Film Critique Brenda Martinez-Tamez

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Brenda Martinez-Tamez Film Critique Film Critique Brenda Martinez-Tamez College of Business, Wilmington University HCA 7700: Seminar in Healthcare Administration Dr. Fox March 27, 2021
Brenda Martinez-Tamez Film Critique The documentary Code Black gives viewers a physician’s perspective in a county emergency room. This gave me insight on what it is like to work in this environment and how the healthcare industry has changed over recent years. It addressed the changes and problems that they are facing and considered different ways to solve them. QUESTION 1: Using our text as a source for support of your discussion, address funding, staffing, community health, preventative vs. reactive healthcare, and the For-Profit (FP) vs. Not for Profit (NFP) HCO. When planning for funding, profitability needs to be addressed, as it is the main source of funding for future long-term projects. Funding has a direct impact on staffing, since it affects the livelihoods of the employees. When they feel that they are being overworked and overpaid, the available staff is likely to decrease, which will continue to harm the quality of care. In the documentary, the HCO loses 15 nurses over the course of a couple months. Since they were understaffed, the employees were overworked even more, which can lead to more and more employee turnover. It should be a priority for each facility to prioritize funding for an acceptable work environment in order to maintain adequate staffing in the area. Equations have also been developed in order to help predict future need for employees; these depend on factors such as demand, market value, rooms in the facility, and more. Community healthcare focuses on the overall health and well-being of the community. It also addresses the prevention of diseases and education regarding wellness. Knowledge can lead to prevention, and prevention of disease directly impacts the healthcare field.
Brenda Martinez-Tamez Film Critique Preventative healthcare focuses on taking the simple and less expensive steps that have the potential to prevent severe diseases. There will be much less stress and money involved in curing a disease if it is never given the opportunity to develop to begin with. For example, by avoiding the habit of smoking, people can avoid the cost and pain associated with lung diseases and their recovery. There are three levels of prevention- primary, secondary, and tertiary, all based on the time of prevention. Primary preventative actions include hand washing of wearing facial coverings. Secondary prevention would be action taken at the time of diagnosis in order to reduce the symptoms and impacts of the disease. Tertiary prevention takes place once the complications have already taken place, but can happen again. It works to avoid it from repeating. A reactive approach to healthcare would mean that people will not take action until a disease has already developed- which is typically too late or much more difficult to heal. While a preventative course of action can save money and suffering, it is not often executed due to a lack of education or understanding. It also does not make as much money for the healthcare business; this is where ethics comes in. Healthcare professionals are morally obligated to recommend preventative care as opposed to reactive care, since the goal should be to promote wellness, not just to make money. Most of the nation is served by NFP HCOs, which are legally obligated to use their funds to accomplish their mission. Though there are many volunteers that help run NFPs, compensation is an issue in healthcare. The national markets typically determine salaries and wages, and there is little opportunity for HCOs to form unions. For-profit HCOs are owned by stockholders. They expect to receive a great profit from these organizations.
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Brenda Martinez-Tamez Film Critique QUESTION 2: If you find yourself in an ED and the staff seems rushed, distracted, and not caring about you, will you have a better understanding of what they’re dealing with? Please discuss issues with volume, intensity, EMTALA, and (most importantly) the shift of primary care from the physician’s office to the ED. I have a new perspective on the burden that these employees carry. Throughout the documentary, I found myself worried that the patients would think they were not cared for, when in reality the physicians were doing everything in their power to care for them efficiently and effectively. They often have to deal with legal paperwork, patient complaints, and emotions related to losing patients at the table all at once. For this reason, the environment of a healthcare organization is incredibly important. It can completely shift their ability to work and allow them to focus on one thing at a time. Understaffing causes patients to have to wait for hours to receive their care, and their condition could be worsening while they wait. While the rating system based on need for attention is a good idea so that people in severe condition can receive care right away, those with a 2 or 3 ranking are very inconvenienced. Many patients even decide to leave because the wait is too long; this allows more time for their condition to become more extreme, which changes the approach from preventative care to reactive care. The Emergency Medical Treatment and Labor Act saves many lives, as it makes sure that everyone in a critical state who needs medical treatment will receive it upon entering an emergency department, regardless of their ability to cover the costs. They are left with many issues once they are discharged, and are often unable to attend any follow-up care sessions that would include the preventative care that they need.
Brenda Martinez-Tamez Film Critique Emergency departments play a very important part in giving care to patients who may not be able to attend their routine primary physicians. Many people treat the emergency departments as they would treat their family doctor as it is the best resource for them. It is less expensive and more convenient, especially since they cannot be turned away. That being said, depending solely on emergency departments as a source of healthcare can be detrimental in the long-term. Preventative care and education takes place at routine primary access appointments- relying too much on EDs will lead to visits taking place during emergencies in the form of reactive care. The costs of non-emergency emergency care is commonly considered “wasteful spending,” (Maeng, 2017). For these reasons, efforts to decrease the use of emergency departments as primary care facilities have been implemented. QUESTION 3: As a healthcare administrator, responsible for maintaining a viable and economically sustainable facility, what can you do to address and manage this situation? Again, use the film, our text and your personal thoughts to respond. I think that as an administrator, my priority would be in staffing. In the film, the hospital suffered most when they lost nurses. This started a domino effect of more nurses leaving, since they were being overworked and underpaid. Because they did not have enough employees, they had to shut down an entire section of care, which increased the patient wait time even longer. Efficiency needs to be a focus in a facility like this one since time can be the difference between life or death. I think that with proper staffing, the issue of long waiting periods can be addressed, work conditions will increase, and turnover rates can be reduced. This will lead to physicians
Brenda Martinez-Tamez Film Critique being able to give the quality care that the people need. Once quality care is provided, distributional equity concerning physicians and stockholders in a for-profit healthcare organization can be addressed and salary and wage issues for employees can be resolved.
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Brenda Martinez-Tamez Film Critique References: Code Black: A look into America’s busiest ER (2014) Maeng, D. (2017). Patterns of multiple emergency department visits: Do primary care physicians matter? The Permanente Journal, 21(2). doi:10.7812/tpp/16-063 White, K. R., & Griffith, J. R. (2010). The well-managed healthcare organization (9th ed.).