...Is it important to focus on organisational values and engaging stakeholders, including patients, when working to improve care quality and patient experience? Introduction This paper examines how organisational values and stakeholder engagement can improve patient quality, experience and care. The author will do this by exploring what stakeholder engagement is and how it is being used in the healthcare arena to improve care quality and patient experience. The author’s critical analysis will discuss the relationship between organisational values, stakeholder engagement and the delivery of quality patient care, before relating this to his professional practice, prior to drawing and presenting conclusions. The author having worked in the NHS for a number of years as a Commissioning Manager in a non-clinical role has often found it difficult to see the impact that sound organisational values and robust stakeholder engagement can directly have on the delivery of patient quality, experience and care, working through Module 3 has been a truly eye opening experience for the author. Having completed Module 1 and 2 of the EGA course and now coming to the end of Module 3, there have been many opportunities for self-reflection and time to make sense of how and why organisational values, engagement and service delivery are all interlinked. Analysis Engaging Stakeholders to Improve Care & Quality “Stakeholder engagement is the process by which an organisation involves people who...
Words: 3855 - Pages: 16
...Health Care Human Resources Management It used to be that human resource was only thought of as the department who hires employees and safe keeps the clerical part of the organization. Human Resource is much more involved in the entire structure of the organization then just the clerical part of it. Human Resource Management (HRM) is the term used to describe formal systems devised for the management of people within an organization. The HRM department is responsible for three major areas including staffing, employee compensation and benefits and defining and designing work. HRM works for the benefit of the organization through managing its greatest business asset which is the employees. The task of managing employees of an organization brings many challenges, how HRM must remain focused on recruiting, retaining and engaging their organizations leaders and workforce to be successful. Several new trends are affecting how HRM make their hiring decisions. Two recent trends important to HRM leaders are leadership compensation/competencies and workforce engagement. In the setting of limited resources and new government mandates, healthcare is moving toward value-based care. HRM is now challenged to adjust executive compensation to keep in step with the industry change. In a population health model, physicians receive a value-based reimbursement to care rather than a fee for services. The physicians’ performance needs to be continually monitored in order to accurately...
Words: 1546 - Pages: 7
...problems and issues as the workforce demographics increase in age diversity. Some of these issues include age discrimination, increased disability and healthcare cost, loss of expertise due to the inability of employers to retain the older employees and lack of proactive procedures and programs for older employees. This paper focuses not only on these issues but also examines the benefits of a more age-diverse workforce and a competitive advantage employers may gain by proactively developing programs and policies to help retain and attract highly qualified older employees. Introduction According to a Government Accountability Office (GAO) report issued in 2006, the number of workers over age 55 is projected to increase significantly over the next 20 years with this demographic group projected to comprise as much as one-fifth of the nation’s workforce by 2015 (Government Accountability Department, 2006). The unprecedented aging of the world’s population and the strong correlation between aging and disability challenges employers. Observe the listed demographic changes in the workforce, any challenges and concerns employers have with an aging workforce, and some benefits of an older workforce. Find select academic and other related literature on employer strategies to prepare for an aging workforce and examples of successful retention initiatives. Concerns Regarding the Aging Workforce Employers have raised concerns on the workforce demographics and the challenges...
Words: 2732 - Pages: 11
...to have a diverse, experienced background and knows how to communicate and collaborate with other health care providers and departments (Montuori, 2010). In my opinion, nursing is a dynamic, challenging, and an evolving profession that required a nurse leader to have three important leadership attributes: transformative, culture sensitivity, and technologically savvy. First, a nurse leader needs to be a transformative leader. In my view, transformative leaders need to possess great communication skills and charisma. These attributes can help them to communicate their vision to lead other health care workers. For example, Lewis (2011) indicates that transformative leaders must have the trust and belief of their patients and coworkers to be successful in implementing their vision. A transformative leader must also be engaging and an aspiring role model by leading by example. By doing this, they are fostering an environment in which individuals can be creative, respected, and valued for their work ethics....
Words: 536 - Pages: 3
...This report states that the nursing profession needs to take a leadership boost in healthcare. This paper will discuss how the IOM impacts the future nursing education, nursing practice, and the nurse’s role as a leader. It also speaks of what the healthcare organization needs to do to implement these changes. The IOM‘s impact on education clearly states nurses need to make education a life long journey. This needs to be maintained even after nurses have obtained their licensure. Throughout this journey nurses and doctors need to be educated together accepting the role of students conjointly. Yes, it is costly on those pursing a nursing education. Costly in money, time and family. Thus making it difficult for most. However, the health care system is in dire need of higher level educated nurses. With a great demand in nurse researchers and faculty positions. It posses an obstacle to patient care. The IOM wants double the number of nurses with a doctorate degree by 2020. The education regimen also needs to be changed. According to the study, education needs to be on the cutting edge, one that will prepare nurses for caring for today’s distinct population. Classes on leadership, diversity, advocacy and evidence based practice need to be implemented. There is a big change in the health care that is needed from education to direct patient care. And because nurses are the heart of healthcare they need to be involved in this big change. There will be more complex cases which...
Words: 885 - Pages: 4
...of Medicine (IOM) is an independent, nonprofit organization, which was established in 1970. Their aim is to provide advice to all level of healthcare sectors to ensure that effective healthcare policies are being implemented. In the late 2010, IOM released a special report “The Future of Nursing: Leading change, Advancing health”. The report contains three messages related to nursing, which focus on the following sections: transforming practice, transforming education and transforming leadership. This paper focuses on the IOM report and how it impacts nursing education. This paper will also discuss the role of a nurse as a leader and their practice, particularly in primary care. Lastly, this paper will disclose how I would change my practice to meet the goals of the IOM report. Firstly, the IOM report also stated that it is crucial that a nurse must have training from an accredited institution system to so they can be ready contribute at their work (IOM, 2010). Educational standard has influence perceptions about nurses. Academics and professionals have hotly debated the minimum education needed by nurses for several decades. The IOM report also discuss and offer the reason why nurses having a higher level of education is a must; Nursing practice have expand greatly, they will now need knowledge of leadership skills, public health, health policy, evidence base practice etc. Based on the IOM report for changing nursing education system, the impact will upturn and increase the...
Words: 907 - Pages: 4
...Issues in Health Care NRS-440V August 09, 2013 Implementation of the IOM Future of Nursing Report In 2010, Patient Protection and Affordable Care Act provided many people access to previously unavailable health care coverage. The goals of the reform are to make health care accessible and affordable to all Americans by controlling insurance costs by making rates similar across all states, standardizing coverage and ensuring that quality care is delivered at all times (Graszkruger, 2011). The health care system and nursing are evolving. The reform provided nurses an important opportunity to lead in the changes. The largest sector of the health care industry workforce is nursing with millions of members (IOM, 2011). The Robert Wood Johnson Foundation (RWJF) and the IOM collaborated over a two-year period starting in 2008 in the evaluation of the importance of changes in nursing in relation to the transforming landscape in health care. IOM chose a committee that came up with outlines of the necessary changes that nursing needs to make to meet the increasing needs of the system. The committee was tasked with the development of recommendations that will address the need for nurses to be active participants in the design and implementation of efficient and effective health care system. The committee came up with the following four areas of focus for nurses: maximizing their education and training; need to achieve higher education, need to be full partners in health care leadership...
Words: 1571 - Pages: 7
...Challenges and Responses to Improving Geriatric Nursing Care Lisa Watson University of Massachusetts Boston Professional Issues in Nursing NU: 360 Dr. JoAnn Mulready-Shick September 29, 2012 Abstract Challenges occur in nursing practice that impede the ability of the nursing profession to improve the care provide by nurses to our growing older population. This paper will describe some of the challenges nursing is facing and how to make the changes needed to improve the field of nursing. The research will show that investing in future education of nurses is the base that change will be built upon. Will you or a loved one fall into the geriatric population that is expected to explode? How will nurses care for this population and are they prepared to do so? Modern technology, research and advanced training have assisted the elderly population to live longer. Baby boomers are approaching their elderly years. This presents an ongoing challenge for the nursing industry. As reported by Kinsella & Velkoff, “the population of older adults {is} expected to double by the year 2030” (as cited by Shellman, 2012, para. 2). “Of today’s United States population 12.6% is at least 65 years old, and 20% of the population is expected to be at least 65 years by 2030; thus it is accurate to say a large portion of the healthcare business is and will continue to be caring for older adults . . . (CIA World Factbook 2007) as referenced by Grossman and Valiga (2009). There are many challenges...
Words: 1750 - Pages: 7
...Introduction With the inception of the Affordable Health Care Act, an estimated 32 million Americans are expected to join the ranks of those already insured, and the existing shortage of primary care physicians available to provide care will continue to increase (Fairman, Rowe, Hassmiller, & Shalala, 2011). Nurse practitioners are currently helping fill this gap by providing care to a large portion of this population. However, many nurse practitioners providing care are now limited in their practice due to individual state regulations placed on their scope of practice. The implementation of full practice authority for all nurse practitioners, regardless of their state of practice, ideally will increase the availability and access to health care for Americans, especially those in underserved areas. Full Practice Authority “Full practice authority is a collection of state licensure laws that allow for nurse practitioners to practice, diagnose, order, and interpret diagnostic tests as well as initiate and manage treatments, including prescribing medications, under the executive licensure authority of the state board of nursing.” (AANP, 2015). Currently, only 20 states and the District of Columbia provide full practice authority (FPA) for nurse practitioners. States vary regarding what they allow nurse practitioners to do, and this variance appears not to correlate with performance on any measure of quality or safety (Fairman, Rowe, Hassmiller, & Shalala, 2011). Current...
Words: 719 - Pages: 3
...nursing care. According to The American Association of colleges of Nursing, (AACN), the association is committed to working collaboratively to create a more highly qualified nursing work force . According to a 2008 National sample survey of registered nurses conducted by the Health Resources and Services Administration Services Administration (HRSA), nursing, which is the largest health, profession , has more than 3million registered nurses nationwide. The survey showed that 50% of RNs hold Baccalaureate or graduate degrees, 36.1%, associate degrees and 13.9% hold a diploma in nursing. Registered Nurses today work as part of an interdisciplinary team with colleagues educated at the masters degree or higher level. These health professionals include, Physicians, Pharmacists, speech pathologists, Physical therapists, Occupational therapists, Respiratory therapists and Social Workers among others. Occupational therapists require master’s level education while the Occupational therapist assistants are prepared at the associate degree level. Another example is Social workers who are also required to be prepared at the Master’s level. Since nurses are primarily responsible for direct patient care and coordination, they should not be the least educated members of the health care team. In October 2010, the Institute of medicine released its report on “The future of Nursing”, by Robert Wood Foundation, which stated that, to meet the demands of an evolving healthcare system...
Words: 962 - Pages: 4
...Human Resource in Health Care Field The activities pertaining to human resource management were observed early in 2000 B.C. Regardless of the type of industry, human resource management can be applied to all types of operational activities of an organization. Human resource management (HRM) has gained increased attention worldwide especially in health care systems. Specifically stated, like physical capital and consumables, human resources are also a principle input to health care systems. In relation with the health care, people working as non-clinical and clinical staff performing individual and public health intervention activities can be referred to as human resources (World Health Report, 2000). The knowledge, motivation and skills of such human resource ultimately reflect the benefits and performance of the health care delivery systems. In order to ensure system’s success, it is also required that an appropriate mix is maintained between various caregivers and health promoters since human capital shall be managed and handled differently from physical capital. Cost of healthcare is increasing with a drastic increase in health care consumables’ cost and number viz. drugs, disposable equipment and prostheses. This increasing expense can seriously affect the ability of publicly-funded system to hire and sustain effective practitioners. Key Roles of HRM in Health Care Field Human resource management represents the core building block of the field of health care. Human resources...
Words: 2303 - Pages: 10
...Baldrige National Quality Award for Health Care Organizations Elaine Reeves HCA 375 – Ashford University Paula Arceneaux December 5, 2011 Quality Improvement in Healthcare Health care is something commonly visited with my family and me. Having three children in the last seven years, my family and I have had our share of hospital and medical office visits. The quality in care does not go unnoticed as I see many areas that need improvement, as well as other areas that are exemplary. One measure that many organizations utilize is continuous quality improvement (CQI). It is a structured organizational process by which personnel plans and executes a constant flow of improvements in order to provide exceptional quality healthcare (McLaughlin & Kaluzny, 2006). CQI is an approach to quality management, where traditional quality assurance is implemented and emphasizes on the systems of the organization. Aside from gaining satisfaction and confidence from patients, quality improvements of a healthcare organization (if applied successfully) can earn prestigious awards. When quality in healthcare meets government regulations and standards, and when satisfactory is met with the public and/or patients, many organizations are recognized for their achievements in quality. Some organizations are rewarded, along with their recognition, with awards reflecting their success. One such award is the Malcolm Baldrige National Quality Award. Stated in the article Four U. S...
Words: 2350 - Pages: 10
...a strategic management plan of a healthcare organization. My selection is a false managed care organization called GreenLine that is based on a well-known health insurance company that provides a variety of health care plans . In this paper the following will be discussed: factors affecting managed healthcare organizations, strategic initiatives, financial information, and organizational structure. Socioeconomic Factors Socioeconomic status (SES) is an economic and sociological combined total measure of a person's work experience and of an individual's or family’s economic and social position in relation to others, based on income, education, and occupation. Socioeconomic status is typically broken into three categories: low, middle, and high SES. Income has been shown to have a heavy effect on whether families will purchase health care insurance and it’s been proven that people with lower incomes tend to have more problems physically and mentally. Most diagnosis seen are respiratory viruses, arthritis, coronary disease, and schizophrenia. Lower socioeconomic status is also been said to link to stress. Legislative Factors Most recently there has been the ongoing implementation of Patient Protection and Affordable Care Act in the United States which affects all managed healthcare companies and businesses with more than 50 employees. Patient Protection and Affordable Care Act consists of a combination of measures to control health care costs, and expansion of insurance...
Words: 1987 - Pages: 8
...poor working conditions (Awases, Bezuidenhout & Roos, 2013). Over the last 20 years, a number of strategies aimed at improving the job performance of health workers have been implemented in low and middle-income countries (LMIC) (Marchal et al. 2012). Each strategy has had its specific perspective and focused on one particular issue: quality improvement, performance management, building learning organisations, innovation diffusion, to mention but a few (Chopra et al. 2008). While success has been reported in some cases, there is increasing acknowledgement that to improve performance of health workers especially nurses and health care organisations in general, approaches that deal with one problem, mostly fall short or obtain only short-term results (Marchal et al. 2010). The concern about shortage of nurses and it potential effect on quality of nursing care rendered as well as the mounted public urge on quality and excellent performance in the health sector mandates the Human Resource Management as part of their core function to ensure that an effective system of monitoring, measuring and evaluating performance of health workers especially nurses is in place. This in effect will maximise the potential of employees and improve upon the quality of health service delivery. Nurses form the majority of the health sector workforce, hence the performance of the organization depends on their overall performance. Studies have found that when...
Words: 2800 - Pages: 12
...Ethics and Healthcare go hand in hand. Many ethical decisions are pondered over and made every day regarding patients, the appropriate treatment plans, and end of life care. The public expects that healthcare organizations always make the “right” choices in reference to challenging decisions. However there are times where patient’s families make ethical decision making by the healthcare team virtually impossible. Hospital ethical committees and even the legal system in certain situations must oversee such cases. There have been many cases where patients’ lives have been sustained by artificial measures and the issue of right to die has been debated. These individuals are in hospitals and long term facilities where everyone from family to the healthcare providers have an opinion. One particular instance would be the Terri Schiavo case where a young woman’s life had been sustained by artificial means for 15 years. A public battle was waged between her family and her husband and the decision to end her life. The case lingered on and ultimately the US congress had to intervene. As Terri Quill (2005) stated in relation to the case, “how can it be that medicine, ethics, law, and family could work so poorly together in meeting the needs of this woman who was left in a persistent vegetative state?” Cases like Terry Schiavo are not encountered everyday in a healthcare organization but to a lesser extent there are ethical situations that are. Healthcare organizations must also...
Words: 1762 - Pages: 8
