Accountability is key in the healthcare environment in that members of a healthcare organization must be responsible for their actions and held accountable by the organization or the consumer. Many significant changes have occurred in healthcare and one of the most noted was the beginning of professional integration between businesses, hospitals and physicians. Solid partnerships have emerged and over time individuals within these successful healthcare organizations have developed mutual understanding and respect for the others profession (Fraschetti & Sugarman, 2009). Leaders and managers in healthcare have used this knowledge to build high-performance teams through various competencies particularly with the skills found in interpersonal competency. Through positive communication, training, mentorship, collaboration and staff empowerment transitional managers and leaders exhibit interpersonal competency skills, which are very effective in the healthcare environment (Guo & Anderson, 2005). Through management’s team building efforts we see high-performance healthcare teams emerge with trust, shared goals and a strong organizational culture that understand the mission and the goals they need to accomplish. Individuals, teams, managers and leaders in a successful organization know and understand their responsibilities and the standard that is expected. Scott (2001) outlines a three-part accountability process that defines what is expected, assists individuals in understanding expectations, and establishes standards and guarantees that are consistent and allow for accountability.
Measures and Implementation in the Accountability Process
In the United States Navy we are taught the Navy definition of accountability and then ...
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Accountability is a subject that ranges through every spectrum of life. From simply knowing your food supply by opening the refrigerator, to knowing the exact amount of ammunition a military convoy has at its disposal, down to each individual round. When we know what the situation is, and hold each person responsible for they're actions in the situation, that is the concept of accountability at its root. If we are not to hold each other responsible for each of our own actions and choices then we will never be able to correct problems and concerns, which will make us fail as a whole because the smallest individual action can account for the gravest of concequences. In this essay I'm going to show how important accountability is in the everyday life of a United States Marine. I will do this by presenting the textbook definition of accountability then dissecting it and defining it in my own words. I will then show you how the military practices accountability with everything it does; by applying a system that is similiar to that of checks and balances. I will tie into this the Incident that occurd in 29 Palms, CA on August 31, 1988, where the failure to have accountability of all the marines on Base ultimately resulted in the negligent death of one Marine, and the ruined careers of those who were in charge of him. Lastly I will go down to the basic level of the Marine Corps: the life of the individual Marine and how he can, and naturally does to a point, apply accountability to his every action, be it on or off duty.
Cimasi, R. J. (2013). Accountable care organizations: Value metrics and capital formation. (pp. 90-92). CRC Press. Retrieved from http://books.google.com/books?id=EDMTlDWYvmUC&dq=specific service payment bundled&source=gbs_navlinks_s
SGH has been plagued with patient quality issues, therefore SGH finds itself in a situation which is inherently antithetical to the mission of the hospital. The costs of healthcare continue to rise at an alarming rate, and hospital boards are experiencing increased scrutiny in their ability, and role, in ensuring patient quality (Millar, Freeman, & Mannion, 2015). Many internal actors are involved in patient quality, from the physicians, nurses, pharmacists and IT administrators, creating a complex internal system. When IT projects, such as the CPOE initiative fail, the project team members, and the organization as a whole, may experience negative emotions that impede the ability to learn from the experience (Shepherd, Patzelt, & Wolfe, 2011). The SGH executive management team must refocus the organization on the primary goal of patient
• Accountability: We don’t say, “It’s not my fault” or “It’s not my job.” We take responsibility for meeting our commitments – our personal ones as well as those of the entire organization. We take ownership of the
Merriam-Webster Dictionary defines accountability as: “the quality or state of being accountable; especially: an obligation or willingness to accept responsibility or to account for one 's actions. Accountability is one the most important aspects in the military and civilian life style. Holding Marines accountable for their actions and having every Marine and piece of gear assigned to you accounted for is required at all times. It ensures the safety and stability of all the Marines.
Government has developed ‘Star Ratings’ system which monitors improvements in accountability measures. The experience of the ‘Star Ratings’ system in respect of service efficiency indicates that it is prudent to act pro-actively rather than re-actively. It is vital to consider that the Government is expecting demonstrable improvements in health services rather than rhetoric alone (Radnor and Lovell, 2003).
The current focus on new healthcare models is a reaction to long-standing concerns around quality, cost, and efficiency. Accountable Care Organizations model focus on integrated healthcare to promote accountability and improve outcomes for the health of a defined population. The goal of integrated healthcare is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors (CMS, 2014). The following paper will analyze an ACO’s ability to change healthcare in the United States.
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stephan Helbra.
The Nhs leadership framework (2011), was launched to the recognition of the ability of clinical leaders must influence the delivery of care. In addition, clinical leaders do not only know how to deliver care but design it hence the need of the framework to educate empower and increase their full potential(Matlock,2011). This agrees with the Darzi report (2008) that emphasised that it is through the unlocking of talent that quality of care can be achieved. Cummings et al (2008) also noted that leadership could be improved through education. The framework is not only limited to clinical leaders but is extended to all disciplines working within the healthcare setting. This is to ensure those that have potential to lead could be supported through the required training and education (Nhs Leadership Frame work ,2013). Five areas of competence have been used to address the qualities of leadership. These consist of the ability to demonstrate personal qualities, managing services, working well with others and improving of services. To ensure the qualities above are incorporated the effectiveness of the leader is seen by building trust and confidence among followers and other disciplines which enables the team to provide quality of care and maintain patient safety
A firm and measurable commitment to excellence drives Principle 1, and Studer begins by defining excellence as a time when employees feel valued, physicians feel their patients are getting the best care, and patients feel the service and quality they receive are exceptional. Studer claims that a commitment to excellence positively impacts the b...
In a Healthcare environment, a leader by title is someone such as an administrator, director of nursing, supervisor, or a head nurse (manager). These “titled executives” have the task of creating overall healthcare plans, which are designed to instruct subordinates on their daily routines; and creating patient plan of care, which are designed to instruct subordinates on how individual patients will be cared for. Nonetheless, an effective leader, or “true leader”, is someone who positively motivates and encourages followers by clear, understandable instruction; and leads by example. (Atchison, 2004)
Accountability in Nursing Practice: Why It is Important for Patient Safety. AORN Journal, 100 (5), 537-541. Retrieved from Ebsohost Database.
The power of knowledge gives a person the ability to influence other’s actions. In addition, when a person is knowledgeable and skillful in him/her profession, the rest of the team, including the leaders respected his/her decisions, actions or judgments. For example, nurses with years of expertise have the ability to exert power and authority over other staff with less level of knowledge. They may not be managers, but their leadership skills and outstanding competence made them role models in the delivery of quality patient care. They are valuable pieces inside the organization because they can guide the staff’s work toward the organization goals (Whitehead, Weiss, & Tappen,
The complexity of the health care system provides a unique dilemma for leaders. Health care systems are multi-dimensional; composed of numerous specialties, professional areas, and multidisciplinary interests who often have conflicting goals. Great leadership needs to capitalize on the diversity within health care organizations, efficiently utilize resources when designing management processes, and encourage personnel in diverse health areas to work towards common goals (AL-Sawai, 2013). A number of leadership approaches can be adapted to the healthcare setting to optimize management in this unique and complex environment.
According to McConell (2012), the difference in a leader and a follower determines the success of a person regarding leadership. This chapter helps explain the content of qualities and proficiency for healthcare managers to be effective. Once again, effective management skills or certain qualifications enhance a healthcare organization environment. Healthcare managers and supervisors must have the capacity to handle challenges while the organization objectives and regulations may change over a period of time. Effective healthcare management governs the success of a healthcare organization. There are many different skill sets and leadership styles to be effective as a manager. People are interested in knowing what strategies are effective in healthcare management.