Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Organizational structure in healthcare
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Organizational structure in healthcare
Conducting an Environmental Assessment of a Psychiatric Hospital In general, an environmental assessment is a strategic process used to identify the external and internal elements that will affect an organization’s performance, something that was not really required for the healthcare industry in the past. However the changing landscape of the healthcare delivery system in the United States (US), with its overly complicated structures, has made environmental assessments an absolute necessity for determining the viability of healthcare organizations [HCO] (Ginter, Duncan, & Swayne, 2013, p. 36). Peter Drucker, who is known as a business visionary and recognized for his contributions to modern management, states that business leaders should not be as focused on warding off crises, but rather, they should be engaged in anticipating them (Drucker School of Management, 2016; Drucker, as cited in Ginter et al., p. 36). The environmental assessment helps organizations foresee and plan for some significant negative events and capitalize on others. For contemporary healthcare leaders, this means being aware of changes in all areas of the external environment: politics, economics, social and demographic, technological, and competitive. Ginter et al. (2013, p.46) report that there are three components of the external …show more content…
In the past two decades, McLean Hospital has broadened its service area with satellite programs located throughout the state of Massachusetts, and last year opened a high end treatment program in Camden, Maine. In the fiscal year (FY) 2014, the majority of patients, 49%, come from the metropolitan Boston area; 19% come from southeastern Massachusetts; 17% come from northeastern Massachusetts; 5% from central Massachusetts; 1% from western Massachusetts; and the remaining 9% coming from other US states or countries around the world because of the renowned reputation as a leader in delivering groundbreaking treatments (McLean Hospital,
For many, the statement “psychiatric asylum” conjures up disturbing images such as painful procedures and restrained patients, the creepy facility in the movie Shutter Island, the cruel Nurse Ratched from One Flew Over the Cuckoo’s Nest. But that image may be outdated.
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 health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
It is obvious that there is a large gap between where Coastal Medical Center is and where they need and want to be. When comparing CMC’s competitors, Johnson Medical Center and Lutheran Medical Center, CMC needs to provide more efficient, high quality care and focus on more profitable priorities instead of funding multiple unsuccessful projects such as the fifty-three unfinished developments.
In order for a health care organization to maintain optimal function, the promotion of change is continuously necessary. Within the health care delivery system, there are a number of different techniques that nurses can use to determine where changes need to be made. One technique is called a SWOT analysis, which involves an evaluation of an organization’s strengths, weaknesses, opportunities and threats (Harrison, 2010).
Four Frame Organizational Analysis Grid – Care of the Mental Health Patient in the Emergency Department
The clock struck 10 pm in Greystone Park Psychiatric Hospital in 1952. Screams started filling the building, patients were being tortured while others sat in their rooms slowly losing their minds. Then there were Heather and Arthur, the couple. Arthur was admitted because he had social anxiety and Heather was in there because she had depression. They both knew that they weren’t supposed to be in there, half of these people aren’t even supposed to be in there. Arthur knew that if they didn’t leave now, he and Heather would go insane. For the past few weeks, the couple has been planning their escape.
Module two deals with external influences in healthcare administration and the conflicts that may cause lack of growth in the organization. External influences can range from society, stakeholders, staff, and patients. Health administrators should be in agreement with staff and physicians to maintain proper ethics and safety for everyone. Society has a big influence of healthcare organizations with spending their money towards health insurance, medication, treatment services and exams. As long the healthcare organization has a well reputation built on trust, then consumers will spend on that healthcare organization. The stakeholders that take part in external influences on ethics are the vendors, technology specialists, maintenance, insurance
For many decades the mentally ill or insane have been hated, shunned, and discriminated against by the world. They have been thrown into cruel facilities, said to help cure their mental illnesses, where they were tortured, treated unfairly, and given belittling names such as retards, insane, demons, and psychos. However, reformers such as Dorothea Dix thought differently of these people and sought to help them instead. She saw the inhumanity in these facilities known as insane asylums or mental institutions, and showed the world the evil that wandered inside these asylums. Although movements have been made to improve conditions in insane asylums, and were said to help and treat the mentally ill, these brutally abusive places were full of disease and disorder, and were more like concentration camps similar to those in Europe during WWII than hospitals.
In 2003, leaders in North Carolina’s healthcare field realized they needed to bring about changes to the services they provided in their community’s mental healthcare programs (McLaughlin & McLauglin, 2008). The North Carolina Science to Service Project (NCS2S) was implemented to bring more coordinated, quality healthcare services to their mental health patients (McLaughlin & McLauglin, 2008). The goals of the project were to better match healthcare services to their mental healthcare patient population, apply evidenced-based practice guidelines in their mental health practice, ensure proper resources were allocated for the services, and begin state-wide training programs to their healthcare professionals (McLaughlin & McLauglin, 2008). This case study examines the integration of mental healthcare services into the community setting, the use of evidence-based practice guidelines, the effect on the stakeholders, and the role of healthcare professionals in implementing change.
State and local public health departments throughout the country have the responsibility for improving health in workplaces, schools, and communities through identifying top health problems within society and developing a plan to improve. Barriers the public health system has encountered over the years include: changes in the overall health system that support cost containment and improved health, and an increase in the number of individuals with insurance coverage for direct preventive services; reduction of qualified public health professional and funding at all levels of government; increasing focus on accountability, with higher expectations for demonstrating a return on investment in terms of cost and health improvement (Trust, 2013). In the near future, health departments ...
Beam, Alex. Gracefully Insane: The Rise and Fall of America's Premier Mental Hospital. New York: Public Affairs, 2001.
The major concern with this population of patients is that the patients are not in a therapeutic environment when he or she is boarding in the emergency room waiting for an inpatient bed, which does not allow the patient to start the healing and recovery process. A theory that could be put into place is chaos theory, which involves “finding the underlying order in the apparent disorder of natural and social systems” (McEwen & Wills, 2014, p. 296). In the emergency room currently, the psychiatric area of the department is in disorder. The policies and procedures for this area of the department are confusing and ever changing, it is hard to keep up to date with the latest policies and procedures and because of this, the patients do not have a therapeutic environment that he or she needs. The role of the chaos theory is that it examines systems that are on the “edge of disorder” (Brabender, 2016, p. 9). With the implementation of chaos theory and multiple other nursing theories the area of the emergency room that is designated for the psychiatric patient will be a therapeutic environment so that way while the patients are boarding waiting for an inpatient bed to become available so the patient is able to start his or her recovery and healing
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...
Many of us in the health science field agree the environment is under threat due to the effects of climate change. Nurses see