Reference no: EM131119726
Planning with Electron-Beam Computed Tomography (EBCT)
The use of electron-beam computed tomography (EBCT) for screening of asymptomatic high risk cardiac population to assess for developing coronary heart disease is a new low risk alternative to the traditional invasive heart catheterization. The cardiac CT is recommended by the American College of Cardiology (ACC) as a secondary prevention test to screen prior to a myocardial infarction and death. Garcia (2005) cites that 1 in 20 emergency department (ED) patients present with chest pain and 3-5% of heart attacks have been missed by ED physicians. Another 20-40% of patients who have an invasive heart catheterization are negative. He recommends the cardiac CT as a method to solve some of these issues; however, continued validation is needed. The CT is not an answer for all patients, such as the obese, where visualization is difficult, or those with irregular heart rhythms. Hospitals and clinics across the nation are now purchasing the EBCT scanners. This case study will discuss the screening ability and healthcare planning challenges when bringing in new technology to the healthcare market.
A recent purchase of an EBCT scanner was installed in a central U.S. clinic which serves a 300-bed tertiary hospital. The hospital and clinic took great care in training all staff in its use and patient preparation methods, including running a pilot on several local volunteers. Three months post pilot there remains limited use of this test. Why?
Case Questions: Answer the case questions, with research from your book, CDC, NIH and other quality sources to determine answers and solutions. You are to write a 2-3 page paper in APA formatting that addresses the following questions. Note: A minimum of two references should be used, which should include your textbook and the CDC, and others that support your responses in your paper. This is a paper, so your answer should not be numbered, but rather it should use titles and subtitles.
1. What are the sensitivity, specificity, and predictive values of EBCT?
2. Compare Valanis's criteria for a good screening program with the eight criteria which the ACC/American Heart Association (AHA) panel proposed for selection of a screening procedure.
3. Provide descriptive epidemiology of this IL region to support the need to purchase a cardiac CT scanner.
4. (Health care planning) What should be done at this point to encourage use of this screening/diagnostic test for coronary heart disease?
In that secure and peaceful society
: She belonged on gentle Earth, in that secure and peaceful society where she could be young and gay and laughing with the others of her kind; where life was precious and well-guarded and there was always the assurance that tomorrow would come.
|
Completed contract and percentage of completion
: Assume that all costs are incurred, all billings to customers are made, and all collections from customers are received within 30 days of billing, as planned.
|
Institutionalized discrimination
: Did Old Dominion Freight Line discriminate unjustly against Merritt? If you think firings her was unjust discrimination, then was it individual or institutionalized discrimination? Explain your answers
|
Compute the return on stockholders equity if the company
: Compute the return on stockholders' equity if the company has sales of $20 million and the following net profit margin: a. 3 percent b. 5 percent
|
Compare valanis criteria for a good screening program
: Compare Valanis's criteria for a good screening program with the eight criteria which the ACC/American Heart Association (AHA) panel proposed for selection of a screening procedure
|
With social media proving to be a cost-effective way
: With social media proving to be a cost-effective way to attract park visitors, should SeaWorld abandon its other promotional efforts and focus everything on social media? Why or why not? What steps can SeaWorld take to maintain a relation-ship with c..
|
Various forms of literature to understand areas
: Throughout this course, you have explored the use of various forms of literature to understand areas of women's life experience. Consider how each author achieved a piece of a social change vision through her work.
|
Hat average level of inventory should the firm maintain
: Vanity Press, Inc., has annual credit sales of $1,600,000 and a gross profit margin of 35 percent. a. If the firm wishes to maintain an average collection period of 50 days, what level of accounts receivable should it carry? b. The inventory turnove..
|
Design a superclass called shape that contains two functions
: Design a superclass called Shape that contains two functions-getArea() and getInput(). The getArea and getInput functions in the Shape class will simply return 0.
|