At the Progressive Care Unit at Spectrum Health Blodgett Hospital site, the CFHI is recommended as the most appropriate Organizational Assessment tool due to its versatility and comprehensiveness. The recommendation is made based on the all-encompassing nature of the OA since it tackles a wide variety of important aspects that will help the institution transform its operations into a high-performance organization. Firstly, the CFHI assessment tool notably engages all relevant stakeholders in the transformation process; stipulating their respective contributions toward the desired goal. In this respect, the institutions management, staff, patients, and their families are engaged and empowered to play their respective roles. Here, the Unit’s
MSK has been effective in this area by implementing and continuously working towards efforts to educate and provide opportunities for everyone on all levels opportunities to be involved and succeed. The success of MSK over the years have not been left up to one individual but it has been a collaboration of individuals. The organizational structure and care model at MSK is aligned with their mission and value that reinforces the importance of safe, effective, and competent care. The collaboration efforts of various departments, units, programs and individuals all account for the sustainability of MSK’s organizational care model. This type of success has been implemented by holding everyone at MSK regardless of their position accountable for their overall
The purpose of this report is to summarize the findings of an interview with Rusty Metcalfe, Chief Information Officer of Fundamental Administrative Services, LLC, and analyze the competitive and strategic positioning of the firm within the long-term, post-acute senior care industry. I interviewed Mr. Metcalfe on Wednesday November 15, 2016 and covered a broad array of topics including the department’s history and structure, risks and opportunities, strategic alignment and near and long-term goals.
Given the long duration of patient quality problems, over ten years, at SGH, the communication plan may need to include not only the internal SGH stakeholders such as employees, but also external stakeholders both in the community, shareholders, and third party vendors. SGH is at greater business risk due to their previous attempts at improving quality and now potential lack of stakeholder confidence. Including stakeholders in the change management process allows the stakeholder’s viewpoint to coevolve with SGH to create a shared view of the change plan and how to measure change success (Windsor, 2010). Engaging with the stakeholders in change plan definition and focuses their energy on helping SGH with the change process, rather than undermining it (Windsor, 2010). Identifying all of the stakeholders for SGH, and engaging them in change communications and planning will assist SGH leadership in evolving the hospital towards a high patient quality
Determined healthcare systems routinely examine their environments internally and externally to locate significant trends and forces in the present and for the future which will have an effect on their performance goals and mission efforts. These healthcare systems understand who their stakeholders are, their needs and how best to meet those expectations and needs. These systems give attention to specific efforts on accomplishing goals that acquire opportunities in the whole environment while they continue to adjust their internal structures and functions. Precise aims are dealt with by uninterrupted sequences for performance improvements. Strategic directions for systems originate from the mission and directives. Strategic directions are identified by observing key stakeholders, addressing their interests and being proactive about responding to current, as well as, future shifts and trends in the systems’ entire environment (Skinner, 2001).
If patients constantly have to wait an excessive amount of time they will either leave before they receive care or could end up becoming sicker as a result. Donabedian’s three-element model structure, process and outcome have become the gold standard for defining quality measurement (Varkey, 2010). Structure relates to the health care setting, which includes the hospital policies, procedures and design. Process evaluates if the right actions were taken for an intended outcome and how well the actions were executed to achieve the outcome. Outcome focuses on the patient, it measures the patient’s condition, behavior, and response to or satisfaction with care (Varkey, 2010). Although each of these measures focus on different areas, they indicate areas that need improvement. Also, the measurement from structure and process plays an important role in the patient’s outcome. If the hospital has the right staff, equipment and
...he operating margin, cash on hand, and days in accounts receivable as these have been major factors. The new system being put in place for the materials management system should be closely monitored, as it will determine the adaptability of the department. The reformation of the Governing Board can be justified through the successes or failures it creates while going through the restructuring process. It will be important to get feedback from employees and the CEO to see if conflicts arise. The new physical therapy center will continue to be monitored to see if revenues are as high as thought with the expansion of this facility. Overall, it will continue to be a process of monitoring, reevaluating, and gathering appropriate data to determine if the strategic plan being implemented is continuously seeking the values, mission, and vision of the Coastal Medical Center.
The Centers for Medicare and Medicaid Services (CMS) have recently begun requiring hospitals to report to the public how they are doing on patient care. Brown, Donaldson and Storer Brown (2008) introduce and explain how facilities can use quartile dashboards to transform large amounts of data into easy to read and understandable tool to be used for reporting as well as to determine areas in need of improvement. By looking at a sample dashboard for an inpatient rehab unit a greater understanding of dashboards and their benefits can be seen. The sample dashboard includes four general areas, including nurse sensitive service line/unit specific indicators, general indicators, patient satisfaction survey indicators and NDNQI data. The overall performance was found to improve over time. There were areas with greater improvement such as length of stay, than others including RN care hours and pressure ulcers. The areas of pressure ulcers and falls did worse the final quarter and can be grouped under the general heading of patient centered nursing care. The area of patient satisfaction saw a steady improvement over the first three quarters only to report the worst numbers the final quarter. A facility then takes the data gathered and uses it to form nursing plan...
The overall goal of performance management is to ensure that an organization and its subsystems (processes, departments, teams, etc.), are optimally working together to achieve the results desired by the organization. Performance management has a wide variety of applications including measuring the leader performance, such as, staff performance, business performance, or in health care, health outcome performance measures. To manage and measure performance of leaders are directed to the organizational strategic goals and mission. The primary reason to measure and manage performance of leaders is to drive quality improvement. The Clinical performance of a leader are derived from evidence-based clinical guidelines and measurement allows an evaluation of an important outcome of care for patients, and it is a proxy to understand the effectiveness of the underlying systems of care. Just as there are evidence-based care guidelines for many conditions, there also are established measures that indicate how leaders has effectively guidelines and has translated to
Change is inevitable in healthcare. The purpose of this paper was to discuss and guide the facilitators of change through the process of implementing a future care delivery model. Leadership qualifications and role were identified in an effort to assist the leader in identifying and rectifying complications that can impede progress. Potential conflicts among the enablers of change were discussed as well as tools necessary to minimize these barriers. The Twelve Bed Hospital Model was reviewed in detail and suggestions for transitioning into this model were considered. Lewin’s Change theory was utilized for the change process.
The facility is evaluated utilizing the PFCC Organization Self-Assessment Tool. Scores range from one to five. This VHA facility is outside a hospital setting and some elements of the tool are not applicable, and these elements are scored as a one. The facility effectively address PFCC needs in many areas, and some need to be improved.
Emory University Hospital is a teaching facility that embodies an “organizational culture that encourages critical thinking and acknowledges the inevitability of change” (Rubenfeld & Scheffer, 2015). By embracing a culture of change, Emory strives to fulfill its mission of “serving humanity by improving health.” This mission is being fostered, on my unit in particular, by the implementation of the evidence-based practice of an Accountable Care Unit (ACU). This transformational care model empowers nurses as leaders by giving them a voice and platform to advocate on their patient’s behalf. On my unit, these nurse leaders implement an ACU by offering and collecting information through their interaction with an interdisciplinary team, the patient,
One of the largest nonprofit organizations in presently in health care is Banner Health. It is their mission to give precedence to quality patient care and want to be known as an innovative national leader that is constantly and consistently growing clinically. The Samaritan and Lutheran Health Systems joined together to make Banner Health what it is today. They provide various programs and services so that they can readily address health care needs for the next decade such as eICU, iCare, Banner Research, and Alzheimer’s Care. Banner health’s network has grown since it has been established and is one of the top leaders in health care. Banner Health lives up to their mission of providing outstanding patient care by offering innovation through technology and performance management programs.
Due to WellStar being a multi facility health system, its organizational design is constantly being reviewed for simpler and more efficient processes. WellStar’s two smallest hospitals, WellStar Paulding and WellStar Douglas, previously under went reconstruction with regards to their hierarchical structure in Patient Access Services (PAS). WellStar Paulding, the smallest facility of the five hospitals, renovated their managerial chain of command in PAS. WellStar Paulding’s patient volume is less than half in comparison to the 4 additional hospitals. As a result, their staff is smaller and only requires minimal supervision. In the past WellStar Administrators requested supervisors for every department, a manager of the entire department, and a director that managed PAS’ management directly and PAS staff indirectly. Recent cuts ...
These are the skills and competencies I have learned through my studies at Walden University. Kaslow, Grus, Campbell, & Fouad, et al. (2009) stated professionalism comes from my respect for those who need help. Integrity can be built with confidence in the therapist. Attitudes are charitable, polite, caring emotions toward others that fuel my motivation toward helping. This concern welfare of others comes from my religious and personal experiences as a child and young adult.
An organizational analysis is an important tool to become familiar with how medical businesses and organizations are able to meet standards of care, provide services for the community and provide employment to health care providers. There are many different aspects to evaluate in an organizational analysis. This paper will describe these many aspects and apply the categories to the University Medical Center (UMC) as the organization being analyzed.