...STRATEGY FOR IMPROVING HEALTHCARE DELIVERY AND ORGANIZATION PERFORMANCE The present report is focused on identifying strategies for defining, measuring, and improving performance of the healthcare delivery system in any organization. The scope of the report is kept limited to the frontline health service delivery system like hospitals and clinics which directly interacts with patients. The main objective of the report is to identify important determinants of organizational performance in healthcare and to present examples of solutions which can improve its functioning and performance. Identifying present performance: Before formatting future strategy for any organization, it is important to evaluate its present performance. It is important for any organization to deliver healthcare of high quality, high efficiency, easy accessibility, and easy utility; to be considered as a high performance organization. Additionally, the high performance organization must be open to enable learning and to have well planned strategies to access support from different parts of the society to attain sustainability. Thus section discusses the six main outcomes required by high performance organization which are quality, efficiency, utilization, access, learning, and sustainability. 1. Quality: Research on the clinical quality of the healthcare is as old as the healthcare delivery system itself. The researchers identify clinical quality as safe and medically appropriate healthcare. Furthermore...
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...Running head: Future trends in Health Care Future trends in Health Care HCS 533 April 23, 2012 Robert Ropnow PH.D. The findings of a review of trends in health care delivery that are associated with innovations in electronic communications are topic of discussion in this paper. The review focuses on four specific issues. The first issue concerned the ways in which electronic communications may be applied effectively as an external delivery mechanism in the communication of patient-specific information. The second issue centered on the impact of distance-delivery on the effectiveness of health care. The third issue involved a determination of the effects that the use of electronic communications have on health care delivery today. The fourth issue required a projection of the likely affects that the continued use of electronic communications will have on health care delivery. These interrelated issues are addressed in separate discussions in this paper. The Ways in which Electronic Communications May Be Applied Effectively as an External Delivery Mechanism in the Communication of Patient-Specific Information When considering the ways in which electronic communications may be applied effectively as an external delivery mechanism in the communication of patient-specific information, it is useful to first (a) identify the parties who will likely be involved...
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...Future Trends in Health Care Sukhwinder Kaur HCS/533 November 19, 2012 Sheryl-Anne Murray Introduction The findings of a review of trends in health care delivery that are associated with innovations in electronic communications are topic of discussion in this paper. The review focuses on four specific issues. The first issue concerned the ways in which electronic communications may be applied effectively as an external delivery mechanism in the communication of patient-specific information. The second issue centered on the impact of distance-delivery on the effectiveness of health care. The third issue involved a determination of the effects that the use of electronic communications have on health care delivery today. The fourth issue required a projection of the likely affects that the continued use of electronic communications will have on health care delivery. These interrelated issues are addressed in separate discussions in this paper. Electronic Communications as an External Delivery Mechanism When considering the ways in which electronic communications may be applied effectively as an external delivery mechanism in the communication of patient-specific information, it is useful to first (a) identify the parties who will likely be involved in such interchanges and to (b) determine the types of information most likely to be exchanged. Further, depending upon of types of information likely to be exchanged it is also useful to consider how and in what form such information...
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...HCS/588 Measuring Performance Standards November 24, 2014 Dr. Debbie Simmons Quality Improvement Email Health care organizations aim to provide both quality and safe patient care. These two fundamental and critical concepts in health care require continuous effort. “Organizations must make an intentional effort to measure, assess, and improve performance” (Spath, 2014, pp.266). Quality improvement (QI) is essential for the continued success of an organization as it reveals specific guidelines and methods to provide consistent and dependable quality services. This paper will discuss QI while focusing on quality management’s role and importance in health care, stakeholder’s different views of quality, QI roles, and what areas in health care require monitoring. Additionally, involved accrediting and regulatory organizations in QI and helpful resources and organizations that affect QI will be discussed. Quality Management According to Kelly (2011), quality management refers to how managers operating in various types of health services organizations and settings understand, explain, and continuously improve their organizations to allow them to deliver quality and safe patient care, promote quality patient and organizational outcomes, and improve health in their communities” (pp. 9). Therefore, the purpose of quality management is to enhance the effectiveness, efficiency, and safety of health care processes to achieve quality outcomes. Management can achieve this through...
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...improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to...
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...and job performance measures. The merger between Health care Facility A and Health Care Facility B was initiated six months ago. The merger created the Open Health Care Facility. This facility was forced to eliminate jobs because of duplicate positions and job responsibilities. Each health care facility contributed their own area experts in all fields and to align the staff with the budget allocations, staffing was reduced tremendously. There have been changes in the organizational structure, changes and enhancements in processes and production, and changes in the quantity of staff members. The newly structured administration sees a need for a redesign of patient care delivery because of all the changes and enhancements implemented. A suggestion was made to use the universal worker concept. Consider the words universal worker in a health care facility. This could mean that one person is capable of doing all task in every position and department. Can you say “burn out”? Burn out of employees could be one reason why the universal worker model often failed in other organizations. This paper will address an effective method of job redesign, why universal workers will not be effective, and what other work processes and performances must be considered when electing to redesign patient care delivery. In order to effectively redesign patient care delivery, administration must analyze the effect this redesign will have on other areas and departments in Open Health Care...
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...Abstract This project was conducted to study the human resource practices that can facilitate the social service organisation to effectively align its employees for efficiently service delivery. For this purpose the HRM theories and concepts as well as the best practices applicable to social service organisations were studied. This facilitated the author to find the strategic role that the HRM can play in engaging the employees and assess how the HR can motivate them and align them towards attaining organisation goals and objectives. The ultimate aim was to evaluate how Leyton health care an elderly home care service provider in London can align its HR and attain its objectives. Interview was held for the managerial level staff and questionnaire was given to the service delivery staff of Leyton Health Care. The total samples used for the study were 12. Out of these 2 were managerial level staff and 10 were service delivery staff. Open ended questions were used for the managerial level participants of the organisation while in case of the service delivery employees, a survey questionnaire which had statements with multiple choice questions i.e., close ended questions were used. The statements that were derived were regarded as themes and the evaluation of results was made by using the method of thematic analysis. Here pie charts were used to indicate neutrality, agreement and disagreement to the statements given. The results of this project indicate that there was...
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...Accountable Care Organization is a healthcare organization characterized by a payment and care delivery mode. lt seeks to tie provider reimbursements to a quality metrics and reductions in the total cost of care for an assigned population of patients. A group of coordinated health care providers form an ACO, which then provides care to a group of patients. The ACO may use a range of payment methods, (e.g. capitation, fee-or-service with an asymmetric or symmetric shared savings). The ACO is accountable to the patients and the 3rd party payer for quality, appropriateness, and efficiency of the health care provided. The Centers for Medicare and Medicaid Services (CMS), an ACO is considered an organization of health care providers that agree to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program. This paper identifies the differences between HMO’s and ACO’s but also correlates the similarities between ACO’s and Patient Center Medical Home (PCMH). The ACO’s place a degree of financial responsibility on the providers in hopes of improving care management and limiting unnecessary expenditures while continuing to provide patients freedom to select their medical services. The success and challenges of ACO are identified and explored. By increasing care coordination, ACO’s can help reduce unnecessary medical care and improve health outcomes, leading to a decrease in utilization of acute care services...
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...Pay-for-Performance Darrick Poole HCS/531: Health Care Organizations and Delivery Systems February 11, 2013 Eugene Burwell Reimbursement and Pay-for-Performance In 2010, health care expenditures in the United States almost reached $2.6 trillion. This was 10 times more than expenditures spent in 1980. The rate of increase slowed in the late 1990s and early 2000s but industry experts still expect the cost of health care to increase more than the national income for some time to come. Stakeholders agree this continual financial burden is of critical importance. During the last decade, the financial woes in the United States caused many people to lose employment and others to work for much lower wages. The effects of the financial conditions increased the focus on health care spending and peoples’ ability to afford health care. The premiums paid by employees for their families increased by 97% putting further strains on employers and their workers. Baby boomers reaching retirement age increased enrollment in Medicare and Medicaid causing strain on federal and state government budgets. In 2010, health care expenditures consisted of 17.9% of the Gross Domestic Product. Over half of the nation’s health care expenditures result from hospital care, physician, and clinical services. One way the Affordable Care Act seeks to address the issues of cost is by reducing the compensation for hospital and treatment services that result in medical errors or inadequate quality of care. One of...
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... April 27, 2014 PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS In 1970, The National Academy of Sciences established the Institute of Medicine (IOM), a non-governmental, non-profit organization, developed to provide advice on the national level that addresses issues of medical care, education, and research. Through research, collected data, and nurse-led solutions, the IOM created an informative report in 2010 called The Future of Nursing: Leading Change, Advancing Health, which provides specific recommendations on the improvement of the nursing workforce and the healthcare delivery system. The report is directed towards various entities; individual policy makers, national state and government leaders, licensing bodies, educational institutions and consumer advocates, are just to name a few. Three particular recommendations, transforming education, transforming practice and transforming leadership, will be further discussed to display how each transformation will impact changes in the nursing profession and the health care delivery system. Transforming Education The first recommendation to be discussed that will impact change in the nursing profession and the health care delivery system is the transformation of education. The IOM report states that “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2010, p. 163). Several educational pathways have become available for...
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...Since the establishment of Intermountain Health Care, they have grown to become an internationally recognized system of 22 hospitals, a medical group with more than 185 physician clinics, and an affiliated health insurance company. They have been recognized for their achievements and innovations in the development of systems and management, in order to produce effectiveness and efficiency within the processes of healthcare through high quality services and minimisation of costs. Intermountain Health Care’s performance has proved to be advancing exponentially as of the mid 90s, due to clinical-improvement projects routinely showing significant cost savings. What is Intermountain Health Care’s approach to the management of health care delivery? Intermountain Health Care’s approach to the management of health care delivery focuses on quality improvement, where the concept of quality is associated with cost effectiveness or value. At IHC, quality can be defined as producing optimal results at the lowest possible cost. The strategic goals of the company reflect the elimination of quality waste, the identification of inappropriate variation in outcomes, and the achievement of high results with the reflection of low costs. As an example, goals outlined in the 2001 system for cardiovascular clinical program included the use of appropriate prescriptions of hospital discharge medications to patients. Through the precision of prescribing the most beneficial drugs, patients will not...
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...People who are poor are less likely to seek proper medical care, as opposed to people who are of middle-class status and above. People with more social status, money, and education have a lot of choices and control over things, such as the neighborhoods, their salaries, occupational opportunities, etc. (Jin, Shah, & Svoboda, September, 1995, 153(5)) Dennis Raphael of the CSJ Foundation for Research and Education, reinforces this concept: “Social determinants of health are the economic and social conditions that shape the health of individuals, communities, and jurisdictions as a whole. Social determinants of health are the primary determinants of whether individuals stay healthy or become ill.” (Raphael, 2008) The development of clinics has become increasingly more important since the passage of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. Politics influence clinics because when laws such as these are put in place, federal funds will follow. These acts will make healthcare more accessible to millions of people in the United States. (Hobbs, Morton, Swerissen, & Anderson, 2010). There is increasing recognition of the crisis in primary care and the relatively poor U.S. population health. Tools that can measure morbidity burden in individuals and populations will further reveal the special contributions of person focused medicine that the primary care provides. The adverse effects of specialist oversupply on...
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...Alignment: 2 IT Portfolio Management: 3 IT Architecture: 3 - 4 Benefits: 4 - 5 Requirements: 5 - 6 Cost Estimation: 7 Performance Measures: 7 System Development: 7 - 8 References: 8 Project Description: Employee scheduling system is used to schedule all the tasks assigned to the employees. All the employees are assigned task through this system and this system will enable the organization to understand and evaluate the performance of employees using the system. This system will maintain a complete log of the tasks assigned to the personnel and in case there is any change in the scheduling or assignment of the work then this task will be automatically managed with the system. The managers of the various teams will use this software while assigning the work. Strategic Alignment: Employee scheduling system will help the organization to achieve its business strategic objectives and IT strategies. One of the key business objectives is to reduce the delivery time by providing the local warehouse services but managing the employees is of key concern when the delivery time is needed to be reduced. Another business strategy is to improve the percentage of loaded miles however without employee scheduling even this objective is not achievable since the employees need to take care of the loaded miles. One another crucial objective is to provide the customer accurate delivery time but the employees are the ones who need to take care of the delivery time managing the task...
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...Risk management in the health care in the past risk management and quality improvement job was separate in the health care organization. Even though, the job function may have been different the goal was the same. As up today they have close the gap to provide a better, and safety quality patient care. Rationale What is risk management any way not everyone has the same meaning. It can be define as such Risk management is a process for identifying, assessing, and prioritizing risks of different kinds. Once the risks are identified, the risk manager will create a plan to minimize or eliminate the impact of negative events. A variety of strategies is available, depending on the type of risk and the type of business. Outline Risk Management and Patient Safety: The Synergy and the Tension Integrating Risk Management, Quality Management, and Patient Safety into the Organization Benchmarking in Risk Management Risk Management Strategic Planning for a Changing Health Care Delivery System Using Never Events to Reduce Risk and Advance Patient Safety Governance and Board Responsibility to Assure Safety in Health Care Organizations 1. Introduction What is the goal or the idea behind risk management one of their focus is to reduce the financial risk other areas that may seem not important is the regulation. One of the principal issues facing health care risk management is governmental regulation. Over the last few decades, there has been a growing public...
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...Name: Course Name: Course Instructor: Date of Submission: Abstract Each and every medical facility requires some element of management coined in its vision, mission and rules that govern the code of conduct of the staff towards the clients and among themselves. As a matter of fact, it is the duty of every medical practitioner to strictly observe the rules and the code of ethics set by the said medical facility. In this regard therefore, there exists a systematic approach aimed at maintaining as well as improving the quality of medical health care within a given health system- this is what is referred to as Clinical Governance. This paper aims at discussing various issues to do with clinical governance as well as the practice of Nursing. Learning Activity One Introduction There are three major aspects of professional performance that have been discussed; these are professional accountability expected from the practitioners to their clients, their fellow staff as well as to the organizations that they work for. There is also the need to have a system through which there will be appraisals for good performers within a health facility that will encourage the others to provide exemplary service and finally, clinical governance which is a vehicle that tackles all the wide differences in the quality of healthcare provided to the patients throughout the world. It is important to note that there has been a difficulty in the past to produce a universally approved definition of...
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