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Australian health care system evolution
Australian health care system evolution
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Partners and Care Group Case Analysis Successful health care organizations succeed because their leaders are able to identify technical and adaptive challenges, and then strategically adapt to these challenges. Health care organizations who fail miserably, fail because their leaders do not have the ability to adapt as well as notice the heat temperature boiling in their organization. The harder they push the harder they fall. The health care organization and health care system that most exemplify this failure is Care Group health system and its joint hospitals BID (Beth Israel & Deaconess Hospitals). Beth Israel Hospital (BI) and Deaconess Hospital both started as profitable hospitals; each having their own culture and own business models. …show more content…
In the BID case, Mitch Rabkin treated adaptive challenges like technical challenges and treated technical challenges like adaptive challenges. By misidentifying the types of challenges, wrong strategies were used to address the problem. For instance, Mitch Rabkin’s ambition to integrate clinical care was seen as a technical challenge. The approach to address this miss-identified technical challenge is to simply merge two hospitals into one hospital network. The physical move and the merge process seem technical. However, this approach was very shallow. While coming up with this merge plan, Mitch did not realize the merge between BI and Deaconess Hospital could also turn into an adaptive challenge. The adaptive challenge in this case is convincing both organizations and people to adapt and eventually share a common culture. According to the case, Mitch did not provide any organizational culture support or any initiative to address this culture difference as well as help front line staffs adapt to the …show more content…
The leadership approach that BID leaders took was more of a dictatorship style in which they want all the power to themselves. Individuals who were impacted by the decisions made were not taken into account. Hence, the organization fails to meet the needs of its people and community. The leadership approach that Partners Health Care System took was more of a collaborative approach. Every leader had the opportunity to contribute, make decisions, and their hospital specialty was
To guarantee that its members receive appropriate, high level quality care in a cost-effective manner, each managed care organization (MCO) tailors its networks according to the characteristics of the providers, consumers, and competitors in a specific market. Other considerations for creating the network are the managed care organization's own goals for quality, accessibility, cost savings, and member satisfaction. Strategic planning for networks is a continuing process. In addition to an initial evaluation of its markets and goals, the managed care organization must periodically reevaluate its target markets and objectives. After reviewing the markets, then the organization must modify its network strategies accordingly to remain competitive in the rapidly changing healthcare industry. Coventry Health Care, Inc and its affiliated companies recognize the importance of developing and managing an adequate network of qualified providers to serve the need of customers and enrolled members (Coventry Health Care Intranet, Creasy and Spath, http://cvtynet/ ). "A central goal of managed care is containing the costs of delivering care, but the wide variety of organizations typically lumped together under the umbrella of managed care pursue this goal using combination of numerous strategies that vary from market to market and from organization to organization" (Baker , 2000, p.2).
WellStar Health Systems is currently the preeminent and largest health care provider in Metro Atlanta. WellStar Health Systems is a not-for-profit institution that is composed of 5 hospitals and an abundance of physician groups. Physician specialty groups included within WellStar are: ENT, Psychiatry, Endocrinology, Pulmonary Medicine, Infectious Disease, General Surgery, Rehabilitation, Pathology, and Rheumatology. WellStar’s organizational design is composed of internal and external factors that define the organization’s size, organizational structure, and processes. Internal and external factors are the basis for influencing managerial conclusions in decision-making. These factors vary from organization to organization and are the rationale for understanding WellStar’s strengths, weaknesses, opportunities, and threats. Understanding these variables is a necessity for the sake of WellStar’s survival
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
Health care organizations vary in their levels of HRM and HIT capabilities. A few exceptional health care organizations have built both of these capabilities and have derived significant complementarities between HRM and HIT that, in turn, have allowed them to be leaders in value-based health care delivery.” (Khatri, Pasupathy, & Hicks, 2017). “Several health care organizations have developed capabilities in either HRM or HIT but not in both, and still others have developed capabilities in neither function. Outsourcing of HRM and HIT by health care organizations is likely to hamper the integration and embedding of these functions in organizational operations.” (Khatri, Pasupathy, & Hicks, 2017). This site opened my eyes to not believing it is not all the medical centers fault. It could also happen through outsourcing which could help the company or hamper
The role of leadership has become increasing valuable for organizations to be successful. According to Huber (2014), Leadership can best be defined as method utilized to ensure that an objective is completed. There are many different types of leaderships that can be found within each organization. In this paper I will highlight an example of a specific leadership style that we come across in healthcare settings. I will review my leadership self-assessment results and discuss the impact of leadership on staff and groups.
The leadership styles present in the company is very important factor in order for the change to be successful. Chris Peterson exhibits the transformational leadership quality to tackle her new project. She is able to empower members on her cross functional team to collaborate and create a new product to launch to current and perspective clients. This type of leadership is effective as the group members were able to tackle challenging expectations considering the work environment and lack of support from other departments. DSS’s departments follow the team leadership structure. Each department vision is to work on their sole projects only. The department is committed to its work which tends to hinder other projects because of the lack of free flowing communication. The lack of communication between the teams shows poor leadership quality. The chief operating officer is ultimately the source of the lack of communication and direction. DSS Chief Operating Officer Meg Cooke has a laissez-faire leadership style. She gave Peterson authority to lead a project but provided no guidance or direction. She also was not responsive to the needs of the
Why now? Why are we focusing on transformational leadership? Healthcare costs are continuing to rise. Some of the critical problems and active debates prevalent in many hospital organizations include the rapidly intensifying healthcare costs, funding and reimbursement cutbacks, and concern regarding the overall quality and safety of health care. “Healthcare systems have come under pressure to improve performance and manage productivity” (Botting, 2011). To be successful in the 21st century, there is a demand on healthcare systems to have a vision and executive and clinical leadership to inspire the change process and make the difference between success and failure in change.
Leadership is described as the behavior of an individual when directing the activity of a group towards a common goal (Al- Sawai, 2013). Healthcare system involves multiple related, interconnected relations with other departments and health care professionals from various cultural backgrounds; therefore, the understanding of individuals’ behavior and group dynamics within the healthcare organization is imperative for a leader and or organization to be successful (Bukowski, 2009). A transformative leader has the attributes that are necessary for twenty- first century leader to have to be an effective leader in a changing nursing service organization and the healthcare system. A transformative leader is a type of leader that collaborates, encourages, and motivates people adapt to changes with charisma (University of Kent, n.d). Study shows that some leaders fail because of
The purpose of leadership in healthcare is to work with the other to improve or change the situation into the best condition. The challenges facing the healthcare professional requires a strong leadership since the situation is varying and not consistent. Healthcare is about people caring toward each other, therefore the healthcare professional must align together with one goal, so that patients will receive a high level service with professionalism.
Effective leadership has a great impact in what direction the team takes. They have great communication skills and are very easy to talk to and approach. Employees look up to the nurse leader for reassurance and comfort when things are not so bright. Leaders are very compassionate and caring individuals. They are not afraid to take risk in order to reach their goals. Nurse leaders will go the extra mile for his or staff and patients. From a leader standpoint, providing quality care to every patient is a priority. Leaders are usually on the floor with the nurses and are very aware of the work load. Leaders can better understand the nurse’s frustration about the staffing ratio. Sometimes having four patients feels like six because of the acuity level. When faced with a situation like not having enough staff to work a shift, leaders are quick to call in an extra nurse to come and work. Reducing the work load and proving effective quality care to the patients is what a leader usually has in mind. Leaders are not thinking about the hospital budget and deficits. They look at the big picture which is staff shortage and the work that needs to get done. The leaders goal is to keep everyone safe and happy. According to Stanley (2006), leaders tend to be solitary, proactive, intuitive, emphatic and attracted to situations of high risk; they ask the 'why not ' question and 'do the right thing. Therefore, a leader will do everything he or she can to accommodate patients and nurses
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.
The roles within the group that present obstacles are the aggressor, monopolize, recognition-seeker/attention-getter, hostile/acting out and the advice-giver (Erford, 2010). The counselor will take on the role of group leader and coordinator. The group leader may explain the dynamics and organization to the group so that self-disclosure and feedback can be positive. The different roles of the members of the group are not necessarily predetermined. Through the communication and rapport between each member of the group, roles will be established (Puskar et al., 2012).
...he solution. Instead the solution is to develop richer and more complex processes of accomplishing the leadership tasks. Project Managers facing a complex challenge should focus on how to set direction for the team, create alignment between them, and generate their commitment and ignore how many people are, or are not, leaders. Making the accomplishment of the leadership tasks at the core of leadership raises new questions: What are the barriers or obstacles project managers should clears in order to set a clear direction, create an effective alignment, and generate a solid commitment? What resources exist in the organization that project managers could tap in for creating direction, alignment, and commitment as a complex challenge is being tackled? Answering these kind of questions can assist organizations avoid the traditional problems of distributed leadership
Leadership in the medical field is vastly overlooked. Many people view leadership in medicine as a rise in ranks, in positions of power within a hospital or organization. They look at it as personal gain, a title, and less like a chance to actually lead anything, to actually impact anything. Since taking these leadership course, I’ve come to view leadership in the medical field more like the model I recently learned about, Komives’ and Wagner’s Social Change Model of Leadership. In their book Leadership for a Better World: Understanding the Social Change Model of Leadership Development, ...
Leadership is increasingly important in today's society. Many experts and scholars point out that the current leadership crisis concerns moral and character problems in many leaders (Ahn, Ettner, & Loupin, 2012; Callahan, 2004; Wright & Quick, 2011). The following interview report is intended primarily for exploration and comparison of the traits and characteristics of leadership. A leader of a clinical medicine centre was interviewed for this report. The purpose of this report is to explore the leadership characters and traits, and how they can be developed in this turbulent environment. First, I make a brief introduction regarding the background of the respondent and her working environment. The report also describes this leader's personal and subjective perceptions in relation to a literature review which investigates the traits and characteristics of leadership. The report concludes with a comparison and discussion of the results of the clinical condition on the basis of the interview and literature review. At the same time, the report aims to put forward feasible and effective advice and specific programs for present and future leaders and managers in the health care system.