...the Gundersen Health System to become energy independent by the year 2014. Most healthcare organizations do not include the upper management in the process of business. This paper will discuss how to do a change of process to reach the goal of being energy independent, it will show how the change will be a Six Sigma Process. It will look at Capability Maturity Model (CMM). It will touch on Porter’s three – phase process. A current diagram and a change process diagram. The paper will also touch on goals to be placed into affect. It will state the tasks and measurements for the goal. Introduction to Gundersen Health System Gundersen Health Systems was first named Gundersen Lutheran Hospital and was founded in 1902 by the primary Doctor, Adolf Gundersen. It was renamed Gundersen Clinic and Lutheran Hospital, and in 1995 it was name Gundersen Lutheran Inc. It is now known as Gundersen Healthcare Systems. The system is made up of 24 Medical Clinics, 4 Worksite Clinics, 2 Express Care Clinics, 4 Podiatry Clinics, 8 Behavioral Health Clinics, 12 Eye Clinics/Institutes, 2 Sport Medicine Clinics, 4 Reproductive Clinics. It has 3 Affiliated Hospitals, and 4 Affiliated Nursing Homes. This healthcare system serves 19 counties in three states, (Minnesota, Wisconsin, and Iowa. (Fast Facts, 2013). The mission and vision statements go with the core values of Gundersen Health System. They are to be number one in patient care, education...
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...I will argue for a universal healthcare system in the United States through a comparison of feminist ethics and traditional ethics. I find that the following considerations from Virginia Held’s Ethics of Care, and Kant’s view on autonomy provide a convincing argument for universal healthcare coverage. Held In Virginia Held’s Ethics of Care, she makes six distinct statements on care ethics through a feminist point of view. 1.) “Moralities built on the image of the independent, autonomous, rational individual largely overlook the reality of human dependence and the morality for which it calls.” (Camp, 2011:48) Held is describing how interdependence is primary and one is not in control of caretaking relationships. The majority of caretaking relationships are not chosen (parents and siblings) and we have a responsibility of care to these unchosen relations. We are all interdependent on each other, not autonomous. An argument relating to health care according to the view presented by Held on feminine ethics directly confirms the point that we are not autonomous beings: “Children in particular are harmed by familial stress and developmental delays from not receiving health care, both of which can lead to behavioral problems and loss of potential. When one member is uninsured or becomes ill, there is a financial burden put on the rest of the family” (http://www.amsa.org). Universal health care coverage would allow for this family burden of stress and finances to be decreased...
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...Health Care Access Options Nicole Manske HCS 490 April 25, 2016 Professor Green Health Care Access Options There are many health care centers throughout the community that offer many different health care needs for patients. Health care organizations are found in varies places throughout the community. You can find walk-in clinics, retail clinics in grocery stores, and no appointment physician offices. These different types of health care centers impact the variety of demographics throughout the community and within the health care community. These clinics effect different generations too. Also, when you know the targeted audience of the clinic based on demographics you will find a center that best suits your needs. Along with the audience, knowing that social media networking can have a large impact on consumer choice will also help determine the best suited health care center for your needs. The Changing Landscape of Health Care Systems Health care systems will forever change. The systems must change in order to stay relevant with what the community wants and needs. The system is working towards creating affordable center for everyone to receive the care and treatment they need while also keeping the treatment affordable (Department of Health and Human Services, 2015). There are various places health care is delivered. There are many walk-in clinics that all patients in need of immediate attention to receive the help they need. These walk-in clinics are convenient...
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...Change and Culture Case Study I Mergers occur almost every day in the business world for one reason or another. In health care two or more facilities may merge because of lack of staff, budget cuts, or poor administration that causes pending closures of one or more facilities. When mergers of two healthcare facilities occur, top line management and administration are normally always the first to get the axe from the healthcare facility that needed the bailout. This leaves middle management with the task of effectively aligning the staff of the healthcare facilities without causing conflict that would undermine the good nature of the newly formed health care facility. The scenario calls for acting as a middle manager in a healthcare facility that has just merged with a previous competitor. Each facility will come with their own set of flaws and flourishes. This paper will address how middle management can form a bond with employees of both facilities. It will also give best practices on how to jointly implement inpatient and outpatient services and correct flaws and continue to flourish as one health care facility that provides the best service to their patients. The usual reason for two health care facilities merging is because one facility is not doing well and is in danger of being shut down. The not doing so well can be attributed to budget, quality of service, employee retention, training, space, or a takeover in board members. There are other reasons for mergers...
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...Commentary: Values and Health Policy: The Case of Singapore Christopher Ham From: Journal of Health Politics, Policy and Law Volume 26, Number 4, August 2001 pp. 739-745 | In lieu of an abstract, here is a brief excerpt of the content: Journal of Health Politics, Policy and Law 26.4 (2001) 739-745 Commentary Health care systems do not develop in isolation. They are products of the societies in which they are embedded and of the values held to be important in those societies. There could be no better illustration of this truth than the comparison between Sweden and the United States. The commitment in Sweden to equity and to the belief in that country in the benefits of action by the state has resulted in the development of a universal, tax-funded health service in which the emphasis is on ensuring access to health care for all. In contrast, the commitment in the United States to individual freedom and the aversion to government intervention has led to the development of a market-based health care system in which choice is highly valued and inequities in access tolerated. The case of Singapore described by Michael Barr is a further illustration of the influence of social embeddedness and values in health care. A former British colony that gained independence in 1965, Singapore has attracted attention mainly because of the success of its economy. Rapid economic growth since independence has created a city-state of 3 million people in which per capita incomes are among...
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...Nurse as an Advocate Nursing Leadership Health Policy Advocating for Health Care Policies. Nurse’s Vital Role as Policy Advocates Introduction “I’m not discouraged because every wrong attempt discarded is another step forward” Thomas Edison (1847-1931). In today’s healthcare system, nurses are aware of the inconsistencies and the troubles that the healthcare system faces, and a need for a change. Expert nurses and nurses with vast experience are stepping forward and motivated to take part in advocacy roles. This movement is initiating a great wave of change in nursing world and how nurses influence a change in policies, regulations and law that oversee the health care system. Nurses stepping into this arena requires great deal of courage and knowledge on how the policies and politics interchange hands to implement a major change in health care system. The nurses who step up into this role should have the will, power and with power comes responsibility to negotiate through the legal system. Methods to advocate for health Nurses taking part in advocacy is not new anymore, but what advocacy means is still a mystery in nursing world. Great theorist like Florence Nightingale and her efforts, did influence other nurses throughout the nursing profession to step out of the box and shape the health system, where discover, heal and teach remains the core motto. Nurses throughout the world in some shape or form initiated policy recommendations, represented their view...
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...THE PRIMARY CARE CLINIC Your name here Professor’s name here School name here Date The Primary Care Clinic Patients in today’s busy world demand convenience which has lead to the rise of local centralized primary care facilities. The purpose of this paper is to look at forces that have influenced the development of the clinic, a mission statement, key performance indicators to measure effectiveness, decisions regarding clinic expansion, the role of the clinic in the community, and influences of public healthcare policy on outpatient clinics. Discuss the key political, economic, and social forces that may have influenced the development of the clinic. Politics can hamper development of private healthcare organizations by compromising quality, limiting accessibility or feasibility, or increasing the cost of healthcare through laws, regulations, policies, requirements of private practice, and monitoring of services (Griffith & White, 2007). The primary care clinic must balance the requirements and regulations of private practice while creating a market for quality healthcare in the community marketplace. The clinic model has advantages over other models in that it allows practitioners a level of economy in sharing their medical facilities, equipment and staff with others, minimizing overhead and allowing them to keep the rising cost of healthcare lower by sharing equity. Improved patient quality is...
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...qwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwer...
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...paper I will incorporate sections of assignments done in weeks 8, 9 and 10 starting with week 8: Advocacy involves the process of persuading someone to at least consider one’s point of view. The role of the nurse as an advocate in healthcare policy is not a new one. The many opportunities nurses have to observe firsthand the positives and negatives of the current healthcare system enable them to identify needs and concerns related to the care patients currently receive ( or don’t receive)( Gonzalez, 2012). Some health needs returning veterans and their families might need health care, psychological and family reorientation to life outside of the war zone, gainful employment. How might one advocate for the needs of this population? First, set up a plan which describes the things that you want to advocate for in terms of helping the veteran find organizations and funding for their needs in civilian life. Get in touch with legislators and other resource groups that can help with accomplishing the goals you set. What responsibility must a nurse have to be an advocate? First, she must have expertise in the care of needy populations, be familiar with legislators who would be sympathetic to the cause and be willing to help with the advocacy of the plan presented. Collaborate with peers and other nurses who can assist in the development and presentation of the plan. My choice is the current nursing shortage, what healthcare problem was the policy designed to address: cost, quality...
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...facilities. To meet the needs of the growing population of North Reno County, Langley Mason Health (LMH) must make some tough financial decisions in regards to patient safety strategies that effect immediate and long term obligations. LMH has a strategic plan and has set forth ten goals for implementation. Once the goals are implemented, the community and patients will have safe, efficient care and the health system will be in line with other facilities that are technologically proficient. LMH has a multi-phase approach to complete the process and implementation of the plan. To date, the only phase completed is the first, and there is indecision and uncertainty among the LMH management staff about subsequent phases. Staff opposes purchasing equipment for short term safety goals such as smart IV pumps versus purchase of technological systems that include suites such as computerized order entry (CPOE), robots, and smart IV pumps, bar coding, computerized medication delivery, and electronic patient education. While some management decision makers desire to study the strategic problem before dedicating the funds for any equipment or phase, the chief information officer Dr. Moore does not want to get bogged down in a lengthy process of meetings and research that may take years to resolve (Wager, et al, 2009). In this case the issues involve how to be a good steward of the healthcare system funds while being the best advocate for patient safety. The population of North Reno County...
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...of healthcare, and harm healthcare workers financially both reflect a complex issue and a compromise is needed. There are serious flaws with the current state of healthcare in America, and the side that supports The Affordable Healthcare Act has valid points as to why the current healthcare policy should be changed. In 2010, almost fifty million Americans were uninsured (Lazarus, 2011). Healthcare is unaffordable to many people in its current state, therefore, many individuals can potentially be denied quality treatment for serious illnesses such as cancer or diabetes. Additionally, if somebody gets sick and cannot afford health insurance, the medical bills are expensive enough to bankrupt an individual. If The Affordable Healthcare Act is put into effect, no American citizen will be denied care because they cannot afford it, since taxes will pay for one’s care. Supporters of The Affordable Healthcare Act reference other countries...
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...Steve Pontius, had an epiphany during an all too common experience when seeking medical coverage for his kids. After waiting for three hours at an urgent care clinic for what he thought was an ear infection, the physician diagnosed in three minutes what Pontius had predicted. Additionally, only after the visit to the doctor had he figured out that his insurance company did not cover treatment at this particular clinic, so Pontius would have to pay hundreds of dollars out of his own pocket to pay for the visit with the doctor.1 Sensing a business opportunity, Pontius, along with Rick Krieger and Douglas Smith, partnered to start MinuteClinic, the retail medical treatment clinic that is widely regarded as the beginning of the convenient care clinic (CCC) movement. Also known as retail based clinics, these facilities are small medical operations located within a larger retail operation such as Target or CVS. They offer a limited scope of medical services and are primarily characterized by low fees, convenience, and quick, but reliable service. Consumers are clearing seeing value in their proposition: in only eight years, 800 CCC’s have been established all over the US, and are expected to continue their explosive trend in growth. US HealthCare Industry Background According to the World Health Organization’s “World Health Report 2000,” the US spends more annually on...
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...Clinic Thomas R. Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for patients to access health care. These clinics typically schedule appointments...
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...Rohleder, PhD Division of Health Care Policy and Research Mayo Clinic 200 First Street SW Rochester, Minnesota 55905 tel: 507-538-1532 Email: rohleder@mayo.edu Peter Lewkonia, MD Faculty of Medicine University of Calgary Calgary, Alberta Diane Bischak, PhD Haskayne School of Business University of Calgary Calgary, Alberta Paul Duffy, MD Faculty of Medicine University of Calgary Calgary, Alberta Rosa Hendijani Haskayne School of Business University of Calgary Calgary, Alberta July 2011 Abstract We report on the use of discrete event simulation modeling to support process improvements at an orthopedic outpatient clinic. The clinic was effective in treating patients, but waiting time and congestion in the clinic created patient dissatisfaction and staff morale issues. The modeling helped to identify improvement alternatives including optimized staffing levels, better patient scheduling, and an emphasis on staff arriving promptly. Quantitative results from the modeling provided motivation to implement the improvements. Statistical analysis of data taken before and after the implementation indicate that waiting time measures were significantly improved and overall patient time in the clinic was reduced. Keywords: Outpatient Clinic, Discrete Event Simulation, Process Improvement, Patient Waiting I. Introduction Visiting hospital outpatient clinics is a very common way for patients to access health care. These clinics typically schedule...
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...HRM 470-52 Organizational Staffing Principles and Practices Staffing/Recruitment program Capstone University of Michigan September 4, 2011 Contents Executive summary 3 Background of the company 4 Identification of six staffing/recruitment strategies 5 Identify research tools used to determine current background information 6 Identify best practices 7 References 8 Appendix 9 Executive summary Successful recruitment involves several processes which involves development of a policy of recruitment and retention and determining the current and future need of the organization. The University of Michigan has set these policies in place in order to recruit and retain the best faculty and staff. “Diversity matters at Michigan. It is a core value of our distinguished university and a key factor in assuring the excellence, inclusiveness, and welcoming environment that make Michigan a great place to work and learn. Their web site has been created to demonstrate the University of Michigan’s commitment to ensuring diversity in recruiting, selecting and retaining a diverse and highly engaged staff community”(University of Michigan, Diversity, 2011). The University of Michigan’s recruitment site is based on a six-step process which I have listed below. Their website provides a wealth of tools and resources provided to guide their staff in recruiting and retaining valued staff members who will contribute their ideas, experience, and talents to making...
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