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Organizational structures in healthcare
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Integrated systems have a huge interest in developing and aiding ideas that provides care at a lesser expense. Therefore, they are usually the first ones to implement innovations that will ultimately change the overall health care system. Kaiser Permanente, Geisinger Health System, and HealthPartners are the nation’s highest leading performers when it pertains to quality and expense. Effective and successful unsettling innovations within the health care system will give further care at a lesser expense than we can even envision. “Many of today’s great, integrated systems were once disruptive innovators but they now provide more for less only by present standards.” Sequentially, their most recent organizational models and expense structures
make it very hard for them to drastically rise their care whereas at the same time reducing their expenses. Information within health care and other businesses reveals that unsettling models and approaches that are created within a previous system can enhance quality and affordability. After previous systems copy and a speed up those innovations, then they change their businesses. On the other hand, the most recent integrated health care corporations are more geared towards trying extra harder to copy the most common structures and procedures. By doing this, it prevents them from creating the unsettling innovations that will alter care. A more successful disruptive organizational models will trail a foreseeable route. They will also break down or analyze the barriers to providing patient with just what they need at a continually lesser expense (Hwang & Kenagy, 2016). With integrated care models and advanced electronic technology, it permits health care organizations to position individuals and members at the focal point of what they all do. Kasier Permanente assists their members to proactively oversee their health care by making it easier and more convenient for everyone to reach out and connect with caregivers and additional support services. Providing this type of high-quality, organized health care allows them to entirely care for all members and communities that they serve (Kaiser Permanente on List of Becker’s Hospital Review’s, 2013).
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).
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
The changes to health policy and the re-organisation of the NHS in recent years which has led to improve integrated governance, has all developed as a result of the catastrophic failings that occurred in Mid-Staffordshire healthcare Trust. The Secretary of State for health, Andrew Lansley, announced a full public inquiry to parliament on the 9th June 2009 into the role of the commissioning, supervisory and regulatory bodies in the monitoring of Mid-Staffordshire Foundation Trust (Midstaff inquiry online, 2013). This inquiry was led by Robert Francis QC, who proposed recommendations to ensure that similar events do not repeat in future. The Francis report made 290 recommendations which included improved support for compassionate, caring and committed care, as well as stronger healthcare leadership (Health Foundation Online, 2014).
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.
Davidson, Stephen M. Still Broken: Understanding the U.S. Health Care System. Stanford, CA: Stanford Business, 2010. Print.
Formed in 1998, the Managed Care Executive Group (MCEG) is a national organization of U.S. senior health executives who provide an open exchange of shared resources by discussing issues which are currently faced by health care organizations. In the fall of 2011, 61 organizations, which represented 90 responders, ranked the top ten strategic issues for 2012. Although the issues were ranked according to their priority, this report discusses the top three issues which I believe to be the most significant due to the need for competitive and inter-related products, quality care and cost containment.
As I began watching Reinventing Healthcare-A Fred Friendly Seminar (2008), I thought to myself, “man, things have changed since 2008.” And as the discussion progressed, I started to become irritated by how little had changed. The issues discussed were far-reaching, and the necessity for urgent change was a repeated theme. And yet, eight years later, health care has made changes, but many of its crucial problems still exist.
The U.S. healthcare system is very complex in structure hence it can be appraised with diverse perspectives. From one viewpoint it is described as the most unparalleled health care system in the world, what with the cutting-edge medical technology, the high quality human resources, and the constantly-modernized facilities that are symbolic of the system. This is in addition to the proliferation of innovations aimed at increasing life expectancy and enhancing the quality of life as well as diagnostic and treatment options. At the other extreme are the fair criticisms of the system as being fragmented, inefficient and costly. What are the problems with the U.S. healthcare system? These are the questions this opinion paper tries to propound.
The United States health care system is one of the most expensive systems in the world yet it is known as being unorganized and chaotic in comparison to other countries (Barton, 2010). This factor is attributed to numerous characteristics that define what the U.S. system is comprised of. Two of the major indications are imperfect market conditions and the demand for new technology (Barton, 2010). The health care system has been described as a free market in
William Collinge quotes Chuang Tzu in his American Holistic Health Association Complete Guide to Alternative Medicine saying, "Heaven, Earth and I are living together, and all things and I form an inseparable unity" (13). Tzu's comment contrasts the traditional American dream of individualistic power and solidarity, but no matter how ethnocentric or arrogant the Western society can be at times, the influence of the world is still present. The health care system is a prime example of how the unification between world cultures brings benefits to society. The Western culture has been developing and refining scientific methods of health care for centuries. Illnesses that were incurable in the past are now treatable with drug medications and by complex surgeries. But along with the absence of the old illnesses, come new ones. People are living longer and chronic and degenerative illnesses are more common. Due to the development of new illnesses, Western medicine has been consulting the traditions and treatments from other cultures for aid in diagnosis and health care. In The American Holistic Health Association Complete Guide to Alternative Medicine, William Collinge states that, "the joining together of conventional and alternative traditions may well permit us to have a more balanced quality of life. At the least, it has helped to bring the concept of health back to medicine" (Collinge xxi). Collinge's use the word "balance" in his description of the quality of life is interesting, because a form of alternative medicine whose central focus is on the balance of the body is Chinese medicine. Due to the onslaught of new chronic and degenerative illnesses, Western culture initiated the search for ...
The Integrated health care is an approach of interdisciplinary of collaboration and communication among health professionals. The characteristic is unique because of the sharing information which in the team members and related to patient care to establishment of treatment whether biological, psychological, and social needs. The interdisciplinary health care team includes a diverse and variety group of members (e.g., specialist, nurses, psychologists, social workers, and physical therapists), depending on the needs of the patient for the best treatment to the patient care.
Spurgeon, P., Burke, R. J., & Cooper, C. L. (2012). The innovation imperative in health care
Managed care, managed care has become the dominant health care delivery source. Gaining popularity in 1990s, managed care increased from 27% in 1988 to 99% in 2009 and enrollment in Fee for Service plans decli...
Competitive advantage matters greatly to those responsible for the management of healthcare institutions. Together with rapidly escalating healthcare costs, increasingly complex medical technologies, and growing regulatory and legal pressures, healthcare organizations face a critical need to improve the quality of care at reduced costs (Cu...