...Organizational Systems and Quality Leadership Organizational Systems and Quality Leadership Task 1 A. Nursing Sensitive Indicators Nurses are integral key players in multidisciplinary teams caring for patients in complex healthcare systems. Hospitals, a primary care delivery portal within the health system, are inundated with patients requiring higher acuity care. Nurses must be prepared to recognize patients’ health care needs and provide quality patient care outcomes. The knowledge of nursing sensitive indicators can be helpful in providing the care which meets quality standards. Nursing sensitive indicators rely on evidence-based practice. The American Nurses Association created a repository for implementing, developing, and storing nursing sensitive indicators in the National Database of Nursing Quality Indicators, or NDNQI. The nursing sensitive indicators are a set of standardized performance measures intended to help hospitals assess the extent to which nursing interventions have an impact on patient safety, quality, and the professional work environment (Erickson, J. 2011). Nurses directly impact these measures and when evidence-based practices are adopted, patient care improves as shown in historical outcomes data. In the scenario of Mr. J there were multiple failures to recognize and use nursing procedural sensitive measures to improve his safety, quality of care, and patient satisfaction. Although Mr. J had mild dementia, he was appropriately responsive...
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...Organizational Systems & Quality Leadership Name: Institution: Course: Tutor: Date: Organizational Systems & Quality Leadership Introduction The core objective of health care is to provide high-quality care to all patients to guarantee positive health outcomes. This principle is a major driver for the commitment of nurses and other care providers. Care providers are required to work in collaboration and include patients in the process of care. Nurses form the core of health care delivery in all facilities. The role they play in the coordination of care is essential for the professionalism of care providers. In the process of care delivery, it is important to understand the medical history of the patient to determine the most appropriate interventions to employ. Care providers should employ interventions that are beside guaranteeing positive health outcomes address the needs and interests of the patient. It is important to include family members in the treatment program since they understand the patient and his needs better. This paper employs Root Cause Analysis approach together with the Failure Mode and Effect Analysis to determine the impact of the events that resulted in the death of a patient Mr. B. A. Root cause analysis The principal purpose of the Root Cause Analysis is to conduct an evaluation of the highest level of the problem to identify the actual cause. In the case scenario, the root cause analysis rules out the possibility of inadequate patient...
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...A. Nursing Sensitive Indicators Nursing-sensitive indicators are broken down into three categories; structure, process, and outcome (Montalvo, 2007). Structures of indicators are the organization pieces of nursing care which may include; staffing levels, educational levels, experience level, and staffing mix. The process of nursing sensitive indicators includes; the methods of assessments, type of interventions, and methods of care. The outcomes of nursing sensitive indicators are directly relatable to the qualitative and quantitative nursing measures (Sauls, 2013). Pressure ulcers, infections rates, and patient satisfactions are examples of outcomes. Understanding nursing-sensitive indicators could assist the nurses with measures for prevention that could lead to an improved patient outcome. Nursing-sensitive indicators identify structures of care and care processes, both of which in turn influence care outcomes (Montalvo, 2007). There are several nursing-sensitive processes and outcome indicators in this case which include; an increased risk for pressure ulcers, length of hospital stay, restraint prevalence, risk for falls, and patient satisfaction. The patient is at risk for pressure ulcers due to his decreased mobility from his hip fracture. By understanding this risk, the nurse should be more aware of the need to frequently reposition the patient. Being educated on this risk would also possibly decrease the length of hospital stay. If a pressure ulcer occurs, the patient...
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...chronic oral opioid medications. “Normally these types of medications are administered with low doses and titrated per patient’s sedation level. Patient, monitoring or sedation level weren’t assessed between doses. This event is known as a sentinel event. In any situation that causes injury, or death a root cause analysis must be completed and reported to the Joint Commission. B. To implement a change in the conscious sedation procedure a team or committee needs to be established. All staff in the emergency room can become active participants by joining a committee or subcommittee. These main categories may include patient characteristics, task factors, individual staff members, team factors, work environment, and organizational management (IHI, 2014). A cause and effect, or wishbone graph can be constructed to clarify the error and process for the team, leading up to the event. The committee then needs to develop causal statements. These statements link the cause to its effects and then back to the main event that promoted the root cause analysis. These statements link the cause to its effects and then back to the main event that...
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...y Name: Institution: Course: Tutor: Date: Organizational Systems & Quality Leadership Introduction The core objective of health care is to provide high-quality care to all patients to guarantee positive health outcomes. This principle is a major driver for the commitment of nurses and other care providers. Care providers are required to work in collaboration and include patients in the process of care. Nurses form the core of health care delivery in all facilities. The role they play in the coordination of care is essential for the professionalism of care providers. In the process of care delivery, it is important to understand the medical history of the patient to determine the most appropriate interventions to employ. Care providers should employ interventions that are besides guaranteeing positive health outcomes address the needs and interests of the patient. It is important to include family members in the treatment program since they understand the patient and his needs better. This paper employs Root Cause Analysis approach together with the Failure Mode and Effect Analysis to determine the impact of the events that resulted in the death of a patient Mr. B. A. Root cause analysis The principal purpose of the Root Cause Analysis is to conduct an evaluation of the highest level of the problem to identify the actual cause. In the case scenario, the root cause analysis rules out the possibility of inadequate patient assessment as a contributor to the factors...
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...C489 Organizational Systems and Quality Leadership Task 3 Jennifer Gentry Western Governors University A1. Country to compare and A2. Access The country I chose to compare with the United States healthcare system is Japan. Access to healthcare in Japan is fairly easy. Every individual, including the unemployed, children and retirees, is covered by signing up for a health insurance policy. They can obtain insurance either through their work or through a community based insurance. For those Japanese citizens that are too poor to afford health insurance, the government supplies their insurance through a social insurance. If a Japanese citizen loses his/her job and becomes unemployed, the individual will just switch to a community based insurance rather than a work insurance (Reid, 2008). In contrast, in the United States, if you become unemployed, you lose your health insurance. An individual can, however, obtain insurance through a private source but it is often more expensive. In 2010, The Patient Protection and Affordable Care Act was signed into law in the United States. The PPAAC was designed to enhance coverage for uninsured or low-income Americans. This was met with much controversy since a large number of Americans felt like it was unconstitutional for the government to mandate that American citizens who were not insured by another source purchase this healthcare or otherwise have to pay a fine based on percent of income through yearly taxes. There are numerous...
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...Structural indicators include the supply of nursing staff, the skill level of nursing staff, and the education and certification levels of nursing staff. Process indicators measure methods of patient assessment and nursing interventions. Nursing job satisfaction is also considered a process indicator. Outcome indicators reflect patient outcomes that are determined to be nursing-sensitive because they depend on the quantity or quality of nursing care. These include things like pressure ulcers and falls. When understanding the above, this could greatly assist the nurses in the case of Mr. J in identifying issues that may interfere with patient care in a number of ways. In the first sentence of the scenario, it states that Mr. J is a retired rabbi, with that statement we are informed of Mr. J’s religious beliefs and background of Jewish faith. Structural indicators, specifically the education level of the nursing staff would benefit the certain beliefs and customs members of the Jewish community follow. Having a high level of education would aide in the nurses quality of care. Process indicators would also be of assistance when keeping in mind Mr. J’s religious preference. Certain things the nurse should be aware of and should verify with the patient would be the requirement of a kosher diet, the preferences of patient care and to not touch the patient of opposite sex unless medically necessary, and if they would like all electrical appliances removed from the room during Shabbat unless...
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...to how leadership is exercised, formally and informally, throughout an organization. a. Management grid b. Leadership system c. Organizational hierarchy d. Leadership spectrum My answer = d Answer: b Reason = This option defines the system structure which included all the exercises. 4. An effective leadership system: a. follows strict hierarchical structures. b. respects the capabilities of employees. c. respects the requirements of employees. d. sets high expectations for performance. My answer = b Answer: a Reason = leader defines the approach of employees working under his guidance for companies profit 10. An organization’s management systems and practices are called its a. Corporate Strategy b. Balanced scorecard mechanism c. Organizational infrastructure d. Best practices My answer = a Answer: c Reason = Organizational structure is defined as the organization’s management systems and practices. 7. A company’s value system and its collection of guiding principles is known as its: a. mission statement. b. corporate culture. c. strategic plan. d. vision statement. My answer = d Answer: b Reason = this system is guided for the corporate understanding of demand. 9. One of the findings of the International Quality Study is that firms that have solid systems in place: a. do not benefit from process benchmarking. b. use world-class benchmarking. c. should remove quality control...
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...Running Head: ADDRESSING ORGANIZATIONAL CULTURE Operationalizing Quality Assurance in Rehabilitation Agencies: The Argument for Addressing Organizational Culture Jared C. Schultz Utah State University Russell Thelin Utah State Office of Rehabilitation Note: The authors would like to thank Dr. Larry Kontosh at West Virginia University for his feedback and direction during the development of this manuscript. Abstract The issue of Quality Assurance (QA) within the State/Federal Vocational Rehabilitation (VR) program is currently receiving significant attention. State VR agencies are increasingly developing QA plans, both to meet the requirements of the Rehabilitation Services Administration, and because of the recognized value such plans bring to program development and improvement activities. The business literature clearly indicates that a large percentage of quality initiatives fail due to the organization failing to address organizational culture change as part of the quality process (Cameron, 2006). This article provides an overview of the Competing Values Framework for organizational change, and discusses the application this paradigm to the state VR setting. Recommendations for state VR agencies to include organizational cultural change in the QA process are provided. Operationalizing Quality Assurance in Rehabilitation Agencies: The Argument for Addressing Organizational Culture The research from the business literature indicates that the majority...
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...ABSTRACT Evidence is presented to support that organizational performance can be enhanced through ethical leadership. An ethical corporate culture has been associated with trust, commitment to quality, customer satisfaction, employee commitment, and financial performance. There is an opportunity for managers to take a proactive approach to incorporating ethical concerns into strategic planning. In addition, there has been public policy support for top management to be responsible for organizational ethics. Academic researchers can assist by investigating the relationship between ethical leadership and organizational performance variables. The Role of Ethical Leadership in Organizational Performance There is increasing support that it is good business for an organization to be ethical and that ethical cultures emerge from strong leadership. The rewards to organizations supporting ethical cultures include increased efficiency in daily operations and decision making, employee commitment, product quality improvements, customer loyalty, and improved financial performance (Ferrell, Maignan, and Loe 1999). Three different approaches are used by companies to implement ethics initiatives. Through compliance an organization can use internal controls to gain ethical conformity. Organizations may use ethics in public relations to enhance their reputation and gain extra media attention. A third, more committed approach involves using a value-based philosophy...
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... ABOUT AUTHOR 1: 21 years of corporate experience as Vice President, Tata Consultancy Services, President-Tanla Solutions Ltd., Sr. VP- Adani Group, Commander-Indian Navy. 17 years of academic experience as Director Naval IT Management Institute, author of 2 books on Management of Technology. Speaker at various national & international seminars; Served as Jury Member of CII Award for Human Excellence, Jury Member, QIMPRO Platinum Award for Quality. And Author 2: Prof. Arun Mishra Assistant Professor, VNS Business School, Neelbud, Bhopal Mobile: 9893686820 Email: arunjimishra@gmail.com ABOUT AUTHOR 2: Author is an MBA from FMS, Dr. Hari Singh Gour University, Sagar (M.P.). He is having total 9 years of work experience. Since 2 years he is in academics. Earlier to this he has served in various corporate in various capacities for 7 Years which include ICFAI, HDFC Bank, Wander Ltd. Wockhardt Ltd. etc. ABSTRACT Old-fashioned command-and-control companies were merely trying to manage the "white space" in their organizational charts. Today's companies must manage the white space in entire value chains. Value chain is a high-level model of how businesses receive raw materials as input, add value to the raw materials through various processes, and sell finished products to customers. A critical pre-requisite for success in digital economy is the implementation of an integrated value chain that extends across - and beyond - the enterprise. The old principles no longer...
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...Organizational Theory – Organizational Systems Analysis Organizational Theory – Summary Paper Today’s organizations draw upon the concepts of social and cultural anthropology, political science, strategic management, and organizational behavior. To become a successful manager in today’s organizations, mangers must understand and adjust to organizational concepts, implementation and management of change within organizations, concepts of systems of theory problem solving and decision making. As a manger in my current organization, this course has taught me how to improve my managerial skills through recognizing and understanding the concepts mentioned above. The following is a complete system analysis of my company based on the Six-Box Model. Within the six-box model I will demonstrate how the following factors: (1) Boundaries and Environments; (2) Organizational Structure; (3) Formal and Informal Systems; (4) Reward Systems; (5) Power; (6) Force Field Analysis, (7) Organizational Interventions; and (8) Reactions to Proposed Changes affect a managers management style. Organizational Boundaries and Environments Boundaries in organizations can be defined as “the umbrella under which rules are implemented to shape their purpose and goals.” (Ware, 2005). Boundaries are in place to determine the sphere of influence for the internal activities of an organization and to govern the reactions to external environments...
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...Organizational Systems and Quality Leadership Task 3 Organizational Systems and Quality Leadership Task 3 Bronagh Paladino Western Governors University 1 Organizational Systems and Quality Leadership Task 3 A1. The country that I pick to compare to the U.S. healthcare system is Great Britain. According to the PBS Frontline program, “Sick Around The World”, by T.R. Reid, Great Britain uses a government run National Health Service (NHS), which seems too close to socialism for most Americans. For about half of what the U.S. pays per person for healthcare, the NHS covers all U.K. citizens and has better health statistics. (Palfreman, Reid, 2008). According to the World Health Organization (WHO), the total expenditure on health per capita is $3,311 in the U.K., whereas in the U.S., the total expenditure on health per capita is $9,146. (WHO, n.d.). In the U.K. the NHS’s proposition is that the citizens never have to pay a medical bill, no insurance premium and no co-pay. The British pay for their healthcare out of tax revenue as the government owns the hospitals and the doctors are salary government employees. The British pay much higher taxes than the Americans to cover their healthcare. (Palfreman, Reid, 2008). The U.S. healthcare system is based on a regulated market system as it is regulated by state or federal legislation. The U.S. healthcare is paid for by a combination of public and private sources by third-party private or public insurers and out-of-pocket...
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...Analysis Of National and Regional Quality Awards by Robert J. Vokurka, Gary L. Stading and Jason Brazeal Q UALITY, AS MOST ORGANIZATIONS KNEW IT, RAPIDLY CHANGED DURING THE 1980s. Due to successful Japanese efforts, U.S. industries began to discover the competitive advantages that quality could bring and how the lack of a quality system could bring an end to business. With customers demanding quality and competitors responding to such demands, businesses turned to total quality management (TQM) as the key to enhance overall performance. As customer expectations increased and performance improvement initiatives were implemented, quality evolved from a product specific focus to an organizationwide effort, from a separate manufacturing function to a strategic business initiative. The quality function was expanding, and with that came new practices concerning continuous improvement. In the late 1980s and early 1990s, several countries established programs to recognize the inventive, yet effective, quality practices taking place—once again, after Japan, which began honoring quality practices in the 1950s. The criteria of most of these award programs encouraged strategic initiatives in the approach and deployment of quality practices. But as with most successful quality initiatives, the award programs underwent continuous improvements in design and administration. In their pursuit of TQM, organizations around the world began turning to quality award programs for more than just...
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...modern quality – Skilled craftsman on 1 to 1 basis. Blacksmith.. one on one negotiation face to face relations with customers. * Industrial Revolution – Henry Ford – Mass production. Quality once a post production review. Reactive approach. * Bell System Statistical – Shurart. * WWII Post War l 40’sand 50’s- Beming and Juran concepts fell on deaf ears. This message brought to Japan where concepts were embraced. Outperforming US counterparts. * Fast forward to 1980s… Crisis around globe. Total Quality was reactive approach to crisis. Total quality Shift in vision from reactive little q (reactive post production inspection ) to big Q. – Total Quality approach with no external department but integrated with all responsible for their own quality. Late 80’s-`987 Malcolm Baldrige Award. TQM wasn’t an integrated function at that point. Emergence of quality management - in service industries, government, health care and education. Evolution of quality to the broader concept of performance excellence Growth and adoption of Six Sigma Current and future challenge: continue to apply the principles of quality and performance excellence. Quality is a “race without a finish line”. It is ongoing and continuous. Contemporary Influences on Quality. Globalization Social Responsibility New Dimensions of quality Aging population Heath care Environmental concerns 21st Century Technology Definition Change in Cycle – Flow Charge of Quality Marketing...
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