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Describe Health Care Operations Management
Describe Health Care Operations Management
The main principles of system theory
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Systems Theory in the Emergency Department Being able to provide fast, appropriate, high-quality care in the emergency department (ED) setting can be complicated and should be the most valued goal by any healthcare organization. Organizations across the nation must be able to realize that the use of an open system for problem solving is the best approach to solving problems that are occurring with the organization. The use of system theory in the organization is to be able to clearly and concisely understand health care structures, processes, and outcomes along with the interactions that occur within the health care organization (Hayajneh, 2007). The purpose of the paper is to identify and describe a problem within a department of a healthcare One nursing system that helps health care organizations with is the Nursing Service Delivery System (NSDS). According to Marquis & Huston (2015), the NSDS philosophy focuses on addressing fundamental values of nurses and the care we provide for example the quality of care, the quantity, scope of nursing practice and how nurses will meet the goals of the organization (pg. 148). Being able to set goals for a particular department through the use of the NSDS is an essential part for change to take place. The primary theoretical foundation that the NSDS is based off at is the Opens system. In the Open system, the organization depends on a supporting environment for continued input and to ensure its sustainability (Meyer & O 'Brien-Pallas, 2010). This open system is necessary for organizations because they do not function in stable and predictable environments. The organization heavily relies on its environment to receive essential input and transform them into successful outputs that will benefit the environment. Being able to move admitted patients from the ER into designated floor or specific hold areas with each area taking a few patients to relief the burden of ER. Another method of controlling extended ER wait times would be to coordinate discharges early in the day. Research has shown that when departures from the hospital are done, promptly, it can significantly improve the flow of patients in emergency departments by making more inpatient beds available to emergency patients (American College of Emergency Physicians, 2013). According to Hayajneh (2007), input is raw materials, energy, and multiple resources that are processed and can produce high-quality output for the organization (p.2). Input, in this case, can be the empty beds in the hospital and available nurses to admit patients to the floor. Throughput is the process of utilizing the materials or resource to create an output. Output can be seen when patient wait times decrease and receive appropriate safe and efficient
The organizing function of the manager consists of developing organizational charts, job descriptions, and statement of work flows ( Liebler and McConnell, 2008, p.53). A healthcare department manager must have knowledge of the job functions, job descriptions, and how those relationships impacts, authority, chain-of-command and communication. As a Wayne County Sheriff Sergeant, the organizational jail chart reveals the decision making process in terms of, (a) major functions,(b) relationship of functions, (c) channels of supervision, and (d) lines of authority and communication and positions( by job titles) within the [jail] units (Liebler & McConnell,2008, p.194).
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).
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
Monitoring staff levels is an important factor. Also leveling the flow of patients in and out institutions could help to reduce wide fluctuations in occupancy rates and prevent surges in patient visits that lead to overcrowding, poor handoffs, and delays in care. Studies show that overcrowding in areas such as the emergency rooms lead to adverse outcomes, because physicians and nurses having less time to focus on individual patients. One study found that for each additional patient with heart failure, pneumonia, or myocardial infarction assigned to a nurse, the odds of readmission increased between 6 percent and 9 percent (Hostetter and Klein, 2013). All of which costs the hospital money.
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 ...
Organizations that have this type of requirement usually assume a vertical organizational structure, with many layers of management, with the majority of the staff working in very specific, narrow, roles under authority. The many layers of management are designed to make sure that no one can throw the system off. This structure also ensures that tasks are performed correctly and accurately. Touro is a perfect example of this. Touro’s structure consists of a board of directors, which oversee the facility as a whole. Executives come next. The Board of Directors leaves it to Touro’s executives to see that their decisions are carried out and performed successfully in the daily operations of the hospital. Furthermore, each department has a department administrator which report to the executives about a specific operation system of the hospital. Last but not least come the patient care managers which directly oversee the medical providers. An example of a patient care manager would be a Charge nurse and the medical providers he/she would oversee would all the RN’s in the specific department for which they
The world of healthcare changes every day. Technology, as we know it evolves and changes the actual care that patients receive and even post care as well. It has been determined that most faults are caused by system failures. When a break in the system has occurred it must then be decided where the,” inefficiencies, ineffective care and preventable errors” to then influence changes within the broken system (Hughes, 2008). Improvements sometimes can begin with measurements and benchmarks which in turn will allow organizations to assess the trouble spots and broken areas within the system. Many times those broken areas within the system will be owned by the humans who operate within these systems. According to the Institute of Medicine (IOM)
Trzeciak, S. & Rivers, E. (2003). Emergency department overcrowding in the United States: An emerging threat to patient safety and public health. Emergency Medicine Journal, 20, 402−405. doi: 10.1136/emj.20.5.402
Nursing theories developed by scientists provide a framework for the process of establishing nursing as a profession with a specific body of knowledge including nursing language, and nurse is able to communicate inside in and outside of the profession. Theory supports and defines nursing practice and is used in practice situation to provide solution to the problem, provides guidelines in patient’s quality care, and helps to resolve nursing challenges. The benefits of middle-range theories found primarily in the research studies to address particular client population, in education, patient
It is another extremely hectic Monday in the Emergency Department. The waiting room is building up fast with many new walk-in patients. Fire Rescue trucks are calling one after the next with several medical and trauma cases. The hospital supervisor is calling to inform the Charge Nurse of the Emergency Department that the Operating Room has several cases that need beds and will supersede the Emergency Department admits. Patient through put will now be further delayed. This is just one example of a typical Monday and why Teamwork and Collaboration are vital components to run an efficient nursing unit, especially in the Emergency Department. When a common goal is created to foster teamwork, health care professionals working cohesively together
Nursing is a complex profession full of challenges and rewards. To grow as professionals, it is important that nurses know and understand the many theory’s that exists in nursing and respect their impact on the profession. It is essential for nurses to learn from past theorist for nursing to move forward. This paper will correlate the philosophy and values of two nursing theorist with a unique perspective of each concept and define the nursing metaparadigm.
The metaparadigm of nursing is comprised of four key concepts that play an integral role in the treatment and care of an individual. These concepts define the way nursing is approached and carried out, irrespective of the type of nursing theory applied. These metaparadigms include person, environment, health, and nursing (Tourville & Ingalls, 2003).
Transportation Central equipment stores rather than ward based stores for commonly used items. Overprocessing: Asking patients for the same information several times. Inventory Waiting Lists -. Excess stock in stockrooms.
Nursing theory has been the basis of nursing since Florence Nightingale. Theorist have made the science of nursing what it is today by years of research. Theory has laid the base and frame work for the nursing practice. Alejandron (2017) states that a demand for excellence influences Magnet recognized hospitals to use nursing theories to achieve positive patient outcomes. In this paper the nursing process discipline theory will be discussed along with the importance of this theory to nursing. The identification of the nursing process theory and the importance of this theory will be discussed. Then a summary of the key concepts related to the nursing process discipline theory will be discussed and
Nursing theory is the foundation in which the nursing profession stands on. Nurses learn about nursing theories and determine which theory or theories is a best fit. Those theories guide their profession, and nurses study to put those theories into practice. Doing so ensures the welfare of the patients, and the integrity of the profession is protected as well.