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Stakeholders in health care organizations
Stakeholders in health care organizations
Stakeholders in health care organizations
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The key stakeholders for this system change, and to help implement the strategy on providing new patient navigators would be the financial director, chief nursing officer, floor nurses, the hospitalists, and a group of patients and their family. Identifying the key stakeholders is important because with providing new services to a health care facility this group of people will be responsible for accepting the strategy to put in place which includes adding a new job title, approving the salary and the number of people to be hired, on down to how each navigator will be trained and oriented. Although the patients and their may not have much choice in the beginnings of the process of the system change, they can have a say and impact on helping in figuring out the role, and where there are gaps in the care during stays at the hospital, as well as helping in the interview process.
The first key stakeholder is the financial director. The financial director will ultimately decide if the facility can go forward with the strategic plan to hire patient navigators and how many they can actually hire at once as the financial director has say on what the facility can actually afford the expense and if it will payout to increase their net assets including revenue. Since this strategic plan will affect the yearly capital budget on the operational budget, along with each individual budget it will be important that the financial director look at the budget report for not only the hospital itself, but takes in consideration the availability in the budget for each unit to make sure that the process will not require the need to cut another person to make the decision to add. The financial director would possibly do a simulated federal and state cost...
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...on rates have shown to improve when the facility is practicing patient- and family- centered care, which ultimately can increase the reimbursement rates from Medicare and Medicaid. The increase reimbursement rates are extremely important for non-profit health care system such as OhioHealth Mansfield whose revenue comes from over sixty percent in Medicare and Medicaid funding. The PFCC self-assessment tool was analyzed based on OhioHealth Mansfield with strengths and weaknesses, which one big weakness consisted in the personnel domain which consists of support for staff, and the utilization of patients and family involvement in decision making and new employees. The system change of adding the new role of the patient navigator allows collaboration with a diverse team including patient and family members, along with ultimately increasing patient satisfaction rates.
Nerenz, D. R. & Neil, N. (2001). Performance measures for health care systems. Commissioned paper for the center for Health management research. [PDF document]. Retrieved from Systemswww.hret.org/chmr/resources/cp19b.pdf
This group is more focused on satisfaction, access and quality of care. Providers, or practitioners, are also key stakeholders within an organization. The term provider can encompasses not only physicians and surgeons, but also nurses, physical and occupational therapists, technicians, and other members of a clinical staff. Providers fall into two categories, primary, which includes hospitals and health departments and secondary, which includes educational institutions and pharmaceutical companies. Providers are focused on the best treatments for patients and are involved in delivering health services and products. The final element of the MCQ model is the employer who by far is the largest paying and purchasing stakeholder of an organization. The employers focus is primarily on their return on investment within an organization. Cost and quality is a focus for employers when choosing health benefits but are mindful that access is just as important. Within the Patient Healthcare model, MCQ explains the interactions between the four elements of employer, patient, provider and payer while the Iron Triangle focuses on the factors of cost, quality, and access. The Patient Healthcare model charges healthcare leaders with the task of balancing satisfaction with the stakeholder (employer, patient, provider, and payer) in relation to cost, quality and access. This may be very difficult since stakeholders may have competing priorities. Changes and variations made in how healthcare organizations operate may have profound effects on how stakeholders perceive the quality, access and cost. For instance, a patient may consider cost to be a top priority when seeking healthcare and at the same time the healthcare organization may consider raising costs and therefore devaluing access and quality. Patients who begin to incur high out-of-pocket costs may begin to perceive a financial
A strategic planning process is developed from a SWOT analysis (Harrison, 2010). When a nurse begins to plan strategically, this entails organization, adjustment and management to strengthen operations within the healthcare organization (Nelson-Brantley & Ford, 2017). Due to an ever-changing environment within a health
The reason for the controversy of the Hospital Consumer Assessment of Healthcare Providers & Systems, referred to as HCAHPS (pronounced “H-caps”), is the tie that the Center for Medicare and Medicaid Services (CMS) placed between the scores of the assessment and healthcare reimbursement (Westbrook, Babakus, & Grant, 2014). There are two sides to consider when addressing HCAHPS/Press Ganey surveys as they directly affect hospital reimbursement. Patient satisfaction, quality of care, and how they portray their hospital stay contributes to the reimbursement that hospital receives. The nurse-patient relationship plays a large role in influencing the quality of care than patients feel that they are receiving.
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
The ability of a unit to survive is largely dependent upon the hospitals internal financial budgetary performance and the external needs within the community. Developing a financial budget is a process that should use teamwork to plan and implement in order to be effective. The budget sets perimeters for administrators to follow throughout the year, allowing the director to report variances while providing guidance to maintain a minimum variance and adjust when possible (Finkler & McHugh, 2008). By using all department managers in the planning process of the new budget, the nurse executive is able to develop effective strategies for all departments while investing in the goals. This eliminates many problems associated with budget and identifies areas that need improvement or expansion. Because of the competition, declining margins, and other economic pressures, nurse executives need to take steps to control costs and increase revenues for this unit. The overall goal of the financial performance within the organization is to meet the total budgetary needs of the unit to produce favorable outcomes. My focus will be to propose the expansion of a new Joint Replacement Unit (JRU) within the hospital, while identifying the major operating components of the budget for this organization. The importance of reviewing the budget for a newly developed unit is to allow the nurse executive and administrative team to manage the existing organizational programs within in the facility, plan for goal accomplishments for the new unit, while controlling costs.
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...
Buchbinder, S.B., & Shanks, N. H. (2007). Introduction to Health Care Management. Sudbury, MA. Jones & Bartlett Publishers. Performance Improvement in Health Care. 5, 81-135.
There are certain aspects and competencies common to role of the nurse practitioner (NP), nurse educator (NE), nurse informatics (NI), and nurse administrator (NA). All four roles act as leaders within the health care organizations depending on their designated areas of duty. Their input is needed to keep the health care institution running. To assume their roles, NP, NE, NI, and NA require some education and credential from nursing perspective or other related experiences.
This addresses the environment in which nurses practices and strives for “an innovative environment where strong professional practice flourishes and where the mission, vision, and values come to life to achieve the outcomes believed to be important for the organization” (ANCC, 2008). This type of environment is accomplished by nurses working together towards a strategic plan outlined with facility policies and knowledge-based nursing and skills to achieve desired outcomes and accomplish organizational goals. I believe my facility does a great job with structural empowerment. Our nurse manager makes sure we know what our goals are as a unit. We review hospital satisfaction scores and infection rates to determine what practices need to be addressed for achieving organization and desired outcomes. We work to provide cost-effective care that exceeds national standards for excellence while working to strengthen bonds between staff members and making sure that at our facility “caring comes first”
During the final stage broadening the perspective, the APN is starting to settle in in his/her new role, the NP experiences realistic expectations and a feeling that they are competent. During this phase, I will focus on identifying my strengths and work on strengthening them further. I will do this by seeking for biannual and annual evaluations from management/administrator. I plan on making changes in my work environment in order to increase the care delivery system.12
Trinity Community Hospital is based in an economically sound community. Structured 25 years ago, in a prime location this 150-bed, non-for-profit hospital offers to the community residents a broad range of general medical, surgical, and support services. Patient Protection and Affordable Care Act (PPACA) of 2010 signed into law requires a non-profit hospital is to conduct a community needs assessment. To justify their tax exemption every three years thorough analysis of community assessment will be widely publicize. Interventions will also need to be included to meet assessment needs must also meet at least one of the following criteria:
In the recent years, the health care system has gone through major transformation related to implementation of Affordable care. Also the nation is facing many health challenging for example the American population is aging, also the nation is increasingly getting diversify and the role of health care reform is more focused towards wellness and preventive care. In addition to it, the patient care has become more complexed and in order to meets the demands of the transformed healthcare system nurses has to delivery competent and high quality patient care. It include, nurses’ roles as leadership, policy maker, system improvement, research and evidence based practice and interprofessional collaboration work. On the other hand, nurses has to exhibit their competency in community and public health and geriatrics and master their skills in information technology system which will assist them in partnership care with other health care professionals in the provision of quality care. In order to acknowledge the expanding demands and fulfilling the recommendations of IOM, nurses has to prepare themselves to meet the needs of the nation’s health by acquiring higher level of education (The National Academics of Science. Engineering. Medicine,
A myriad of challenges are faced in healthcare today. From over-crowding and long waiting lists to staff shortages which have knock on effects resulting in inadequate skills mix and unacceptable nurse-patient ratios. An aging population, high birth rates and an increase in chronic diseases also puts pressure on the healthcare system. The nursing role has had to evolve in response to changing societal needs and the challenges in the healthcare system today. (McCurry et al. 2009). This can bring additional challenges to nurses’ professional identity. ??
Typically, these stakeholders are divided into two groups to include internal and external forces. The internal forces are the stakeholder who engages with the nursing staff on a daily basis, and are directly affected by any decision that is made thereby requiring that they be involved in all decision-making so as to ensure their support and increase the possibility of that decision resulting in the desired effect. These internal forces include the nursing personnel, the administrators who manage the daily operations and strategic decisions at the medical facility and patients. On the other hand, the external forces are the stakeholders who are indirectly affected by the decisions made within the nursing system. They include competing medical