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Chapter 4 health care ethics committee
Chapter 4 health care ethics committee
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Kaiser Permanente (KP) started from manufacturing healthcare for construction, shipyard, and steel mill workers in the late 1930s and 1940s. The healthcare plan was available to the public in October 1945. The ideology behind prepayment healthcare started during the Great Depression with a surgeon and a twelve hospital bed in California. Kaiser Permanente is an integrated managed care group, founded in 1945 by Henry J. Kaiser and physician Sidney Garfield. KP is made up of three distinct groups of body: the Kaiser Health Plan; Kaiser Hospitals; and Permanente Medical Groups. As of 2014, Kaiser Permanente are in eight states and the District of Columbia, and is one of the largest healthcare organizations in the United States. According to the fast fact from its own web site, “Kaiser Permanente has 9.6 million health plan members, 174,415 employees, 17,425 physicians, 38 medical centers, and 618 medical offices. For 2011, the non-profit Kaiser Foundation Health Plan and Kaiser Foundation Hospitals entities reported a $56.4 billion in operating revenues” (Fast Facts about Kaiser …show more content…
In our current time period of complex laws and regulation regarding healthcare, organization like Kaiser Permanente also uses the Ethics Committee to address difficult issues. In California, KP is synonymous with trust and respect. Every medical and non medical staff is an ambassador for KP. KP is committed to the entire staff, by promoting within, developing future leaders through it internship programs, and reward when the organization is successful. The organization believes that a well developed team with different background and experience, working as one in an environment that encourages respect and resulting in high levels of commitment, is crucial to its continued success. KP listed their mission statement and promise as
Membership Services (MSD) at Kaiser Permanente used to be a modest department of sixty staff. However, over the past few years the department has doubled in size, creating minor departmental reorganization. In addition the increase of departmental staffing, several challenges became apparent. The changes included primary job function, as well as the introduction of new network system software which slowed down the processes of other departments. These departments included Claims (who pay the bills for service providers outside of the Kaiser Permanente network), and Patient Business Services (who send invoices to members for services received within Kaiser Permanente). Due to the unforeseen challenges created by the system upgrade, it was decided that MSD would process the calls for both of the affected departments. Unfortunately, this created a catastrophic event of MSD receiving numerous phone calls from upset members—who had received bills a year after the service had been provided. The average Monday call volume had risen from 1,800 to 2,600 calls per day. The average handling time for each phone call had risen as well—from an acceptable standard of 5.6 minutes to an unfavorable 7.2 minutes. The department continued to be kept inundated with these types of calls for the two years that these changes have been effect.
Kaiser Permanente’s mission is to provide care assistance to those in need. As a health maintenance organization, Kaiser Permanente provides preventive care such as prenatal care, immunizations, diagnostics, hospital medical and pharmacy services. Also, they take responsibility and provide exceptional training for their future health professionals for better clinical performance and treatment for the patients. The organization is to ensure fair and proper treatment towards their employees for a pleasant working environment in hospital and to provide medical services especially in a growing population in suburban communities, such as Tracy and Stockton in California.
MSK has been effective in this area by implementing and continuously working towards efforts to educate and provide opportunities for everyone on all levels opportunities to be involved and succeed. The success of MSK over the years have not been left up to one individual but it has been a collaboration of individuals. The organizational structure and care model at MSK is aligned with their mission and value that reinforces the importance of safe, effective, and competent care. The collaboration efforts of various departments, units, programs and individuals all account for the sustainability of MSK’s organizational care model. This type of success has been implemented by holding everyone at MSK regardless of their position accountable for their overall
This paper’s brief intent is to identify the policies and procedures currently being developed at Midwest Hospital. It identifies how the company’s Management Committee was formed and how they problem solved and delegated responsibilities. This paper recognizes the hospital’s greatest attributes and their weakest link. Midwest Hospital hired Dr. Herb Davis to help facilitate the development and implementation of resolutions for each issue.
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.
Healthcare executives who adhere to a professional code of ethics follow the mission and vision of the organization they work for. When healthcare executives “lose the sight of their mission and vision, or lose their ethical ground, have the tendency
Honor Health is a hospital and physician provider system located in phoenix Arizona. Honor health is relatively new hospital chain, more specifically it is the result of a merger of Scottsdale hospital and the John C. Lincoln Health Network (Alltucker, 2013). Honor Health’s mission statement is relatively short, comprising only a single sentence. Their mission and vision statements are, “To improve the health and well-being of those we serve” and, “To be the partner of choice as we transform healthcare for our communities” (Honor Health, 2015). While their vision and mission statements impart a direction and goal for their organization, the vagueness of both statements may cause problems in guiding targeted strategic initiatives. This essay
It is terrifying to discover that you have terminal cancer. What is more terrifying is being left uninsured. This is what happened to one Californian. He lost his job due to recession cuts and tried to get onto his wife’s insurance coverage. However, she too lost her job and insurance. So now this man is left at home writing in pain because he cannot access pain killers. With his economic background, it is difficult to access federal coverage. There are problems like this occurring every day. I believe that we need to improve not only the amount of people covered by health insurance, but the quality as well. To illustrate this, I look to Kaiser Permanente, who I have both volunteered and been a patient with, for the model of healthcare reform.
Integrity is one of the most essential principles in business practice. Without integrity, the reputation of a business can suffer unrepairable damages in which consumerism becomes nonexistent. Integrity must be built into the organizational infrastructure in health care to build a foundation of ethical integrity and adopt a culture that prioritizes this value (Mantel, 2015). I chose this business principle because I strongly believe that integrity is the heart and soul of a business’s character. Character reveals the core of business standards and is vital to sustain trust. Integrity is incorporated at my facility under the value system, to enable communities to rely on our health care organization. Integrity is chief in health care because it encompasses the foundation of veracity and honesty. Consumers such as patients, heavily rely on integrity of health care organizations to provide the best care. Integrity is important to me because it represents a network of trust and honor. As a health care professional, ethically and morally sound decisions have to be made with
“KP is the largest non-profit health care delivery system in the United States, and operates in 8 states and the District of Columbia. KP is made up of 3 entities: the Kaiser Foundation Health Plan (KFHP), Kaiser Foundation Hospitals (KFH), and the regional Permanente Medical Groups,” (Selevan, Kindermann, Pines, and Fields (2015). Selevan al et (2015) state that the members of Kaiser Permanente can be compared to other insurance companies in regards to age, race, and employment status, although the members are known to have lower income levels. Additionally, they found that Kaiser Permanente’s model of care focuses on improving the health of patients, promoting population
One being the Health Maintenance Organizations (HMO), which was first proposed in the 1960s by Dr. Paul Elwood in the "Health Maintenance Strategy”. The HMO concept was created to decrease increasing health care costs and was set in law as the Health Maintenance Organization Act of 1973, after promotion from the Nixon Administration. HMO would, in exchange for a fee, allow members access to employed physicians and facilities. In return, the HMO received market access and could earn federal development funds. An HMO is a integrated delivery system that combines both the delivery and financial aspects of health care for consumers. Under the HMO, each patient is appointed to a primary care physician (PCP), who is essentially accountable for the long-term care of the members that she/he has been assigned and any specialists that a patient needs to see should be referred by their PCP. Some examples of HMOs are Kaiser Permanente and Humana. HMOs are licensed at the state level, under a license that is known as a certificate of authority. A pro of an HMO is that treatment for a patient can begin prior to their insurance being authorized; A member may benefit from this because there would be little to no treatment delays. A con of an HMO is that in order to save cost, most HMOs provide narrow provider networks; A member may not benefit if in an emergency because their “in-network” emergency room might be far or there are “quick-care” in their
In a health care organization, it is important that the organization’s mission, philosophies, and ethics are followed through properly. . With the Centers for Disease Control and Prevention (CDC), it is no different. . The Centers for Disease Control and Prevention’s “mission is to protect people’s health and to support the quality of life in humans by prevention and control of diseases, injuries, and disabilities” (About CDC, 2010, page or paragraph number with quotes). With the organization's mission, philosophies, and ethics it is important that everyone’s health is protected and proper prevention of diseases, illnesses, and disabilities are given to the public in a timely manner. In this paper, the members of Team A will “describe what are the organization’s goals, how are they tied to its ethical principles, and the role and importance of the corporation’s ethical values” (University of Phoenix, 2012, Week Three Supplement). Team A will also specify “what the relationship between the organization’s culture and ethical decision-making is and why is it important that the organization’s ethical values support Team A's ethical values” (University of Phoenix, 2012, Week Three Supplement, see above)? In addition, Team A will explain the social responsibility for the Center of Disease Control and Prevention in the community” (University of Phoenix, 2012, Week Three Supplement, see above). (Good introduction)
Brand Name: Our strong brand name is a major strength of Kaiser Permanente. Although we have do not have many established markets throughout the Southeast, customers, consumers, providers, regulators, and insurers would still recognize the value of Kaiser Permanente. The value associated with our brand name is an easily defendable qualitative factor, so competing organization would have a difficult time overcoming it.
In this unit, we will be discussing real-life healthcare organizations, the 5 P’s of healthcare marketing, and evaluation strategies that may be used to determine marketing potential.
This study is related to a case conducted at Faith Community Hospital to assess the problems due to issues with their mission statement and how it is being interpreted. According to the CEO of Faith Community Hospital, very few of the members and partners seem to be following the mission statement. There are issues with organizational processes, ethics issues, and communication systems. Many staff members are operating as individuals and not as a collective unit based on their values. A moment's distraction can result in a tragic outcome.