To set a stroke network, in this case, it will be essential to find out how patients will conveniently reach the available care centres. Therefore, it will be vital to consider various factors such as ensuring the patients get to the facilities within minimum time possible. This implies that the fasted and most comfortable means of transport must be used ( Brigham & Johns, 2012). Because patients will require medical attention while on transit, the network should also include medical practitioners who will be traveling with the patients from one facility to the other, so as to offer services if an emergency arises.
To facilitate maximum care, the vehicles will be fitted with all equipment that the caregivers will require to attend patient needs that may arise. The vehicles will also comprise of air conditioning systems and will be serviced on a regular basis to ensure limited chances of breakdown. There will also be other vehicles on standby to assist in case the one ferrying a patient develops a mechanical.
Because critical equipment lack in some of the facilities, the network will also entail the provision of all equipment required by the medical practitioners to attend the patients effectively. Other key factors that will be considered when creating this network will be hiring a group of experts who will be responsible for servicing this equipment to enhance reliability (Gostin, 2010). Moreover, technology will also be considered while implementing equipment in the health centres to ensure they match the modern technological advancements
For the network to work better, communication system will be required to link the people ferrying the patients with other medical practitioners in different areas. This means all vehicles used to transport the patients will be fitted with communication gadgets that will help the transportation personnel to pass information regarding various aspects such as the condition of the patient and what they feel should be prepared before arrival. This communication system will also play a key role in alerting other people when an emergency arises while n transit.
According to Holsinger (2013), time is always fundamental when dealing with medical issues that require fast actions to be taken. Therefore, because this network will include patients who need quick medical attention, it means transporting the patient from one facility to the other will require little time to be utilized. For this reason, it will be essential to analyze the shortest route possible and one which will not lead to inconveniences.
Identifying the medical facilities that can offer assistance along the routes is also fundamental in making the network to work effectively. This is because, in some incidences, emergencies that require specialized treatment arise while in transit, forcing the medical practitioners to seek aid from the nearest hospitals (Chow, 2013). This means identifying the health centres along the way and collaborating with them will be an ideal way of accessing their assistance when such needs arise.
For the committee to hold hospitals accountable to ensure care is given to patients according to national standards, there will be time to time review of the quality of services offered to the patients. This will comprise of requesting patients to rate the quality of services and what they think should be changed to ensure care is provided to their satisfaction (Carolyn, 2013). In case of malpractice, the person/s involved will be requested to appear before a panel of the committee to give a clear explanation concerning what transpired. In case the person is found guilty, a proper disciplinary action which amounts up to being fired will be taken.
Employing medical practitioners who understand the national standards regarding the provision of healthcare services will also play a key role in making the hospitals to be accountable (Scheneider & Lilienfeld, 2013). The reason why this strategy will be effective in this case is that when a person understands what he/she should do, the chances of doing wrong things are limited, and in cases of being involved in malpractice, the person knows he/she is responsible for what happened.
Establishing written policies and standards, as well as disciplinary measures is also a right way of holding the hospital accountable to ensure patient care is provided according to established standards (Jurg, 2013). With written policies and standards, it is easy to question the hospitals when improper care is provided, or when incidences associated with negligence arise.
According to Aaron (2016), one of the best ways of holding hospitals accountable for malpractice is having patient safety rules. When the hospitals have these rules, it will be possible to identify the ones that have been broken and take actions based on disciplinary measures that have been. The rules should be unbiased and should relate to customer safety, quality services and the standards that guide provision of healthcare.
According to Rebecca (2013), one of the best ways of holding hospitals accountable is ensuring care is provided based on the national standards, and allowing the federal departments concerned with public health to conduct time to time surveys to find out if there is full compliance. In the events where they realize the doctors have engaged in any form of malpractice or overlooked the established standards, proper disciplinary action should be taken. The committee should also play a role in this strategy by collaborating with the concerned agencies to visit the facilities on a regular basis and seeking information from reliable sources to find out if the hospitals work based on the national standards.
According to Molly (2014), external pressure plays a significant role in making medical facilities to comply with established standards. For this case, various strategies can be employed to exert external influence to the hospitals. One of the strategies is including public participation. When the public is allowed to contribute through being given information concerning the progress of the facility, it will be possible to realize when malpractice arise. It will also increase the level of external pressure by pushing the facilities to do what is right.
Including public participation will also push the facilities to aim at complying with the established standards because they will always have an idea that their doings are always under watch. According to Kathy (2012), the public always wants right things to be done in hospitals because it is through following established policies that the quality of services offered to them can be enhanced. This means they will always react when the medical practitioners fail to adhere to the standards that have been established to guide their work.
External pressure can also be exerted by ensuring progress reports are given to the committee from time to time. This will aid in monitoring when the standards are not being followed, and when unprofessional things occur in the health facilities (Mary, 2012). The reports should be accurate and made by external bodies to ensure they give accurate information concerning what happens in the facilities. The committee should establish proper mechanisms for disciplining those who engage in malpractices to prevent such incidences from occurring in future.
Allowing the public to express their views including giving their outcry to the committee is also an effective way of exerting external pressure to the facilities. It is also vital to ensure the facilities are present on different social media platforms so that it can be easy to notice anything that goes against the established standards (Chow, 2013). Registering these hospitals in various social media platforms will allow the public, the hospital management and other stakeholders to have an open discussion that will aid in exposing the quality of services offered, and if they match the established standards.
The other way of exerting external pressure, in this case, is allowing the mainstream media to have unrestricted access to information concerning the level of compliance with the established standards. By doing so, information will reach all stakeholders concerning all activities that happen in the facilities and how they are done. In the cases where malpractice occurs, it will be easy to know because information will reach many people.
According to Patricia (2015), for hospitals to comply with established standards, they should not work independently. This means having another body mandated with monitoring compliance is also another way in which the committee can use to ensure the facilities that do not comply with the established standards get external pressure. This body should work closely with the public, the committee and other stakeholders to ensure enough pressure is exerted when these facilities fail to work based on required standards. The body should have written guidelines on how to deal with such hospitals, including what disciplinary actions to take, and who should be involved in making the decision surrounding the actions taken.
Bypassing a comprehensive stroke centre may not be ideal because it leads to wastage of time in matters that require fast actions to be taken. To address the issue of bypassing a comprehensive stroke centre to drive a patient across the county, it is crucial to identify where these centres are located, the stroke services they offer, their bed capacity and so forth (Kathy, 2012). This will aid in making decisions about where to take a patient when need arises.
The issue can also be addressed by considering various factors such as the seriousness of the problem, the time taken to transfer the patient from one hospital to the other, and the quality of services he/she is likely to get (Mary, 2012). If there is a possibility that the patient will receive high-quality services from hospital which is far away, and his condition does not require quick action, then it would be better to bypass the ones that do not offer the quality of services required and transport him/her to the facility where he/she can attain better services.
The issue of bypassing a comprehensive stroke centre can also be addressed by considering costs and having some of the hospitals as alternatives in cases of emergencies. Depending on the nature of the condition which the patient is at, it would be essential to have specific hospitals where their needs can be addressed. The small hospitals along the way should be used only when eventualities arise. By having this kind of strategy, the committee will make the network to remain active.
References
Aaron, B. L, (2016). Managing Acute Stroke in Low-Resource Settings. Bulletin of the World Health Organization, 94(7), 56-98.
Brigham, K & Johns, M. E. (2012). Predictive Health: How We Can Reinvent Medicine to Extend Our Best Years. New York: Basic Books.
Carolyn, W. S. (2013). The Experience of Engaging in Occupation Following Stroke: A Qualitative Meta-Synthesis. British Journal of Occupational Therapy, 76(8), 526-589.
Chow, O. E. (2013). Responding to Lives after Stroke: Stroke Survivors and Caregivers Going on Narrative Journeys. The International Journal of Narrative Therapy and Community Work, 4, 58-92.
Gostin, L. O. (2010). Public Health Law and Ethics: A Reader. Berkeley, CA: University of California Press.
Holsinger Jr, J. W. (2013). Contemporary Public Health: Principles, Practice, and Policy. Lexington, KY: University Press of Kentucky.
Jurg, S. R. (2013). Multilingualism in Stroke Patients: A Personal Account. International Journal of English Linguistics, 3(3), 54-86.
Kathy, K. (2012). Female Family Carers for Survivors of Stroke: Occupational Loss and Quality of Life. British Journal of Occupational Therapy, 75(5), 245-258.
Mary, K. D. (2012). A Review of Measures to Evaluate Participation Outcomes Post-Stroke. British Journal of Occupational Therapy, 75(9), 245-265.
Molly, K. K. (2014). Occupational Changes in Caregivers for Spouses with Stroke and Aphasia. British Journal of Occupational Therapy, 77(1), 245-262.
Patricia, A. D. (2015). Preliminary Reliability and Validity of an Exercise Benefits and Barriers for Stroke Prevention Scale in an African American Sample. Journal of Nursing Measurement, 23(2), 78-90.
Rebecca, S. (2013). The Role of Occupational Therapists in Supporting Psychological Wellbeing after Stroke Using a Solution-Focused Psychological Approach to Mood Assessment. British Journal of Occupational Therapy, 76(11), 25-50.
Russell, E. (2011). Having a Stroke: Ethical Issues in Medicine and Law. Journal of Information Ethics, 20(2), 25-56.
Scheneider, D & Lilienfeld, D. E. (2011). Public Health: The Development of a Discipline – Vol. 2. New Brunswick, NJ: Rutgers University Press.
To set a stroke network, in this case, it will be essential to find out how patients will conveniently reach the available care centres. Therefore, it will be vital to consider various factors such as ensuring the patients get to the facilities within minimum time possible. This implies that the fasted and most comfortable means of transport must be used ( Brigham & Johns, 2012). Because patients will require medical attention while on transit, the network should also include medical practitioners who will be traveling with the patients from one facility to the other, so as to offer services if an emergency arises.
To facilitate maximum care, the vehicles will be fitted with all equipment that the caregivers will require to attend patient needs that may arise. The vehicles will also comprise of air conditioning systems and will be serviced on a regular basis to ensure limited chances of breakdown. There will also be other vehicles on standby to assist in case the one ferrying a patient develops a mechanical.
Because critical equipment lack in some of the facilities, the network will also entail the provision of all equipment required by the medical practitioners to attend the patients effectively. Other key factors that will be considered when creating this network will be hiring a group of experts who will be responsible for servicing this equipment to enhance reliability (Gostin, 2010). Moreover, technology will also be considered while implementing equipment in the health centres to ensure they match the modern technological advancements
For the network to work better, communication system will be required to link the people ferrying the patients with other medical practitioners in different areas. This means all vehicles used to transport the patients will be fitted with communication gadgets that will help the transportation personnel to pass information regarding various aspects such as the condition of the patient and what they feel should be prepared before arrival. This communication system will also play a key role in alerting other people when an emergency arises while n transit.
According to Holsinger (2013), time is always fundamental when dealing with medical issues that require fast actions to be taken. Therefore, because this network will include patients who need quick medical attention, it means transporting the patient from one facility to the other will require little time to be utilized. For this reason, it will be essential to analyze the shortest route possible and one which will not lead to inconveniences.
Identifying the medical facilities that can offer assistance along the routes is also fundamental in making the network to work effectively. This is because, in some incidences, emergencies that require specialized treatment arise while in transit, forcing the medical practitioners to seek aid from the nearest hospitals (Chow, 2013). This means identifying the health centres along the way and collaborating with them will be an ideal way of accessing their assistance when such needs arise.
For the committee to hold hospitals accountable to ensure care is given to patients according to national standards, there will be time to time review of the quality of services offered to the patients. This will comprise of requesting patients to rate the quality of services and what they think should be changed to ensure care is provided to their satisfaction (Carolyn, 2013). In case of malpractice, the person/s involved will be requested to appear before a panel of the committee to give a clear explanation concerning what transpired. In case the person is found guilty, a proper disciplinary action which amounts up to being fired will be taken.
Employing medical practitioners who understand the national standards regarding the provision of healthcare services will also play a key role in making the hospitals to be accountable (Scheneider & Lilienfeld, 2013). The reason why this strategy will be effective in this case is that when a person understands what he/she should do, the chances of doing wrong things are limited, and in cases of being involved in malpractice, the person knows he/she is responsible for what happened.
Establishing written policies and standards, as well as disciplinary measures is also a right way of holding the hospital accountable to ensure patient care is provided according to established standards (Jurg, 2013). With written policies and standards, it is easy to question the hospitals when improper care is provided, or when incidences associated with negligence arise.
According to Aaron (2016), one of the best ways of holding hospitals accountable for malpractice is having patient safety rules. When the hospitals have these rules, it will be possible to identify the ones that have been broken and take actions based on disciplinary measures that have been. The rules should be unbiased and should relate to customer safety, quality services and the standards that guide provision of healthcare.
According to Rebecca (2013), one of the best ways of holding hospitals accountable is ensuring care is provided based on the national standards, and allowing the federal departments concerned with public health to conduct time to time surveys to find out if there is full compliance. In the events where they realize the doctors have engaged in any form of malpractice or overlooked the established standards, proper disciplinary action should be taken. The committee should also play a role in this strategy by collaborating with the concerned agencies to visit the facilities on a regular basis and seeking information from reliable sources to find out if the hospitals work based on the national standards.
According to Molly (2014), external pressure plays a significant role in making medical facilities to comply with established standards. For this case, various strategies can be employed to exert external influence to the hospitals. One of the strategies is including public participation. When the public is allowed to contribute through being given information concerning the progress of the facility, it will be possible to realize when malpractice arise. It will also increase the level of external pressure by pushing the facilities to do what is right.
Including public participation will also push the facilities to aim at complying with the established standards because they will always have an idea that their doings are always under watch. According to Kathy (2012), the public always wants right things to be done in hospitals because it is through following established policies that the quality of services offered to them can be enhanced. This means they will always react when the medical practitioners fail to adhere to the standards that have been established to guide their work.
External pressure can also be exerted by ensuring progress reports are given to the committee from time to time. This will aid in monitoring when the standards are not being followed, and when unprofessional things occur in the health facilities (Mary, 2012). The reports should be accurate and made by external bodies to ensure they give accurate information concerning what happens in the facilities. The committee should establish proper mechanisms for disciplining those who engage in malpractices to prevent such incidences from occurring in future.
Allowing the public to express their views including giving their outcry to the committee is also an effective way of exerting external pressure to the facilities. It is also vital to ensure the facilities are present on different social media platforms so that it can be easy to notice anything that goes against the established standards (Chow, 2013). Registering these hospitals in various social media platforms will allow the public, the hospital management and other stakeholders to have an open discussion that will aid in exposing the quality of services offered, and if they match the established standards.
The other way of exerting external pressure, in this case, is allowing the mainstream media to have unrestricted access to information concerning the level of compliance with the established standards. By doing so, information will reach all stakeholders concerning all activities that happen in the facilities and how they are done. In the cases where malpractice occurs, it will be easy to know because information will reach many people.
According to Patricia (2015), for hospitals to comply with established standards, they should not work independently. This means having another body mandated with monitoring compliance is also another way in which the committee can use to ensure the facilities that do not comply with the established standards get external pressure. This body should work closely with the public, the committee and other stakeholders to ensure enough pressure is exerted when these facilities fail to work based on required standards. The body should have written guidelines on how to deal with such hospitals, including what disciplinary actions to take, and who should be involved in making the decision surrounding the actions taken.
Bypassing a comprehensive stroke centre may not be ideal because it leads to wastage of time in matters that require fast actions to be taken. To address the issue of bypassing a comprehensive stroke centre to drive a patient across the county, it is crucial to identify where these centres are located, the stroke services they offer, their bed capacity and so forth (Kathy, 2012). This will aid in making decisions about where to take a patient when need arises.
The issue can also be addressed by considering various factors such as the seriousness of the problem, the time taken to transfer the patient from one hospital to the other, and the quality of services he/she is likely to get (Mary, 2012). If there is a possibility that the patient will receive high-quality services from hospital which is far away, and his condition does not require quick action, then it would be better to bypass the ones that do not offer the quality of services required and transport him/her to the facility where he/she can attain better services.
The issue of bypassing a comprehensive stroke centre can also be addressed by considering costs and having some of the hospitals as alternatives in cases of emergencies. Depending on the nature of the condition which the patient is at, it would be essential to have specific hospitals where their needs can be addressed. The small hospitals along the way should be used only when eventualities arise. By having this kind of strategy, the committee will make the network to remain active.
References
Aaron, B. L, (2016). Managing Acute Stroke in Low-Resource Settings. Bulletin of the World Health Organization, 94(7), 56-98.
Brigham, K & Johns, M. E. (2012). Predictive Health: How We Can Reinvent Medicine to Extend Our Best Years. New York: Basic Books.
Carolyn, W. S. (2013). The Experience of Engaging in Occupation Following Stroke: A Qualitative Meta-Synthesis. British Journal of Occupational Therapy, 76(8), 526-589.
Chow, O. E. (2013). Responding to Lives after Stroke: Stroke Survivors and Caregivers Going on Narrative Journeys. The International Journal of Narrative Therapy and Community Work, 4, 58-92.
Gostin, L. O. (2010). Public Health Law and Ethics: A Reader. Berkeley, CA: University of California Press.
Holsinger Jr, J. W. (2013). Contemporary Public Health: Principles, Practice, and Policy. Lexington, KY: University Press of Kentucky.
Jurg, S. R. (2013). Multilingualism in Stroke Patients: A Personal Account. International Journal of English Linguistics, 3(3), 54-86.
Kathy, K. (2012). Female Family Carers for Survivors of Stroke: Occupational Loss and Quality of Life. British Journal of Occupational Therapy, 75(5), 245-258.
Mary, K. D. (2012). A Review of Measures to Evaluate Participation Outcomes Post-Stroke. British Journal of Occupational Therapy, 75(9), 245-265.
Molly, K. K. (2014). Occupational Changes in Caregivers for Spouses with Stroke and Aphasia. British Journal of Occupational Therapy, 77(1), 245-262.
Patricia, A. D. (2015). Preliminary Reliability and Validity of an Exercise Benefits and Barriers for Stroke Prevention Scale in an African American Sample. Journal of Nursing Measurement, 23(2), 78-90.
Rebecca, S. (2013). The Role of Occupational Therapists in Supporting Psychological Wellbeing after Stroke Using a Solution-Focused Psychological Approach to Mood Assessment. British Journal of Occupational Therapy, 76(11), 25-50.
Russell, E. (2011). Having a Stroke: Ethical Issues in Medicine and Law. Journal of Information Ethics, 20(2), 25-56.
Scheneider, D & Lilienfeld, D. E. (2011). Public Health: The Development of a Discipline – Vol. 2. New Brunswick, NJ: Rutgers University Press.
Essay Writing Service Features
Our Experience
No matter how complex your assignment is, we can find the right professional for your specific task. Contact Essay is an essay writing company that hires only the smartest minds to help you with your projects. Our expertise allows us to provide students with high-quality academic writing, editing & proofreading services.
Free Features
Free revision policy
$10Free bibliography & reference
$8Free title page
$8Free formatting
$8How Our Essay Writing Service Works
First, you will need to complete an order form. It's not difficult but, in case there is anything you find not to be clear, you may always call us so that we can guide you through it. On the order form, you will need to include some basic information concerning your order: subject, topic, number of pages, etc. We also encourage our clients to upload any relevant information or sources that will help.
Complete the order form
Once we have all the information and instructions that we need, we select the most suitable writer for your assignment. While everything seems to be clear, the writer, who has complete knowledge of the subject, may need clarification from you. It is at that point that you would receive a call or email from us.
Writer’s assignment
As soon as the writer has finished, it will be delivered both to the website and to your email address so that you will not miss it. If your deadline is close at hand, we will place a call to you to make sure that you receive the paper on time.
Completing the order and download