The services offered include but are not limited to general surgery, burn surgery, trauma surgery, neurology, cardiology, gastroenterology, hematology, oncology, orthopedics, and sports medicine (Tenet Health, 2019). In 2018, Tenet owned 68 hospitals so the number of admissions for all 68 Tenet hospitals totaled almost 700,000 admissions, with almost 500,000 of those coming through the emergency department (Tenet Health, 2019). The number of surgeries totaled over 435,000, with over 185,000 of those in-patient and over 250,000 out-patient surgeries (Tenet Health, 2019). The number of emergency department visits totaled over 2,600,000 for 2018 for all 68 hospitals (Tenet Health, 2019). Primary Needs of Organization’s Population With this organization owning 65 hospitals across nine different states in the United States the demographics and the populations served vary between regions. There is no breakdown on the website specifically for the demographics and patients served at each individual hospital in each of the nine states. According to Tenet’s press release information on
CONSULTATIVE CHANGE RECOMMENDATIONS 4 their website, 94% of all admitted patients paid for their own admissions, whether through insurance or private pay (Tenet Health, 2019). Six percent of all admissions were either paid for by charities or were from uninsured patients (Tenet Health, 2019). There is no information on their website about the primary health risks in all the 65 different areas, but the leading risk factors in the United States as a whole are heart disease; cancer; accidents, unintentional injuries, and healthcare-associated infections (HAIs); chronic lower respiratory diseases; stroke; Alzheimer’s disease; diabetes; pneumonia and influenza; kidney disease; and suicide or intentional self-harm (Centers for Disease Control and Prevention [CDC], 2017). These have an impact on the community and the hospitals because the staff need to be prepared to treat what comes in through their hospitals. By keeping best practices in mind and up to date on the current research and the needs of their communities, they can best serve their patients. The impact on the communities is they also need to stay educated on what good decisions are when it comes to their own health and to become advocates for their own health and well-being. Nurse Leader Interview Summary Role of the Nurse Leader A nurse educator for a major pediatric hospital was interviewed face-to-face to see her role in the organization. She oversees the emergency department staff at two different pediatric hospitals owned by the organization and the observation unit staff of the bigger hospital. As an educator her role is to ensure staff, including nurses, nursing assistants, technicians, and other supportive roles are up to date on current practices within the hospital and to coordinate orientation for new hires and annual compliance for all staff (S. K. Conoff, personal communication, Dec. 2, 2019).
CONSULTATIVE CHANGE RECOMMENDATIONS 5 Her formal role within the organization as an educator is to make sure staff do their annual skills competencies and required annual online education.
- Fall '18
- Tenet Health, Tenet Healthcare, S. K. Conoff