scholarly journals A Legacy of Lessons Learned: Landstuhl Regional Medical Center During Wartime, 2001–2014

2018 ◽  
Vol 46 (1) ◽  
pp. 20
Author(s):  
Amanda Homce
Keyword(s):  
Medical Center ◽  
The United States ◽  
September 11 ◽  
Lessons Learned ◽  
Care Hospital ◽  
East Europe ◽  
Us Military ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Injured Patients

A Legacy of Lessons Learned by Karen Hennessy is a mix of history and organizational practice focused on the Landstuhl Regional Medical Center (LRMC), the largest US military medical facility in Europe. Before September 11, 2001, LRMC was a general care hospital for US military personnel and their families stationed in Europe. As troops were distributed to parts of the Middle East, Europe, and Africa in conflicts following September 11, 2001, LRMC developed into a premier trauma center caring for service members wounded in US military conflicts and then evacuated to LRMC. LRMC became a transition point for wounded and critically ill soldiers evacuated from their deployment, with approximately 20 percent of patients being returned to duty while many injured patients were transported on to facilities in the United States within 96 hours of arrival at LRMC.

Physician Interaction with EHR

2013 ◽  
pp. 95-112
Author(s):  
Cherie Noteboom
Keyword(s):  
Medical Center ◽  
Care Hospital ◽  
Primary Care Hospital ◽  
Cycle Systems ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Revenue Cycle ◽  
Physician Order Entry ◽  
And Training

Research Medical Center is a regional medical center that meets the needs of residents of a rural area in the Midwest. It is part of a large healthcare system. The primary care hospital implemented the Electronic Health Record (EHR). The endeavor to implement Health IT applications including Computerized Physician Order Entry (CPOE), EHRs, nursing documentation, and paperless charts, adverse drug reaction alerts, and more were introduced with the corporate initiative. The core applications were clinical and revenue cycle systems, including CPOE. The planning, implementation, and training was developed by the parent operating company and efforts to engage the local physicians were minimal. There were over 300 physicians involved. The physicians were primarily not hospital employees. They had the ability to choose to adopt the EHR and adapt their social, work, and technology practices, or to avoid usage. Follow up research indicated the change management and support efforts were not successful for the physician stakeholder.

Physician Interaction with EHR

2015 ◽  
pp. 1088-1100
Author(s):  
Cherie Noteboom
Keyword(s):  
Medical Center ◽  
Care Hospital ◽  
Primary Care Hospital ◽  
Cycle Systems ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Revenue Cycle ◽  
Physician Order Entry ◽  
And Training

Research Medical Center is a regional medical center that meets the needs of residents of a rural area in the Midwest. It is part of a large healthcare system. The primary care hospital implemented the Electronic Health Record (EHR). The endeavor to implement Health IT applications including Computerized Physician Order Entry (CPOE), EHRs, nursing documentation, and paperless charts, adverse drug reaction alerts, and more were introduced with the corporate initiative. The core applications were clinical and revenue cycle systems, including CPOE. The planning, implementation, and training was developed by the parent operating company and efforts to engage the local physicians were minimal. There were over 300 physicians involved. The physicians were primarily not hospital employees. They had the ability to choose to adopt the EHR and adapt their social, work, and technology practices, or to avoid usage. Follow up research indicated the change management and support efforts were not successful for the physician stakeholder.

scholarly journals Nursing Leadership During COVID-19: Leading an Inpatient Response at a Regional Military Medical Center

2021 ◽  
Vol 186 (Supplement_2) ◽  
pp. 50-55
Author(s):  
Ekerette U Akpan ◽  
William O Murray ◽  
Mario A Vergara ◽  
Sarah J Murray ◽  
Christopher H Stucky ◽  
...  
Keyword(s):  
Imperfect Information ◽  
Medical Center ◽  
Healthcare Delivery ◽  
Healthcare Systems ◽  
Lessons Learned ◽  
Service Members ◽  
Medical Community ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Pandemic Response

ABSTRACT The coronavirus disease 2019 pandemic stressed healthcare systems worldwide and exposed major flaws in military and civilian healthcare systems. Landstuhl Regional Medical Center (LRMC) serves as the only military medical center for over 205,000 U.S. service members, beneficiaries, and coalition partners stationed throughout Europe, Africa, and the Middle East. The pandemic response required LRMC leaders to reconfigure services to meet pandemic concerns while providing lifesaving care to injured service members from combatant commands. The quickly evolving pandemic challenged leaders to ensure healthcare delivery amid constant change and imperfect information. While LRMC senior leaders developed a strategic pandemic response plan, a multidisciplinary team of nurses, doctors, and technicians collaborated to create an inpatient team to support the dual mission of coronavirus disease 2019 response and casualty care for the warfighter. In this manuscript, we discuss how a multidisciplinary clinical working group at a regional medical center prepared and responded to the pandemic, strategically planned patient care, and ensured support to combatant commands for ongoing forward military operations. Additionally, we share our experiences and lessons learned to inform other military facilities across the medical community and global healthcare systems.

scholarly journals Call us nurse champions: Lessons learned in strategic partnership with nurses in clinical research

2020 ◽  
Vol 8 (4) ◽  
pp. 13
Author(s):  
Rebecca Koszalinski ◽  
Theresa Day ◽  
Clay Kyle
Keyword(s):  
Clinical Research ◽  
Nurse Managers ◽  
Research Study ◽  
Medical Center ◽  
Education And Training ◽  
Lessons Learned ◽  
Strategic Partnership ◽  
Regional Medical ◽  
Regional Medical Center ◽  
And Training

This manuscript reports the perspectives of nurse managers who participated in a study at a regional medical center. The information is reported through verbatim comments that emerged through a discussion of “lessons learned”. Nursing comments are organized as the conversation flowed. The nurse managers that participated in a recently concluded study were most concerned about how any research study will affect their patients and how nurse workflow may be interrupted. Pre-established meeting times (huddles) worked best for education and training. Further, they suggested incentives may be effective; however, recognition as nurse champions and inclusion of nurse voice are preferred.

Tenth Circuit Upholds BC/BS's Anti-Assignment Provisions

1996 ◽  
Vol 24 (1) ◽  
pp. 72-73
Author(s):  
M.K.
Keyword(s):  
Health Care ◽  
Medical Center ◽  
The United States ◽  
Health Plans ◽  
Court Of Appeals ◽  
Freedom Of Contract ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Health Care Benefits ◽  
Blue Shield

In St. Francis Regional Medical Center v. Blue Cross & Blue Shield of Kansas (49 F.3d 1460 (1995)), the United States Court of Appeals for the Tenth Circuit upheld Blue Cross/Blue Shield of Kansas's anti-assignment requirement, on the grounds that the Employee Retirement Income Security Act (ERISA) preempted a hospital's claim against Blue Cross. The court also held that public policy supported anti-assignment requirements in health plans not covered under ERISA.When drafting ERISA, Congress did not explicitly address assignability of health care benefits. According to the court of appeals, congressional silence constituted an intent to allow the parties to negotiate freely the assignment of health care benefits. Examining non-ERISA health plans, the court adopted a balancing test to determine the validity of anti-assignment clauses; it found that anti-assignment requirements promote freedom of contract and may include medical costs.

scholarly journals The COVID Army: Experiences from the Deployment of Non-Hospitalist Physician Volunteers during the 2020 COVID Pandemic

2021 ◽  
pp. 1-15
Author(s):  
Kevin Hauck ◽  
Katherine Hochman ◽  
Mark Pochapin ◽  
Sondra Zabar ◽  
Jeffrey A Wilhite ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Medical Center ◽  
The United States ◽  
Lessons Learned ◽  
Front Line ◽  
Clinical Leadership ◽  
Team Members ◽  
Medical Centers ◽  
Hospitalist Physician

Abstract Objective New York City was the epicenter of the outbreak of the 2020 COVID-19 pandemic in the United States. As a large, quaternary care medical center, NYU Langone Medical Center was one of many New York medical centers that experienced an unprecedented influx of patients during this time. Clinical leadership effectively identified, oriented, and rapidly deployed a “COVID Army”, consisting of non-hospitalist physicians, to meet the needs of this patient influx. We share feedback from our providers on our processes and offer specific recommendations for systems experiencing a similar influx in the current and future pandemics. Methods In order to assess the experiences and perceived readiness of these physicians (n=183), we distributed a 32-item survey between March and June of 2020. Thematic analyses and response rates were examined in order to develop results. Results Responses highlighted varying experiences and attitudes of our front-line physicians during an emerging pandemic. Thematic analyses revealed a series of lessons learned, including the need to: (1) provide orientations, (2) clarify roles/ workflow, (3) balance team workload, (4) keep teams updated on evolving policies, (5) make team members feel valued, and (6) ensure they have necessary tools available. Conclusions Lessons from our deployment and assessment are scalable at other institutions.

Rewards and Challenges of Nursing Wounded Warriors at Landstuhl Regional Medical Center, Germany

2010 ◽  
Vol 45 (2) ◽  
pp. 205-218 ◽  
Author(s):  
Nancy M. Steele ◽  
Ann Kobiela Ketz ◽  
Kathleen D. Martin ◽  
Dawn M. Garcia ◽  
Shannon Womble ◽  
...  
Keyword(s):  
Medical Center ◽  
Regional Medical ◽  
Regional Medical Center ◽  
Wounded Warriors
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