...the Department of Health, Education, and Welfare (HHS) through a continuously approved legislation ask that “the Health Professions Education Partnerships Act of 1998 which gave the authority for the Graduate Medical Education National Advisory Committee to study the personnel issues in medicine.” (Cooper, 2003) In a report by the” Graduate Medical Education National Advisory Committee (GMENAC) who predicted a doctor surplus in its 1979 report, and allopathic medical education has maintained an even level in its enrollment.” (Health and Human Services, 2011) The earlier statistical analysis of factors that were considered did not include the new technologies and the amount of medical specialist’s increase which has made changes to how the medical profession operates. The factors also did include the trend to have more salaried positions such as in the HMO market and the fact that more women are enrolling to practice medicine and enrolling in medical schools. These factors along with unanticipated population growth add to the shortage of medical practitioners in overall calculations that include rural needs for services. These factors remain in place about the future demand for physicians. The amount of growth in need for medically trained in America is disproportionately distributed in rural areas, thus barriers to providing healthcare in rural communities are resource limitations, serving in a low-volume environment challenges and “retaining health care professionals, and...
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...Kerry Ann Brown South University Due to the changing health care environment, the nursing profession is currently in a process of evolution. Scopes of practice and role expansions are being prepared. Some of these roles are traditional, such as nurse practitioners who have been fighting for equality and recognition since the early 19th century. With the advent of technological advancements in health care new roles such as nurse informaticists, recognized as a specialty in the later part of the 20th century, are being put into practice and defined. More responsibilities are being given to the nursing profession due to its knowledge base within the constructs of organization, implementation, and evaluation skills with a human approach. During the context of this class much knowledge was gained in respect to the nurse practitioner (NP), nurse administrator, nurse educator, and nurse informaticist (nurse informatics specialist). Because health care is changing, the aforementioned roles are also evolving, this paper will explore the commonalities with each advance practice role and analyze the roles and contributions of the nurse informatics specialist. The nurse practitioner is a postgraduate prepared registered nurse, who has either a master’s degree or doctorate. Upon graduation, NPs possess a wealth of knowledge allowing them to independently manage direct clinical aspects of patient-centered holistic care (Hamric, Hanson, Tracy, & O’Grady, 2014). NPs empower...
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...Role and Functions of a Health Care Manager Schniqua Bennett HCS 325 April 23, 2012 Instructor: Vivian Perez Health care managers and administrators are increasingly assuming leadership and management responsibilities for multiple units and departments (Purnell, 1999). Managers on various levels in a health care organization, spend a significant amount of time on communicating, problem solving, decision making, collaboration with others internally or externally, people development, and cost containment. Managers perform these various tasks listed above through a process called management. The process of management consists of four cycles: organizing, planning, controlling the use of resources, and leading to accomplish performance goals (Lombardi, Schermerhorn, & Kramer, 2007). The most important role a health care manager has cannot be limited to just one function because each function is equally of importance. But for this assignment, I would say a valuable function of a manager is leadership. In leading employees, a manager must have the ability, knowledge, and skills to take charge and lead the organization in the way it should be ran to accomplish the organizations goals. A leader/manager must be able to build up his or her employees’ enthusiasm to work hard to fulfill plans and accomplish objectives (Lombardi, Schermerhorn, & Kramer, 2007). A manager must be able to work as a team alongside his or her subordinates, as well direct at the same time. Teamwork...
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...Nursing Home Administrator Nicole Hejl University of Phoenix Axia HCS/320 Erin Being a nursing home administrator with in a nursing home, excellent communication is a necessity. Communication is how care providers determine the quality of care that is given and needed for the patients. By being a nursing home administrator, it is my job to make sure that the HIPPA rules and regulations are being used by all employees. By making sure that HIPPA rules and regulations are being upheld, the nursing home is providing quality care to the patients. When a change happens at a nursing home there can be confusion and conflict with everyone involved. While following the chain of command can be long and even boring, it is needed to keep the communication process smooth and effective. The chain of command does help reduce the risk of a communication breakdown. If a communication breakdown is developed it can cause commotion in any health care facility which could jeopardize everyone involved. With being the nursing home administrator, the first job that I would need to do is have a full understanding of the new policies and procedures. I would need to know how the policies and procedures were put into place and how exactly this will affect the patient’s in the nursing home. In order to do this I would want to speak with the board members so my concerns could be addressed. In order to address these issues I could meet with the board members face to face, use social media, or by electronic...
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... ▪ To increase joint research and training grants. ▪ To enhance the quality and quantity of services for the patients of Nashville General. ▪ To jointly provide new ways of maintaining the health of the community. The Alliance is based on mutual respect, shared governance, and collective benefits, and belief that the collaboration is the “right thing to do.” 2. It makes good business sense for the two academic health centers to work together because their strengths complement each other and together they are capable of covering the entire health care spectrum in Nashville. 3. Both institutions will benefit if the city’s safety-net hospital is better managed. 4. The emphasis on broadening the scope of medical research to include more minorities offers new opportunities for collaboration and research funding for both institutions as well as greater access to new therapies for patients served by Nashville General.23 Creating mechanisms for communication and building trust are essential to continued progress. The strategy of publicizing and rewarding small successes has helped to keep the goals and objectives of the Alliance realistic and manageable. Consistent momentum allows faculty and administrators at both campuses to develop a sense of community and to overcome barriers of distrust from the past. ▪ Federal grantors will support...
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...Practice Nurse Introduction Interview with APN/CNP, Diane John Diane John, APN/CNP is a nurse practitioner at Health land, a Hawaii center for the public. She has devoted 30 years to her nursing career. She has worked as a nurse in a medical intensive care unit and as a research nurse in the study in the intensive care unit. She has been a Female Nurse Practitioner for the past 20 years where she started out as a midwife at wife care center, where she provided midwife services to women. Rationale for an engaged interview process The reason for this interview is to find out Competencies necessary for APN role development and also to get some background information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into practice to improve health outcomes of patients as well as improvement of education of nurses. What is your role as a CNS? I am...
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...Nursing Home Administrator HCS/320 Nursing Home Administrator Excellent communication within a health care faculty is essential! It is the communication exchange among staff members which determines the quality of care given to the patient’s. As a nursing home administrator my duties are to ensure the HIPPA rules and regulations are being upheld by members of the health care. By ensuring that HIPPA rules and regulations are upheld the health care faculty is ultimately providing the patient’s with quality care. Change within a nursing home can bring about much unwanted conflict and confusion among all parties involved. Following the chain of command can be a tedious task, there are many T’s that need to cross and I’s that need to dotted to ensure that the communications process is running smoothly and effectively, which in-turn reduces the risk of a communication breakdown. Developing a communication breakdown can much turmoil within a health care faulty ultimately jeopardizing all parties involved in the communication cycle. As the nursing home administrator my first line of duty is to get a clear understanding of the new policies and procedures being put in place and exactly how they will affect the patience’s in the nursing home. To accomplish this task I must address the new broad members with my concerns. Some of the methods I can use to address these concerns are through a traditional meeting, electronic communication, and...
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...of Ethics Stormont-Vail Health Care is an integrated health care organization that is comprised of multiple health care facilities and employees more than 200 physicians. Stormont-Vail’s goals, ethical principles, and ethical values all play an important role within the organization. This organization strives to maintain a positive relationship between cultural differences and ethical decision making. Stormont-Vail Health care stands by their mission to work together to help improve the health of the entire community ("Stormont-Vail Healthcare", 2014). Stormont-Vail displays social responsibility for their organization and community. This organizations main goal is to provide quality healthcare to the community. Their core values are serving others, quality health care, teamwork, respect, and viability. In a recent survey conducted by the American Hospital Association, Stormont-Vail Health Care facilities ranked very high in patient satisfaction. This organization’s mission statement is not just a marketing tool to bring in patients. It is important for Stormont- Vail employees to know and understand the mission statement as it effects the organization ethically. The main goal of Stormont-Vail Health Care is about people caring for others, improving the quality of care, utilizing the best and latest medical technology for treatment and procedures. Stormont-Vail Health Care is committed to respond and adapt to the needs of the community as health care changes. The vision for...
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...Professional “The nursing profession is the largest segment of the nation`s health care workforce”. (IOM, 2010).So as stated, nursing has a lot of impact in the advancement of the health care system. According to the IOM report, they are many areas in nursing that needs to be tackled but the most crucial ones are nursing education, nursing practice and nursing leadership. The IOM report puts an emphasis on nursing education. Education is an important segment in the nursing profession. The more educated nurses the best patient outcome. According to the report, “Robert Wood Johnson Foundation and the AARP in collaboration with groups of nurses and other health care professionals, patients, and employers in 50 states and the district of Columbia have been campaigning in the recommendation of 80 percent of the nursing workforce to have BSN degree by 2020”, (IOM,2010).I am seeing this happening now because most employers have taken the IOM report seriously and there are mostly hiring BSN holders than associate degree or diploma holders unless the nurses shows that they are enrolled in the BSN program. Most hospitals are encouraging nurses with associate degree or diplomas to go back to school by offering full or partial tuition reimbursement. It is getting tougher now, but this the best for our profession, to improve and give quality, exemplary care to the public. Many researchers have found that nurses with BSN have better and stronger clinical...
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...difficult. Patients who has trouble speaking, makes it hard for the doctor or nurses to understand what the patients are trying to say. Patients with disabilities who has trouble hearing also makes it very difficult for the doctor and nurses to explain to the patient what the patient need to know or difficult asking how he or she feel. In this essay, it will explain the methods of communication when communicating with elderly, disable people; explain the advantage and disadvantages of traditional, electronic, and social media for health care communication; last, the effects of HIPPA and other regulations on the use of those media for health care communication. In the situation of displacing patients, the doctor or nurse must explain to the patients exactly what is going on. First thing as a health administrator of a nursing home, the administrator must notify the patient’s family member and explain to the member on what is going on. The administrator must explain why the patient is displaced and explain the new policies that the national group is implementing. Communicating with elderly, disable patients can be difficult and also a hassle. Patients who cannot hear can and cannot be difficult. Writing the information down on a piece of paper would be a helpful way to acknowledge the patient about what is going on. A patient who cannot hear does not mean he or she can use other communicating skills. Elderly patients with dimensional will be the most difficult patients to communicate...
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...Melanie Chambers April 17, 2012 Health Care Management & Policy Dr. Neubauer Eportfolio Assignment: Being an administrator or high-level manager means always being, “between.” In other words, one’s concern about others of a kind is always likely to be shaped by one’s concerns about and working relationships with other stakeholders. Based on our textbook and course materials pick four (4) of the concerns of hospital administrators, identify the issues regarding each of the four, and then identify and discuss at least one challenge administrators are likely to encounter regarding the challenge of working with a combination of two interests. In today’s society hospital administrators (such as physicians, nurses, board members and accreditation organizations) face many challenges. Not only from their line of work that they have to do on an everyday basis but also from the public and other administrators they have to work with. Primary care physicians face a dizzying array of daunting challenges. For instance, today’s doctors cannot just practice medicine. I say that because of how things are looking now and seem to be headed in the future. Some issues they face are game-changing federal legislation, diminishing compensation, soaring financial and competitive pressures. They also have to manage people, manage knowledge about changing federal regulations and spend time consulting with accountants and other nonmedical professionals...
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...Introduction Health IT has improved patients safety, healthcare quality, efficiency and data collection and has helped restrain rising cost. Health information technology encompasses a broad array of technologies involved in managing and sharing patient information electronically than paper. http://www.allhealth.org/publications/health_information_technology/health_information_technology_toolkit.asp states Many in the U.S. have high hopes for health information technology, or health IT. Hospitals hope to reduce medical errors, such as ordering and administering the wrong dose of a medication. Providers hope to access and share patient information more easily, thereby improving care. Governments and businesses hope to save money by improving efficiency. In this paper, I will determine, within the healthcare setting, the main features, capabilities, and operational benefits to a health care organization using the following: patient care applications, management and enterprise systems, e-Health applications, and strategic decision-support application, I will assume the responsibility of a healthcare administrator for the health information systems within my organization and create an argument to be presented to the leaders with the organization that a strategic plan is essential for the IM/IT, assess the importance of a system development life cycle as it pertains to both the development of a custom application, coupled with the selection of proprietary systems, recommend the...
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...problem because many different theories double to cover multiple disciplines. In this paper we are going to discuss Orem’s theory. Orem’s general nursing theory encompasses the ideas that self-care is necessary for the benefit of health and that as nurses we are designated to assess and find the self-care deficits and recognize who is needed to be able to perform the action (nursing) for the individual, and this relates to many nursing issues because it basically defines the role of the nurse to the patient in recognition to total care of the patient. And no matter what specialty you are in the main goal is adequate patient care. This paper will discuss a problem that happens far too often in home health. Patients are turned away daily because of assessment. Nurses in leadership positions such as administrators, directors, and admissions nurses are turning away patients because their needs are not expressed well in referrals and discharge / admission assessments. Also, discussed, will be the strategy to fix this problem by using the middle range theory on self-care deficit by Orem. Problem in Nursing Leadership Home Health Care is a very up and coming nursing specialty. Many patients are discharged to home health from the hospital daily. Nursing leaders such as Administrators or Directors are in charge of okaying referrals and sending admission nurses out to do the assessment. After the admission assessment is...
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...Organizational Structure and Culture Paper NUR 492 October 21, 2013 Tisa Carlisle Organizational Structure and Culture Paper This paper will review the organizational structure and culture of Palmetto Health, an acute care hospital located in Columbia, South Carolina. The focus will be on the medical-surgical unit. The paper will review the type of organizational structure and how communication is affected by the social and cultural aspects of this hospital. Also discussed is how Palmetto Health provides client-centered care to accomplish their mission statement, “To be remembered by each patient as providing the care and compassion we want for our families and ourselves” (Palmetto Health, 2013). Type of Organizational Structure The type of organizational structure used at Palmetto Health is a hybrid structure. This organizational structure, as it grows, organizes both self-contained units and functional units into a hybrid organization (Sullivan & Decker, 2009). This hybrid structure improves alignment between corporate and service goals. The hybrid structure also encourages better adaptation to the environment while maintaining its efficiency. A weakness of the hybrid structure is conflict between top administration and managers. Managers often resent administrators’ intrusions into what they see as their area of responsibility. Over time, these organizations tend to accumulate large corporate staff to oversee divisions in an attempt to coordinate service and...
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...Molina Healthcare is one of the largest organization administrator in the United States for Medicaid, Medicare, and Marketplace for medical and dental programs. The organization was founded in 1980 by David Molina in Long Beach, California and remanded to be a family run the business until 2017. Molina Healthcare is a government-based health care program that provides care for medical and dental providers, members and Health Maintenance Organizations, also known as HMO. Currently, they have approximately 4 million members across the US they offer at a lower cost. Throughout the year, Molina Healthcare has created new ways to deliver effective care by working with state and local partners to raise awareness and effectiveness for oral health and promote oral health solutions. Molina Healthcare has a mission statement, “To provide quality health care to people receiving government assistance.” Which they currently stand by to this day. They are driven to ensure their mission aligns with the organization's goals internally and externally. Within the organization, they have begun to have an issue with the Customer Service Department. Since this organization is a third-party administrator, they are required to uphold certain guidelines by...
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