<p> The prevalence of overweight and obese individuals has been a critical issue which has caused a worldwide concerns for the health threats, since it is burdened due to several linked diseases. This business plan proposes the establishment of a for-profit health clinic named NutriMed that provides a quality care and is mainly patient centered. This clinic provide the care to decrease the prevalence of overweight and obesity among the children of the ages 5 to 19 years. The functioning of this clinic is based on Barlow et al approach for prevention and treatment of obesity using the multidisciplinary team effort, which consist of physician, dietitian, exercise expert, nurse and behavioral therapist. The goal of this health clinic is to improve the health in the Los Angles community especially for children. This is done by identifying the priorities and striving for a patient-centered and evidence based approach to care. While this plan acknowledges the challenges in serving indigent populations, the clinic will contract with Medi-Cal and commit to continuous fundraising efforts to remain financially sustainable in order to improve the health of vulnerable Angelino&rsquo;s children.</p>

<p>Hospital leaders who fail to respond to poor patient satisfaction reports may experience lower organizational performance. The purpose of this qualitative case study was to explore strategies of leaders in private health care settings to improve patient satisfaction. This study may provide strategies that health care leaders in the public setting can apply to improve patient satisfaction and organizational performance. One private health care provider operating in Vancouver, British Columbia, Calgary and Edmonton, Alberta, was selected as both private and public healthcare centers are located in these areas. Data were gathered from 12 participant interviews and from an examination of available physical artifacts such as organizational documents provided by the participants and the company website. Transformational leadership was the underlying conceptual framework for this research. Triangulation was used to ensure the rigorousness of the study. In the study, themes were identified after member checking the transcribed open-ended interview questions. The 5 themes identified were cohesive culture of employee engagement, patient-focused model of care, timely access and follow-up of results and coordination of care, continuous system quality improvement, and employee accountability. These themes underscore the importance of a culture of employee engagement; they also illuminate care that focuses on the patient-care that ensures timely access, follow-up and coordination of care, quality improvement based on patient feedback, and employee accountability. Current publicly-funded hospitals and health care centers may apply these findings to improve patient satisfaction and organizational performance. </p>

<p> Heart disease has been responsible for a significant number of morbidities and mortalities over the last century. As lifestyles and cultures change, so does the approach of management of the disease. With the advent of new technology over the last 6-7 decades the approach towards diagnosing heart diseases has changed a lot. Tools like electrocardiogram, two-dimensional echocardiography, cardiac stress test, Holter monitoring, etc. have become essential in the primary and secondary prevention of heart disease, and also in its management. This clinic is an effort to make these tests easily accessible, affordable and reliable to the patients and potential patients residing in the Orange County area who are at risk for heart diseases.</p>

Nationally, there is increasing concern over the accessibility, cost, and quality of the American health care system. While the quality of the care given is generally out of the control of designers, it has received increased attention in recent years, as is evidenced in the trends of healing gardens, private patient rooms, and improved social settings. As beneficial as these trends are to the patients they serve, they often have a negative effect on overall accessibility and cost of care due to the constant construction and renovations needed and their largely urban presence. While quality health care is very important and should not suffer as a result, how can designers address nonenvironmental sustainability issues of cost and access in the American healthcare system? Due to the trend in increasing cases of chronic illness, as opposed to more pathogenic ailments of the past, the necessity for all healthcare settings to be highly controlled and sterile environments should be reevaluated. While less popular and not as fully developed as the typical facilities most Americans are familiar with, an increase in mobilized health care units could be a solution to the lack of economic and social access and sustainability in the current healthcare model while still providing safe, quality care. By examining current instances of mobile clinics, I will explore the design requirements necessary to make mobile clinics accessible and cost effective. In addition, I will look for facilitators and barriers to these systems, such as improvements in mobile communication technologies and lack of stakeholder support. / text

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