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As part of its efforts to enhance access to quality health care in both rural and urban areas, SCVMC is working hard to achieve its entire “open door mission”.

SCVMC is basically a medical center that is tertiary. It was initially called Valley Medical Centre or the VMC. It is operated and owned by the Santa Clara County and it is located in California (Jed, 2005). Just like most hospitals, it has got a Chargemaster that does contain the price of each of the procedures that they do perform and the drugs that they dispense.

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The Medicare does pay less than private companies. People who do not have insurance are usually expected to pay in full amount. The medical centre has had some tremendous outcomes and has been equally successful for quite some years now. It was built in 1876 through the Dr. Benjamin Cory’s efforts.

According to its history, it had its first training programme in 1905 and in 1908; Dr. Doxey was the first intern. They constructed a pediatric and maternity unit in the year 1939 and 1940 respectively. It was the first hospital to be actually accredited by Joint commissions for Accreditation of the hospitals.

In 1999, Susan Murphy became a director of the medical facility. In the year 2001 SCVMC basically became the major care provider for many children. In 2004, the Santa Clara County Board of all the supervisors agreed to approve valley specialty construction that was the new model that did offer some outpatient services effectually. In 2007, Kim Roberts was the chief executive offices and the executive director was Michael Skehan.

It does operate the federal only designated injury of the spinal cord as well as the traumatic injury of the brain. It operates diverse critical units like the neonatal intensive care unit and also licensed for the cardiovascular surgeries and also cardiac catheterization. It also operates some of the onsite outpatient facilities as well as satellite clinics in Milpitas, Gilroy, East San Jose and others.

They have programs like OB-GYN, pharmacy and radiology. Though most hospital facilities do give their patients who are uninsured discounts, SCVMC do not (Jed, 2005).

There has been ethical problems in most facilities that do not maintain ethics. There is therefore a need to revisit the health ethics, recommend and state the problems as well as the methodology that has been used. There is also a need to enlarge the facility to cater for the vast population and a training centre.

2.0 Background of SCVMC and health issues

The major central goal of the medical facility was to be in a position that it can compete in the market place health care. It is meant to care for ward patients under the team supervision, perform the physical and history analysis during the time of admission, and examine the patient regularly and record the progress of the patients daily.

They make sure that they function as part of the main care giving team, amplify on their knowledge, develop some technical skills in the medical field to achieve competency and also assume some leadership roles (Maria, 2003).

It is a 574 bed acute hospital and  usually recognized for the exceptional outpatient and inpatient care as well as other services and specialty. They have been offering comprehensive care as well as high quality.

Most of the programs and services that are usually offered are quite unique in the region and have received some professional recognition for many years. It has a rehabilitation center and has been known of its complex treatment of injury and accident cases. They have programs like palliative care program and high risks pregnancy programs.

It has however been in the attention of most people that the hospital has not been charging the patients equally. They have not also been conducting some comprehensive review rate though there have been some rate amplification that was implemented. They have even gone ahead to double some inpatient rates as well as increasing the rates of ancillary services to 80% (Jed, 2005).

There has also been some communication problems where the health practitioners have not followed the law of patient consent as far as medicine is concerned. Consent is an agreement by people like doctors who have got enough mental aptitude to make intellectual choices in allowing the medical treatments to be performed. There have been cases of neglect and when questioned the health facilities have been withdrawing or remaining quite leaving the problem unresolved(George, ).

There has also been cases of medical malpractice. In US, the first common law where physician was held legally is in 1794 where Mrs. Cross had complained of something wrong with the breast and the doctor amputated her leaving her to breathe until death (George, ). This is total ignorance on the side of the doctor and neglect which led to hefty consequences.

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