...US Department of Health and Human Services design analysis US Department of Health and Human Services design analysis paper “The Department of Health and Human Services (HHS) is the United States government’s principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves” (US Department of Health and Human Services, n.d.). “HHS represents almost a quarter of all federal outlays, and it administers more grant dollars than all other federal agencies combined” (US Department of Health and Human Services, n.d.). As the United States primary agency for protecting the health of Americans the Department of Health and Human Services is a perfect agency to analyze in terms of its organizational design. Many internal and external factors have defined and shaped the organization in terms of its size, organizational structure, and processes. Organizational characteristics, also known as internal factors such as the purpose of the organization and the organizational structure help to define how the HHS agency operates. According to the Forestry Department (2000), “External factors are those from the enabling environments which are not under the control of the organization but which affect its structure and development have also influenced the organization” (para. 2). These external factors include economic factors, socio-economic factors, and political-administrative factors. Because of the...
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...Social Science a Medicine 54 (2002) 1255–1266 Health sector reform and public sector health worker motivation: a conceptual framework Lynne Miller Francoa,*, Sara Bennettb, Ruth Kanferc a University Research Co., LLC, Partnerships for Health Reform Project, 4800 Montgomery Lane, Bethesda MD 20814, USA b Abt Associates, Partnerships for Health Reform Project, 4800 Montgomery Lane, Bethesda MD 20814, USA c Georgia Institute of Technology, Atlanta, GA 30332, USA Abstract Motivation in the work context can be defined as an individual’s degree of willingness to exert and maintain an effort towards organizational goals. Health sector performance is critically dependent on worker motivation, with service quality, efficiency, and equity, all directly mediated by workers’ willingness to apply themselves to their tasks. Resource availability and worker competence are essential but not sufficient to ensure desired worker performance. While financial incentives may be important determinants of worker motivation, they alone cannot and have not resolved all worker motivation problems. Worker motivation is a complex process and crosses many disciplinary boundaries, including economics, psychology, organizational development, human resource management, and sociology. This paper discusses the many layers of influences upon health worker motivation: the internal individual-level determinants, determinants that operate at organizational (work context) level, and determinants stemming from interactions...
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...address health or community issues in the community, we need detailed information about the needs of individuals and the organizations that serve them, as well as the resources that community has available to address those needs. Each community has its own unique set of resources and capacities. According to NACCHO governmental public health system in the U.S. is made up of 51 state (including the District of Columbia), 2794 local, and 565 federally recognized American Indian and Alaska Native tribal public health agencies...
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...Remote communities face several challenges concerning health care. For instance, communication with health care professionals, transportation, availability of doctors, and shortage of doctors. Literature review to identify and review new methods of improving access to health, quality of care, and improving the effectiveness of delivering health care services in remote Alaskan villages. MEDLINE, EMBASE, and CINAHL databases that index health research were used along with Artic health databases. Abstracts and full articles were review, and categorized into four sections. Organizational structure of health services, telehealth, ehealth, and medical transportation. “Despite the challenges facing rural and remote regions, there is a distinctly positive message from this broad literature review. Evidence-based initiatives exist across a range of areas - which include operational efficiency and integration, access to care, organizational structure, public health, continuing education and workforce composition that have the potential to positively impact health care quality and health-related outcomes” (Masucci, Mitton, & Dionne, 2011). The literature review did not identify any past research associated with new ideas to improve access, quality, and efficiency in the organizational structures and delivery of health care services in northern rural and remote and rural populations. This review was directed toward the redesign of health care systems in Nunavut territory in Canada. When...
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...What is the organizational structure? – Organizational structure is the hierarchy of authority, communication, duties, and rights within an organization. Organizational helps with assigning roles and power, how responsibilities are distributed, coordinated, controlled, and how the information is passed along between the different levels of management (Business Dictionary, 2013). The structure of the organization depends on its objectives and strategies. At the top of the organizational structure for the California WIC (women, infants, and children). At the top of the organizational structure is the WIC Program Division Chief and then the WIC Program Assistant Division Chief. These two individuals are over the organization. From here the office of technician, quality assurance, and the staff services analyst (SSA). These departments are over the operations part of the organization. The Nutrition and Program Services is the next level down along with the Vendor and training services, and the Financial Management and Support. From this level the office positions are then coordinated and controlled. Depending on its level. Is the organization governmental, private, for-profit, or nonprofit?- The WIC is a nonprofit agency and is federally funded health and nutrition community program that caters to women, infants, and children. WIC provides checks that can be used for purchasing healthy supplemental foods from approved nutrition education, vendors,and are also used to help find...
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...Organizational Responsibility and Current Health Care Issues Renae Hoag HCS/545 April 21, 2014 Victor Gibb Organizational Responsibility and Current Health Care Issues Health care fraud is a current health care issue throughout the health care industry. Health care fraud is considered abuse to the public treasury. “The National Health Care Anti-Fraud Association (NHCAA) estimates that health care fraud accounts for at least three, but as much as ten percent of total health care expenditures”(Hubbell, 2006). “Because health care fraud costs taxpayers more than $13.3 billion a year, seven federal and state agencies have made health care fraud prosecution a primary focus” (Hubbell, 2006). “The federal government concentrates on detecting and prosecuting health care fraud in its health care insurance programs, Medicare and Medicaid” (Hubbell, 2006). Health care organizations that receive payment from the Social Security Act are more likely to become targets of health care fraud with Medicare and Medicaid. There are many organizations that have been accused of health care fraud with Medicare and/or Medicaid. Maxim Healthcare Services is one of the health care organizations that have been accused of health care fraud. The organizational structure and governance, culture and focus on social responsibility had an affect or influenced the situation of health care fraud and abuse. There are resources that can be allocated to prevent the situation in the future. Ethical issues...
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...Public Health Nursing Vol. 22 No. 4, pp. 354—359 0737-1209/05 # Blackwell Publishing, Inc. SPECIAL FEATURES: PRACTICE CONCEPTS The Child Welfare System: Through the Eyes of Public Health Nurses Janet U. Schneiderman ABSTRACT Objective: This qualitative descriptive study investigates how public health nurses working within the child welfare system view the organization and the organizationÕs effect on their case management practice. Design: Semistructured interviews were conducted utilizing the Bolman—Deal Organizational Model. This model identifies four frames of an organization: symbolic, human resources, political, and structural. Sample: A purposive sample of nine nurses and one social worker was selected to participate in comprehensive interviews. Results: Data analysis identified two main themes. The first theme was the presence of organizational structural barriers to providing case management. The second theme was the lack of political influence by the nurses to change the structure of the organization; hence, their skills could be more completely utilized. Conclusions: Public health nurses who work in child welfare will need to systematically analyze their role within the organization and understand how to work in Òhost settings.Ó Nursing educators need to prepare public health nurses to work in non-health care settings by teaching organizational analysis. Key words: child protective services, organization, public health nursing. The purpose of this exploratory qualitative...
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...of new regulations that can be grouped into the following four categories: premarket approval; post-market surveillance; penalties; and miscellaneous. According to Merrill (1994, p. 47), the Food and Drug Administration (FDA) “agency was given power to prescribe good manufacturing practices (GMP) requirements for devices, to ban worthless or dangerous products administratively, and to require notification, replacement, and/or refund by makers of defective products.” According to Swayze & Rich (2012) “a medical device is, simply defined, any item used to diagnose, treat, or prevent disease, injury, or any other condition that is not a drug, biologic, or food” (para. 1). In any health organizational set up, creating patient safety requires that the organization establishes a safe health environment that eliminates/minimizes all unintentional injury to ensure patient wellbeing. This set up requires the institution to operate an institution whose processes and methods prohibit errors or drastically reduces the possibility of inflicting serious damage whenever such arise. The U.S. FDA is in charge of regulations that pertain to medical device products meant “for utilization in the diagnosis, treatment, mitigation, cure, or deterrence of infections intended to influence the...
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...Organizational Structure Presentation Outline Linda Atkinson, Pamela Booth, Patricia Callander, Tomeka Moore, Whitney Sloan HCS/325 May 13, 2011 Vivian Perez Organizational Structure Presentation Outline I. Introduction A. B. II. Impact of organizational structure on communication A. Resources and people work together to accomplish goals 1. Organizational chart identifies positions, job title, authority, etc. 2. Shadow organizational structure-informal structure B. Type of organizational structure used affects communication 1. Types of structure: matrix, functional, and divisional 2. Advantages and Disadvantages of each C. Internal and External factors 1. Size 2. Location 3. Services provided D. Importance of communication 1. Communication effects organizational structure 2. Success of the organization III. Steps involved in organizational planning and functions of management A. Process of transforming organizational objectives into specific management strategies and tactics designed to achieve the objective. B. Five steps that are used to properly plan and implement change within the organization C. Steps can be used...
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...Organizational Structure Analysis An effective management structure, takes into consideration the current culture and needs of a business and predicts what the future needs may be to project what things may challenge and influence the future viability of the business. The business will then be more prepared to redesign and implement the changes necessary for the organizations future growth. The determinate of the success of the organization is whether the health care system after redesign will be able to sustain the changes made to the organization long term. To remain a stable organization the culture and leadership need to be stable as well as openness to implementing change to improve processes (Jones & Bartlett, 2009). The current management structures that have been developed in recent years have involved governance, senior management, support staff, and institutions. The largest projected changes to the organizational management structure is predicted to be in the health care industry, due to the implications of health care reform, and meeting the established criteria set forth by the federal government, as dictated in the Health Care Reform Act. The structure that is presented in this reform has not been effect long enough to have predictable data regarding the true out comes or results and has endured some wrinkles and challenges that have required explanation to the senate and clarification from the supreme court as to the constitutionality of the changes made...
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...Organizational Structures and Processes Summary For The Department of Health and Human Services Organizational Structures and Processes Summary Introduction “The department of Health and Human Services (HHS) is the primary agency the United States” (USDHHS, 2011, pg. 1) government uses for supplying essential human services and for protecting the health for Americans. HHS dispenses more funding money than any of the other government agencies collectively and symbolizes roughly a quarter of national expenses. Most HHS funded services are provided at the local level by county and state agencies and works closely with local and state governments or through private sector grantees. There are 11 operating sections managed by the department programs, which include three human service agencies and the U.S. Public Health Service has eight agencies. There are more than 300 programs, obscuring a large range of activities. Impartial treatment of beneficiaries nationally is also provided by HHS and the collection of national health and other data is enabled. Organization’s Structure In the Department of HHS, the organizational structure is organized in a tree-like structure, most of the other offices of administration branching from the center, the secretary portion. The deputy secretary and the Chief of Staff are the heads of the department, and the Executive Secretariat, Office of Health Reform, Office on Disability, Office of Intergovernmental, and External...
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...document aims to describe the in- depth information, history and other factors that have been utilized to the emergence of Davao Medical Hospital. The resources came from our orientation and meeting with Mrs. Vilma Comoda, R.N, MAN and the interviews and the written documents we have read. HISTORY OF THE DAVAO GENERAL HOSPITAL 1917 – Enacted by the Philippine Legislative as Davao Public Hospital with a 25 bed capacity. The Davao General Hospital at Davao City, way back in the year 1918, a just a Sick Ward set up by the District Engineer’s Office in Davao for the care and treatment of the sick laborer’s known as “Sakadas”, who were the brought in to help the development of Davao. In 1919, by virtue of Special Act of the Philippine Legislation which was passed in 1917, to establish a hospital in the non-Christian Province of which Davao Province was one, a building was constructed at its old site which was named Davao Public Hospital. No inauguration was conducted at the completion of the hospital building. It was immediately opened to serve the sick. At that time, the District Health Officer for the province of Davao was Dr. Eugenio de Jesus. He was at the time...
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...taking necessary action to stop illegal immigration. Utilitarianism tends to sustain what is acceptable as being useful. Business owners in the United States see illegal immigrants as helpful in the corporate sector, they argue that Aliens take jobs that the citizens won’t do and their employment results in affordable prices for consumers. This has led in an increased entry of illegal immigrants. Existing citizen rights should be taken into consideration by the responsible departments. Increased illegal immigration has deprived the citizens their lawful rights, for example as the number of people increased more laws are implemented; therefore, citizen freedom is limited. Rights to better health services will be no more due to the increased population. The absence of a uniform policy regarding health care for this...
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...Running Head: Organizational Design Organizational Design Linda Alicea HCS/514 February 1, 2013 Vinnette Batiste, PhD., MBA Organizational Design of Elmhurst General Hospital Introduction Every hospital, large or small, has an organizational design and structure that will facilitate the efficient and smooth daily operations for the efficient management of various departments (Burton, DeSanctis & Obe, 2004). Within a hospital setting, organizational design is a formal, guided process that integrates employees, patients, people, information, and technology, and serves as a key structural element that also allows Elmhurst to maximize value by matching its corporate design to overall strategy (Glickman, Baggett, Krubert, Peterson, & Schulm, 2007). This paper examines the organizational design of Elmhurst General Hospital as well as its internal and external factors that defines its size, organizational structure and process. Background From a strategic perspective, Elmhurst’s organizational design is more of an untapped variable that needs to be addressed in the context of organizational strategy and change. This is critical as attention to clinical quality is top priority to the hospital, and as such is a priority (Burton et al., 2004; Glickman et al., 2007). This is essential for health-care institutions such as Elmhurst to evolve its organizational and management structures that support the design and implementation of quality-improvement initiatives and...
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...PM587 – Advanced Program Management March 23, 2012 BEFGS – Week 4 Background and Proposal Industry Background Over the last century, the life expectancy of an individual has increased from 47 in 1900 to 76 in 1997. (Moody, 1997) This increase in life expectancy is due to better living conditions, better care for the sick or disabled, and breakthroughs in the pharmaceutical industry. Pharmaceutical companies have been able to aid the pursuit of longevity and health through understanding the mechanics of the human body, disease, and disease treatment and prevention. Treatment and prevention comes in the form of new drugs and consumer products which have been developed over the last century and companies in this vertical expend significant resources on the research and development of them. The main objective in the industry is to improve the quality of life for everyone. There are three main types of pharmaceutical companies: large, small, and generic. Large pharmaceutical companies are established firms that have many approved drugs already on the market. Examples would be Merck, Bayer, Johnson & Johnson, and GlaxoSmithKline. These companies often have significant numbers of Research and Development (R&D) laboratories and manufacturing plants globally. In contrast, smaller pharmaceutical companies are usually more research focused, and often do not have any drugs on the market. Smaller companies in the pharmaceutical industry can also operate as contract manufacturers...
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