...Governance in Non-Profit Healthcare MGMT 640 Executive Summary Good leadership, financial management, and governance are the essentials for success in any organisation, whether the organisation is a non-profit organisation or a for-profit organisation. In non-profit healthcare the seamless interaction of all the parts makes the organisation successful as a whole. Service provided must be consistent with the goals of the organisation. Agencies and watchdogs have become even more visible seeking accountability and transparency. But how do leaders within the organisation work together to make it a success, how are they governed to achieve the goals of the organisation? In for-profit effective governance is easily recognisable, and achieved. The most important element in an organisation that operates for profit is its balance sheet, great sales and rising stock prices, profits being paid out as dividends, no mention of fraud in the company accounting, these are all excellent indicators of effective governance. In non-profits more so in healthcare, it is terribly difficult to measure or see effective governance. Also, the idea of optimum efficiency may have differing connotations for each stakeholder. Non-profits benefit from the luxury of not having to suffer agency conflicts; nevertheless they must ensure that there are measures in place that ensures transparency. Based on the five (5) overarching strategies suggested...
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...Barringer Strayer University Health Services Administration HSA 599 Dr. Kadrie Mountasser April 29, 2012 IM/IT Analysis The issue of public health and its subsequent impact on society as a whole is becoming a very contentious issues for government. In the midst of an election year, public health issues such as Medicare, social security, and disease prevention are all becoming more prevalent. In the state of New Jersey, public health is no different in this regard. According to U.S. Public Health Service, over the last century, the average life span of an America grew by 30 years. 25 of those years are attributed to an increase in public health services. As such, decisions make by governments on the federal, state, and local level will have a profound impact on the community. First, as is the case with many communities, state governments rely heavily on tax revenue as their primary source of income. In the midst of a global recession, those entities that rely heavily on income tax revenue ultimately suffer as those who provide the tax revenue are unemployed. Further compounding this issue is that fact that many individuals who were formally employed full time are now employed part time. As such, their taxable income is significantly diminished. With this diminished revenue, budgets must ultimately be cut to correspond to the reduced inflow of revenue. Now in regards to expenditures two-thirds of spending is for personal health services, whereas population...
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...of Medicine (IOM) issued a report titled “The Future of Nursing: Leading Change, Advancing Health.” It’s a look at how nurses should change their practice and role in healthcare. The new legislative reforms in the nation are being phased in over the coming years. This reform will expand the scope of the nursing profession and practice. This reform states that: “A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health (IOM-2010) .“ The Institute of Medicine (IOM) developed four key messages that form the origin for the analysis and endorsements presented. The first three are referring to the nursing role, and these are in summary: 1). Nurses should practice to the entire extent of their training and education. 2). Nurses should strive for higher levels of education and training, through a quicker more user friendly educational system that promotes seamless progression from one degree to another higher degree. 3). Nurses should be considered equal colleagues with physicians and other health care professionals, when remodeling health care in the United States. What is the impact on nursing practice, in primary care? What is the IOM’s visualization in the future of the practicing nurse? The IOM’S research...
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...Current Health Care Issues Paper Tiara Johnson HCS/545 September 17, 2012 Shawna Butler Current Health Care Issues Paper Introduction Know for its reputation in the field of research and medical technology, the United States give the impression that its health care system has some gold standards or status on the international scale. While thousand of Americans are medical issues that affects the health care arena. These issues have results in a gap in quality of care, allegations of fraud, cultural issues, patient abuse, or neglect. A recent research has show the number of patients victims in the health care arena is considerable such kinds of new laws should be contemplated. Heath system in many countries is influenced by social and economic structure that determines the quality of care provided to each individual. According to Lambert, almost every poll showed that a majority of American are insured and appear to be happy with their health insurance to a large extent, “The bill still passed”. This paper analyzes how quality of care is affected by organizational, culture, structure, governance, and social responsibility. Health news situation Brook Dale hospital, a hospital located in Brooklyn, New York, has been the subject of media scandal in November 2007. The scandal began when a hold man, black, 70 years old came to the emergency room alone for a pathology dominated by: dull pain near the navel or the upper abdomen (right ileac fossa), loss of appetite...
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...Health Care Management Most early leaders in healthcare management had a vision that stressed the primacy of patient care. The aim of management is to put the interest of the patient first, regardless of race, creed, or ability to pay, and to seek complete health rather than just to cure the ailment at hand. This is a critical moral commitment to the same core value as the caring professions. Any philosophy that puts management values contrary to the caring professions will be corrosively destructive. A number of external (political, legal, environmental, etc.) and internal forces cause health care systems to consider the need for change. The process in changing governance and management had three critical elements: establishment of a vision and guiding principles for the change, development of support, and implementation of change in governance and management. For the initial step in the change process, a clear and simple vision to focus the change was determined to be most important. Management is necessary to make labor and capital productive and requires converting economic principles into rules of behavior that can be clearly communicated to employees, bosses, clients, and other partners. Management is not simple. In management it is people, not things, that have to be managed, and because decisions must be made under uncertainty, based on expectations, without ever really knowing the entire facts one would like to have, it makes it all the more...
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...provided in this memo is for the new Nurse Manager position on the sub- acute unit of the Alaris Health is Nursing Home and Rehabilitation Center. The purpose of this memo is to provide the Nursing Administration department the necessary information to be communicated with the incumbent Nurse Manager. The Alaris Health is a 222-bed facility providing long term care to senior citizens, sub-acute services such as intravenous therapy, diabetic teaching, pain management, wound care, and comprehensive rehabilitation services to the patients recovering from surgery. The Alaris Health at is dedicated to our patients and embraces innovative nursing methods based on evidence in practice to improve the health care we provide. We believe in self-governance in our nursing staff. The Alaris Health nursing administration supports self-governance to foster excellence in nursing professionalism. The nursing administration includes a Director of Nursing, Chief Medical Officer, Assistant Director of Nursing, and an Administrator. The Director of Nursing Services serves as a guidance-mentor and provides support as needed to ensure accountability of nursing professionalism. We recognize all our nursing staff as key members to our success for improving patient outcomes. As a potential candidate for the position of Nurse Manager, the position includes focusing on sophisticated planning of care for patients in the sub-acute unit. The Nurse Manager along with our nursing teams promote staff...
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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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...RUNNING HEAD: IM/IT Analysis IM/IT Analysis Barbara C. Hagerman Dr. Chad Moretz Health Information Systems July 29, 2012 1. Discuss the five (5) major components of information management/information technology (IM/IT) governance with a focus on how they will collectively improve the quality of health care. IM/IT governance helps the organization make business decisions more accurately and in a timelier manner (Glandon, Smaltz, Slovensky, 2008). In order to complete this, five general guidelines were created. They are as follows: Develop a consistent IT strategy, Align IT Planning with Organizational Planning, Develop IT Infrastructure, Architecture and Policies, Set IT Project Priorities and Oversee Investments and Be able to assess IT’s contribution. In order to develop a consistent IT strategy, the plan created must apply across all operating units within the organization. Next, the plan must align with IT planning and organizational planning. Alignment would involve three essential elements for success. First, an alignment of purpose must be in place. IM/IT leadership and organizational leadership must agree that they are trying to achieve the same ends. Second, they must agree to work to develop goals and tactics jointly to meet those ends. Third, these two groups must share the responsibility and accountability to achieve the ends (Stacey, Skinner, 2005). Because plans may change over a period of time, the...
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...Financial management is the management of any business finances or an organization in order to achieve the business financial objective (Jones & Bartlett, 2010). There are many financial decisions that are made on a day to day basis for any transactions to occur (Jones & Bartlett, 2010). These decisions are made according to the organizations fiscal objectives (Jones & Bartlett, 2010). But we all may have one question and that question is “How well are health care organizations’ finances and are these health care organizations financial records accurate? The four elements of financial management are recognized as planning, controlling, organizing and directing, and decision making (Jones & Bartlett, 2010). These are decisions are made on what kind of task is being performed. Some organizations strain over three of the elements which are planning, controlling (organization and directing is part of the controlling element), and decision making (Jones & Bartlett, 2010). 1. Planning can be defined as: The financial manager identifies these four elements as steps for an organization to accomplish their objectives. The planning process is to identify and take the initial steps to accomplish those objectives (Jones & Bartlett, 2010). 2. Controlling: Financial manager will take control and making sure that each part of the organization is following the plans that have been put into place (Jones & Bartlett, 2010). 3. Organizing and directing: This is a decision made by the financial...
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...Information governance is defined as the specification of decision rights and an accountability framework to ensure appropriate behavior in the valuation, creation, storage, use, archiving and deletion of information. It includes the processes, roles and policies, standards and metrics that ensure the effective and efficient use of information in enabling an organization to achieve its goals. While many organizations have the ingredients to make information governance work, the recipe for success that combines them is often amiss (Gartner, 2013). Information should be managed in way that establishes best practices, and is based on core principles of Infrastructure Library (ITIL) standards and guidelines. ITIL is essentially a set of publications that together offers a framework of “best practices” management guidance for all aspects of IT services (Tan & Payton, 2010). This assignment will cover the ins and outs of when information technology fails within the health care organization. Research will be done to identify what the contributing factors are when failure occurs, and how it impacts the organization’s operations and the security of the information. Also the team’s reaction to the failure, as well as the measures taken by the leaders in dealing with the various stakeholders will be explored. Custom application and proprietary systems, along with project metrics and portfolio management for the insurance of operational efficiency and effectiveness will be discussed...
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... | | | | | |Revision Package: | |Theme 1 | | | |Principles of Governance | |Traffic | |Population | |Healthcare (Singapore and UK) | |...
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...1960s in a few health care providing institutions. In the 1970s and 1980s, a number of hospitals and clinics across the U.S. adopted the use of limited EMR technology (Carter, 2001) In the early 1990s, heeding recommendations from the Institute of Medicine (IOM) landmark study, the U.S. government set an ambitious goal for all physicians to computerize patient records by the year 2000 (Dick, R.S., Steen, E.B., & Detmer, D.E. 1997) Due to patients’ privacy issues, less streamlined and often conflicting software technologies, and multiple other barriers in EMR technology adoption, this goal could not be achieved. The adoption of EMR technology started to gather some momentum since 2004 when President George Bush outlined detailed plan to ensure access of electronic health records by all Americans by 2014 (Bush, Executive Order 13335) To achieve this goal, President George Bush created a new, sub-cabinet level National Health Information Technology Coordinator position at the Department of Health and Human Services to implement health IT infrastructure nationwide. The biggest push targeted towards promoting the adoption of EMR technology came with the passage of the American Recovery and Reinvestment Act (ARRA) 2009 by the U.S. Congress which appropriated $19 billion dollars government assistance to jump start the adoption of EMR technology by physicians, clinics, and hospitals. The healthcare reforms highlighted in the ARRA include an investment of $50 billion in health information...
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...Introduction: Clinical governance is defined as “a system which organisations are responsible for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish” (“Standards for general practices,” 2015). A method of improving the quality of services and achieving a high standard of clinical practice involves appraising staff performance. Clarke, Harcourt & Flynn (2012) states that in the health sector, a key role in implementing clinical governance is by appraising the performance of staff, this in turn, is critical to containing health care costs and ensuring and improving quality patient care. The intentions of performance appraisals are to maintain and improve a high standard of patient care, however, there are many studies concluding that performance appraisals are not always effective and may even be considered destructive (Bouskila-Yam, & Kluger, 2011). Evidence suggests that appraisals provide minimal satisfaction, as at times can be perceived as unfair, poorly structured and judgmental towards some employees (Spence & Wood, 2007). The reader believes that if performance appraisals were conducted in a manner to suit all parties involved, then appraising staff would be beneficial and critical to improving clinical governance, thus, patient quality care. In the readers’ experience, performance appraisals have not been well presented or conducted...
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...Medical errors have adverse effect on health care organization structure because it put a question mark on health profession’s reputation. The medical error definitely can cause harm to the patient or even the death. Medical errors can happen anywhere in healthcare system: in hospitals, clinics, surgery rooms. Medical mistakes can arise from doctors, nurses, surgeons, hospital administration, and many others. Medical errors affect the health care organizational structure, culture, and social in many ways. Medication errors have severe direct and indirect effects on health care organizational structure, and culture is usually the outcome of breakdowns in a system of care. Many reasons can involve in medical errors such as, miscommunication of drug order, mistakes made in medication, surgery, similar medication names, and laboratory results. Dr. Gray D.Kao treated Ricardo for his prostate cancer; it is a common surgical procedure: doctor implants dozens of radioactive seeds in the prostate gland to attack the disease, but Dr. Kio implant most of the seeds, 40 in all, inserted in healthy bladder, instead in prostate. According to federal rules, regulation it was a serious mistake. Dr. Kio performs another surgery on Ricardo to make his mistake clear second time but he failed in second seed implant too. No one reported this second mistake. Ricardo was still in so much pain, and suspicious about that still something wrong in his body. Doctors then prescribed narcotics. “It...
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...Vanderbilt University Medical Center Adopts EHR and Data Governance Vanderbilt University Medical Center (VUMC) in Nashville, TN, was an early adopter of EHR and implemented data governance in 2009. VUMC’s experience provides valuable lessons. VUMC consists of three hospitals and the Vanderbilt Clinic, which have 918 beds, discharge 53,000 patients each year, and count 1.6 million clinic visits each year. On average, VUMC has an 83 percent occupancy rate and has achieved HIMSS Stage 6 hospital EHR adoption. HIMSS (Healthcare Information and Management Systems Society, himss.org) is a global, nonprofit organization dedicated to better health-care outcomes through IT. There are seven stages of EHR adoption, with Stage 7 be- ing a fully paperless environment. That means all clinical data are part of an electronic medical record and, as a result, can be shared across and outside the enterprise. At Stage 7, the health-care organization is getting full advantage of the health information exchange (HIE). HIE provides interoperability so that information can flow back and forth among physicians, patients, and health networks (Murphy, 2012). VUMC began collecting data as part of its EHR efforts in 1997. By 2009 the center needed stronger, more disciplined data management. At that time, hospital leaders initiated a project to build a data governance infrastructure. Data Governance Implementation VUMC’s leadership team had several concerns. 1. IT investments and tools were evolving...
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