Premium Essay

Hospital Culture

In: Other Topics

Submitted By reema2020
Words 5682
Pages 23
Analysis of Organizational Culture
HAD 5731
Fitzpatrick, Harris, Kerr, Malhotra, Perkins, Salisbury, Topping

Introduction Organizational culture encompasses the fundamental values, assumptions and beliefs that are held in common by members of an organization (Helfrich et al, 2007). Culture can be characterized as a basic implicit theory of mutual assumptions, invented, discovered, or developed by a group that determine how they think, feel and behave as they assimilate internally and adapt to the external environments of an organization (Schein, 1996). Culture is an important variable that defines an organization and has significant implications on its ability to be effective and efficient. Culture can be a critical barrier to leveraging new knowledge and implementing technical innovation (Helfrich et al, 2007). This paper will first provide an overview and analysis of the cultures and subcultures of two Ontario healthcare organizations - Trillium Health Centre (THC) and Credit Valley Hospital (CVH) in the context of a recent voluntary merger of the two organizations. The paper will then examine the impact of the dominant and sub- organizational cultures on the capability of the two organizations to be more effective, efficient and patient focused, as will the ways in which these cultures create barriers to current change efforts. Finally, the paper will identify recommendations for the merged leadership of the organizations to consider in order mitigate the identified cultural barriers in order to support future change efforts.
A Cultural Overview THC and CVH are large community hospitals located within the Mississauga Halton Local Health Network (MH LHIN), serving a population of over a million people. Both organizations provide comprehensive primary, secondary and tertiary services to the communities and the region. Clinical program planning in the...

Similar Documents

Premium Essay

The Culture of Arnold Palmer Hospital

...CASE 4 4.1. Quality is the ability to meet the target operational goals. Any measurement of quality should therefore be defined in the way it is able to satisfy the expressed and the implicit need of the process. There are many ways that the hotel can use to measure quality aspects of its operations. One of such way would be through the assessment of the external quality which in this case refers to customer satisfaction. Customer satisfaction can be assessed through various means using the financial and non financial attributes. The overall satisfaction of the consumer is expressed in their reaction towards the product or services offered. A simple survey using a questionnaire can be used to collect data about the satisfaction of the customer. The increase or decrease in the number of customer served can also be sued to assess the satisfaction of customer and therefore the improvement in quality (Drucker, 2004). The other way can be through the assessment of the internal quality marked by the efficiency of the internal operation of the hotel. This can be assessed by the way in which hotel function in scheduling of jobs, reduction in internal conflicts, reduced complains from the customers. These are some of the way that can be used to assess internal quality improvement. But the generally the delivery of services to customers will be the best way that will be used to assess improvement in quality of goods and services. 4.2. The purpose of any quality improvement...

Words: 983 - Pages: 4

Premium Essay

Healing Hospital: a Daring Paradigm

...Healing Hospital: A Daring Paradigm Nathalie Conti HLT310V – Foundations of Spirituality in Health Care Grand Canyon University February 12th, 2011 Healing Hospital: A Daring Paradigm The healing hospital paradigm focuses on the removal of stress and other health risks in the hospital environment for both patients and visitors. These factors are intrinsic to the hospital setting and not the ailments being treated within. For example, stress for patients is generated through painful therapeutic procedures, loss of social life, change in financial status due to the healthcare expenditures, etc. Minimization of these stressors ensures that the patient’s well-being is maintained while the comprehensive care and attention aspects of the paradigm ensures that patient’s recovery processes are maximized without infringements upon their privacy and dignity. The healing hospital paradigm involves healing the whole client (Young & Koopsen, 2006, p. 4) instead of just curing the disease. This emerges from the paradigm’s focuses on healing beyond the body physical: it aims to enhance the overall well being by addressing the patient’s and their families’ cognitive, emotional and spiritual concerns (Milstein, 2005). Within the context of the hospital setting, barriers and complexities must be overcome to create a healing environment. This paper examines the paradigm of the healing hospital, identifying its impact on the care giving process, detailing its components and...

Words: 1341 - Pages: 6

Premium Essay


...Executive Summary: Shouldice hospital is a specialized hospital for the treatment of external abdominal hernias in Canada. The hospital was established by Dr. Shouldice the founder of a new and superior surgical technique, now known as the Shouldice method, which yields better medical results as well as a significantly shorter recovery time. Shouldice is operating at its best level of 6850 operations in the year 1982. Over the years the capacity of the hospital is increased from 36 beds to 89 beds. Backlog of scheduled operations of 1200 is a cause of concern even always. Options of Saturday working, increasing an additional floor or new facilities at USA are worked out rigorously and recommended to work on Saturdays (only in peak periods). Total Number of words used : 120 Situation Analysis: Shouldice is a private hospital founded by Dr. Earle Shouldice in Toronto in July 1945. The hospital started out as a six-room nursing home in downtown Toronto. Shouldice offers a new technique to cure the hernia, which is the protrusion of an organ through a weakness in the abdominal wall; this technique was invented by the founder during the World War II. This technique allows the patient to go back to their routine very quickly. Just after four hours of operation patients are encouraged to start walking around the place and feel more comfortable. The typical recurrence rate for the hernia approaches 10%, the gross recurrence rate for all operations performed at......

Words: 1833 - Pages: 8

Premium Essay

Mod 1

...Healing Hospital: A Daring Paradigm Rachel Armenta HLT 310V Foundations of Spirituality in Health Care Dr. Tamara Smith June 19, 2011 Healing Hospital: A Daring Paradigm The vision of the Healing Hospital in America is built on the most important principal of the human existence-loving one another (Chapman, 2011, p. 11). The goal is to move beyond customer service to loving care service. It is not bricks and mortar that create a healing home but a partnership between people that allows for a sacred encounter that changes lives forever (Chapman, 2011). The components needed for loving service are: skill, competency, stewardship of resources, and a servant’s heart (Chapman, 2011). This type of holistic care is based on trust and recognizes kindness, compassion, and respect are essential to clinical excellence (Chapman, 2011). The client is viewed as an integrated spiritual being that is treated as a whole person (Chapman, 2011, p. 34). This concept is foreign to the Western medical model, but no the nursing profession. The concept of caring has long been identified as the essence of nursing (Barker, 2009). In ancient times, nurses tended the sick and provided care for their needs between physician house calls (O’Brien, 2008). Florence Nightingale’s traditional model of the profession called nursing a “caring vocation” (Barker, 2009). Even the patients of today recognize it the nurse who provides for and tends to their needs. In the......

Words: 1334 - Pages: 6

Premium Essay

Re: Re: Topic 2 Dq 2

...A Healing Hospital™ (a designation awarded by the Baptist Healing Trust, Nashville, Tenn.) goes beyond the glass, bricks and mortar. The Mercy Gilbert Medical Center Healing Hospital™ culture is what sets it apart. The Healing Hospital™ concept includes three key components: 1. A healing physical environment 2. The integration of work design and technology 3. A culture of Radical Loving Care 2. I wanted Mercy Gilbert to be free from overhead paging, in-room intercoms, loud machines rolling down hard, long hallways or voices calling to each other at the nurse’s station. 3. For a hospital to promote healing, it needs to provide a quiet environment that allows patients to sleep. Patients’ bodies perform the most repair during sleep. Cells regenerate faster during sleep. So why, in the very setting where healing is most needed, do hospitals allow for high levels of noise and sleep deprivation? 4. A good healing hospital offers highly technical advancements, but is able to integrate the technology into a caring environment delivered by a compassionate staff. 5. A second key component of a Healing Hospital™ is the integration of work design and technology. Working with our designers, we found ways to enable staff to work more efficiently, to provide additional privacy and security for patients and to use technology to promote the healing environment. 6. The third and most critical component of a Healing Hospital™ is embracing a culture of Radical...

Words: 334 - Pages: 2

Premium Essay


...head: HEALING HOSPITAL: A DARING PARADIGM Healing Hospital: A Daring Paradigm John Thompson Grand Canyon University: HLT 310V February 12, 2012 Healing Hospital: A Daring Paradigm Hospitals are constantly trying to improve. They are looking for ways to reduce costs, streamline treatments, more efficiently use staff, and improve patient satisfaction. In regard to its patients, a hospital’s role is to promote healing. “Although hospitals have long been thought of as places to cure disease, new ideas about what hospitals should be and how they should function are creating new challenges for hospital designers and caregivers” (Research Design Connections, 2004, ¶ 1). The healing hospital paradigm is a new concept that some hospitals are implementing to achieve a healing environment. This paper will: explore the reasoning behind this new model; discuss components of healing hospitals, including their connection to spirituality; and identify the challenges of implementing such a paradigm. Reasoning for Healing Hospital The healing hospital model both provides and reaps many benefits. The paradigm not only benefits the patient but also the healthcare team and the community in which it serves. It has been shown to result in “patient satisfaction, improved outcomes, caregiver satisfaction with increased chance for a positive sense of meaning in work and community satisfaction” (Zarren, n.d., p. 5). The institution that implements the healing hospital......

Words: 1561 - Pages: 7

Premium Essay


...11. Culture of Quality at Arnold Palmer Hospital Why is it important for Arnold Palmer to get a patient's assessment of health care quality? Does the patient have the expertise to judge the health care he/she receives? Arnold Palmer Hospital exists due to its customers (patients). Knowing the customers' expectations is very important for improving the hospital's services. If patient/s is/are disgruntled by any service/s, the hospital should be thinking about ways to improve their process. Further, a patient's assessment enables the hospital to know whether their services would be recommended to others, after all, word of mouth is the best advertising. Also, patients will not have the expertise to judge the quality of health care they received, if and only if, they have not been provided with the detailed information on their health problems and the corresponding medical diagnosis/treatments. Considering the fact that the patients are provided with this information at Arnold PalmerHospital, I believe that patients can judge better regarding their own care than any third-party organizations or health inspectors. How would you build a culture of quality in an organization, such as Arnold Palmer Hospital? In my eyes, customer satisfaction is everything. So, it would be very important for me to ensure that the hospital staff cares for the patients, and that the staff is responsive to the patient’s needs. Further, all the four determinants of quality have to be successfully......

Words: 488 - Pages: 2

Free Essay

Healing Hospital

...HEALING HOSPITAL: A DARING PARADIGM Healthcare can be a very demanding field where professionals are overworked and burnt out which in turn impacts the care of the patient. Patients’ deserve to have compassionate and loving care while they are ill and in an extremely vulnerable state. The concept of the “Healing Hospital” is traditionally based on the belief that healthcare must grow from deep compassion (Baptist Healing Trust, n.d.). The hospital environment is generally a place for diagnosing and treating of illness and disease with the implementation of technology and pharmaceuticals. The concept of focusing on the person as a whole is often missed or not even thought of when a patient is seeking medical care or is hospitalized. Patients are placed in a very vulnerable situation upon admission to the hospital where they are losing their personal freedom and dignity. The Healing Hospital is about compassion and skill accompanying the use of new technology and drugs (Chapman, 2011). Components of a Healing Hospital The “Healing Hospital” as described in Radical Loving Care is not made of just walls, windows and mortar, but exudes the culture of love and caring (Chapman, 2011). The three fundamental components of this hospital are a healing physical environment, the integration of work design and technology, and the culture of radical loving care. When these components intertwine with the framework of the Golden Thread, they merge together to create an environment that...

Words: 532 - Pages: 3

Premium Essay


...Spirituality in Healing Hospitals Ryan Sidebottom April 22, 2012 HLT 310V Spirituality in Healthcare Grand Canyon University A growing topic in healthcare today is the focus on promoting a “healing” environment. While many consider all hospitals, nursing homes and rehabilitation centers to be healing facilities they are not recognized as such by the Baptist Healing Trust of Nashville Tennessee. To be deemed a “healing hospital” a facility possesses three key components which are not only physical in nature but spiritual as well. By recognizing the relationship between the two, a facility is able to overcome many of the barriers that present challenges for other companies. By identifying the key components and broken barriers one can distinguish the difference between a designated healing hospital and one that is not. According to the Baptist Healing Trust of Nashville Tennessee, the three key components of a healing hospital are: A healing physical environment; the integration of work and design technology; A culture of “Radical Loving Care” (Eberst 2008). To achieve the designation of being a “healing hospital” all three of these components must be put into place from both the physical and spiritual aspect. The component of providing a healing physical environment is much different than having a facility that has the capability of saving lives, performing surgeries, or simply treating illness. While all of these things are necessary, a healing hospital must be......

Words: 1138 - Pages: 5

Premium Essay

Task 1 Professinal Roles and Values

...Melonie Miller Organizational Systems and Quality Leadership Task 1 A: Delivering quality care is the priority of the nursing profession as an institution and in order to facilitate this, data driven indicators are employed to measure how effective the care environment is. These nursing sensitive indicators include complications such as urinary tract infection, patient falls, surgical complications, length of hospital stay, restraint prevalence, incidences of failure to rescue, patient satisfaction, pressure ulcers and nursing satisfaction. In the case of Mr. J, the demented rabbi, who as a nurse supervisor I am responsible for, nursing sensitive indicators are crucial in monitoring the level of care and making adjustments so that the patient will recover as quickly as possible. Modern nursing, aided by linear flowcharts uses the Pareto principle that states 80% of process or system problems come from 20% of the possible causal factors (Cherry, 2011). This means that by identifying the key and most obnoxious causal factors and focusing effort on relieving them, the problems can have viable solutions. An example of the need to focus on nursing sensitive indicators is the fact that restraints were used on the patient despite only having mild dementia and no previous incident as well as the restraints causing a pressure ulcer would indicate that the patient isn’t receiving the care he deserves. From these two metrics I would assign a CNA to watch over him periodically and......

Words: 1097 - Pages: 5

Premium Essay

Healing Hosp

...Running head: HEALING HOSPITAL: A DARING PARADIGM Healing Hospital: A Daring Paradigm Lisa Killeen Grand Canyon University: HLT 310V July 13, 2013 Healing Hospital: a Daring Paradigm Although the physical aspects of patient care are most easily measured, the spiritual dimensions are most often overlooked by caregivers. Healing hospitals have developed a paradigm to address spiritual concerns, which studies have shown to significantly improve patient outcomes and satisfaction. A healing hospital provides health care to patients through application of a healing model with three components that, most importantly, ensure that the patient is surrounded by love. According to Chapman (2007), hospitals have adapted a formal approach to healing consisting of three separate components: the integration of technology, a physical facility design that promotes healing, and a culture of radical love and care. Spiritual healing is not considered to be of traditional pharmacotherapy approach, therefore, the barriers in creating this environment in today’s hospitals are many. The purpose of this paper is to explore these three areas and their relationships, as wells as, barriers to the holistic healing of mind, body, and soul. Relationship to Spirituality It is documented by Allen and Crouch (2005), that spirituality as a subject and the need to address patients’ spiritual......

Words: 1312 - Pages: 6

Premium Essay

Patient Centered Culture

...Patient-Centered Culture Executive Summary Hospitals should be preparing now for a decade of reduction in Medicare payments that will result from the Affordable Care Act and Budget Control Act of 2011. Many healthcare leaders are anticipating the Centers for Medicare and Medicaid Services’ (CMS) value based purchasing program (VBP), a strategy used by employers, and increasingly the Federal government, to use their market power as a force to promote quality and value of health care services. The overarching goal of VBP is a health care system, built on value, with a clear return for every dollar spent. According to AHRQ, value-based health care purchasing enables buyers to hold providers of health care accountable for both cost and quality of care. Value-based purchasing brings together information on the quality of health care, including patient outcomes and health status, with data on the dollar outlays going towards health. It focuses on managing the use of the health care system to reduce inappropriate care and to identify and reward the best-performing providers. To qualify for the incentive payouts, hospital executives need to look intently at ways to boosts Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. At Windber Medical Center (WMC), this is a 54-bed capacity hospital in western Pennsylvania, invested in a patient-centered culture that helped facilitate improvements in their HCAHPS scores. Hospital VBP links a portion of......

Words: 785 - Pages: 4

Premium Essay

Healing Hospital

...HEALING HOSPITAL: A DARING PARADIGM Healing Hospital: A Daring Paradigm Sibil Johnson Grand Canyon University :HLT 310 Prof.Maria Quimba March 31st,2012 Introduction The healing paradigm focuses on the holistic approach to healthcare and healing. The concept is based on the ancient tradition love is the foundation of healing. The mission of the healing hospital is to provide high quality care with compassion, reduce stress to patient and family due to illness and improve quality of life in the community. Erie Chapman introduced the concept of Radical Love for healing in healthcare .There are three major elements essential to achieve the ultimatum of a healing hospital. At Mercy Gilbert Medical Center, commitment through the Radical Loving Care philosophy and a healing environment. An environment that helps patients feel safe and comfortable, one that reminds staff why they chose healthcare as their profession, and one that not only creates a healing facility but also a healing culture. Components of Healing A Healing Physical Environment The physical environment of a healing hospital designed in a way to reduce stress and to improve patient comfort. Examples are carpeted hallway, no overhead paging except emergencies, nursing staff carries wireless phone for communication to physicians, special silencer to cleaning machines. The focus is on promoting quiet surroundings that helps in healing. Reduction in noise provides calmer......

Words: 1057 - Pages: 5

Premium Essay

Healing Hospital

...Healing Hospital: A Daring Paradigm Introduction Healing hospital paradigm is a model in health care provision that focuses on recovery and return to wellness of the whole body. This is contrary to the cure model used in traditional hospital which focuses on eradicating the disease. Healing health care focus of the need of the entire being rather than focusing on curing the physical ailment. This concept advances the idea that apart from addressing the physical needs, the healing process should also address the patient’s emotional and spiritual needs. The healing hospital paradigm is made up of three major components; these include; a culture of loving care, a healing physical environment and an integrated work design and technology. However, there are several challenges experienced when attempting to implement the healing environment in the traditional hospital environment. This paper will discuss the components of healing hospitals and the challenges involved in implementing the healing environment. Components of a Healing Hospital Healing hospital paradigm lays more emphasis on the patient’s healing environment. This includes the kind of care the patient is receiving and the conditions the patient is exposed to when receiving treatment (Samueli Institute, 2010). Under the healing hospital paradigm, provision of care is not only limited to provision of medical intervention procedures and medication but also come down to how medical caregivers engage the patients......

Words: 1197 - Pages: 5

Premium Essay

Healing Hospitals a Daring Paradigm

...Healing Hospitals: A daring paradigm Mercy Cooper Grand Canyon University: Spirituality in Health Care HLT 310V 11/24/13 Healing Hospitals: A Daring Paradigm Hospitals are embracing the paradigm of healing hospitals. This concept is based on research evidence that suggests that the environment of care has significant implications on patient outcomes. Creation of a healing environment thus represents a concerted effort to comprehensively address all the factors that contribute to the disease process (Giemer-Flanders, 2009). Healing physical environments comprise of the following components: healing physical environments, a culture of loving care, integration of technology into work design, and blended medicine. Healing hospitals, unlike traditional hospitals, concerned for the person as a whole. Caring for the whole person consists of attending to the persons mind, body, spirit, and the environment. Blended medicine, the first component of a healing hospital, refers to the use of both conventional medicine and complementary and alternative therapies. Conventional medicine is an evidence-based meaning that its clinical utility and effectiveness in the treatment of a given disease has been validated through high-quality clinical trials. Alternatively, the treatments may have been shown to be more effective in the treatment of a certain disease or they may have withstood the test of time. Complementary and alternative medicine, on the other hand, employs techniques......

Words: 1662 - Pages: 7