Assignment: Human Service Delivery
Assignment: Human Service Delivery
Health Facility Administrator
The position requires a person with the ability to maintain an average occupancy rate of at least 96% on med- ical/surgical nursing units, 63% on ICU/CCU units, and 63% on obstetrics units, while scheduling all emer- gency surgical patients and, on the average, 21 out of the 100 medical patients each week. No more than 5 scheduled patients out of every 1,000 can be cancelled and no more than 15 out of 1,000 ICU/CCU patients, 5 out of 1,000 OB patients, or 10 out of 1,000 emergency patients can be turned away. In addition, the person in this position is responsible for allocating nurses to each of these nursing units (1) so that an average of 5.0 hours of nursing care is maintained for each patient each day, (2) so that registered nurses, licensed practical nurses, and aides are assigned to each unit to utilize their skills fully, (3) so that the nurses’ indi- vidual work stretches with or without 3-day weekends, and (4) so that quality nursing care is provided. Applicants must have knowledge or skill in setting up systems for physicians to control patient placement in appropriate levels of care, and to control medical necessity of patient services (5).
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These are the people who run our systems and our resources for implementing our concepts. They manage a com- plex system and are rarely trained or oriented in the concepts of human service delivery.
VI. Allied health professionals. This group in general is striving for professional status and is very competitive in the health services market place. The knowledge base of most allied health professionals has grown to the point that they seek recognition as independent health practitioners. The skills of the allied health professional are rarely used fully to support the delivery system. In our assessment process I will look in depth at one of the allied health professional characters; namely, occupational therapists. Our profession started with the basic premise that Man has control over his health status by having control over
his use of time, body and mind. In the early 1900s, when our profession was conceived, society did not have spe- cific knowledge in biochemistry, neurology, or behavior. Modern medical science was in its infancy when the orig- inal paradigm of occupational therapy was developed. By today’s standards, the body of knowledge was minute and, although research had begun to be a part of medicine, it was greatly limited. In the second half of the 19th century, the bacterial origin of many infectious diseases had been demonstrated. This led to the concept of asepsis, which made surgical management a possibility. From World War I to World War II, progress in medical science quickened. The sulfonamides were introduced in 1934, and penicillin was discovered in the 1930s. After WW II, the antibiotic era came into its own. A by-product of this era was the realization by the American people of the impact of research on the creation of knowledge. As a result, the public’s expectations about medicine changed dramatically (6). Occupational therapy was initially associated with and today continues to be a profession closely allied with
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