additional costs of an intervention or the supplemental government or foundation funding required. Based on $105,000 additional cost per primary care physician per year the following table demonstrates $250 million to 1 billion dollars more in cost for primary care medical home across Oregon. It is important to consider not just the savings, but also the higher costs of new models. Specifics are not given but the impact of the primary care medical home can be estimated across the number of clinics that could participate and the doctors per clinic over a 2 or 3 year period. The number of doctors may be small compared to actual. The high and low levels are shown along with a possible average cost. If studies involved less than 2 years they should not have gained print. The limitations in new studies with new measurements as measured and analy...
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Critical findings in Imaging – Policy and procedure

Imaging and Medical laboratory frequently come across critical results or finding of a patient’s diagnostic tests which requires immediate intervention from the doctor to bring the patient out of the criticality. Hence, a hospital must have a policy and procedure in place for identification and quick communication of such results. This posts describes critical findings in imaging (Check critical test results in laboratory –policy and procedure ). Critical findings in imaging are the findings from imaging examination of a patient, which indicates that condition of the patient may be critical or even life-threatening. Whenever such critical findings are made, it is necessary that the treating clinician of the patient is informed immediately so that required interventions can be carried out in time. To be able to do so, a hospital needs to have a well-developed process of ‘identification and urgent communication of critical findings in Imaging’. Such process should be able to achieve foll...
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