...HEALTH MAINTANENCE ORGANIZATION IVAN D. HALOL HCS/212 - HEALTH CARE VOCABULARY APRIL 15, 2013 INSTRUCTOR DEBORAH DOHERTY In 1990 Kaiser Permanente became the largest Health Maintenance Organization in the country. This was the result of a great man. His name was Dr. Sydney R. Garfield MD. Dr. Garfield is one of the pioneers in voluntary prepaid healthcare plans which was a direct precedent to the federal government enacting the Health Maintenance Organization Act of 1973. Dr. Sydney Garfield opened up a fee for service hospital in 1933. However, insurance companies were slow to compensate his practice and delinquent or non-payment from patients had negative impacts on his practice. This led Dr. Garfield to initiate an agreement with insurance companies to charge a prepaid fee of five cents a day to workers. Under a Health Maintenance Organization (HMO) plan patients and/or employers paid a fixed monthly payment. This provided patients with healthcare that included preventive medicine checkups, immunizations, office visits, and hospitalization. Professionally and personally, Kaiser Permanente has been my employer and healthcare provider for the past several years. The HMO system is cost effective to our patients compared to a pay as you go healthcare plan. Dr. Sidney Garfield opened up his first hospital in 1933 called Contractor’s General Hospital. Its purpose was to provide healthcare for over 5,000 workers that were constructing the Metropolitan Water District of Southern...
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...Scenario Pt. 3 - Kaiser in Kava Mgt/350 1-12-12 Yvonne Richardson Implementation of a decision is necessary for any organization to move in the direction of accomplishing its planned objective. Monitoring and evaluation of the decision is also needed to have an effective implementation. What improves the performance of an organization is evaluating decisions. Evaluating decisions will inform the organization if the solution that was implemented met the objectives of the organization. This paper will discuss the logic and strategy for implementing a solution to Kaiser Permanente establishing a presence on the Island of Kava. The paper will also discussed is the influence of implementing and evaluating the resources and procedures vital for decision-making, and evaluates the ethical implications of a solution from the perspective of stakeholders. The mission of Kaiser Permanente is to provide high quality, affordable healthcare services and to improve the health of our members and the communities we serve (Crane, 2002). Kaiser feels the essential components for an organization to be successful on the Island of Kava is the commitment to satisfying their customers, increase the value of their shareholder, and boosting initiatives of the community are. Kaiser’s top and mid level management team have approved the proposal to build a first-rate medical facility on Kava. Creating a greater presence on Kava is one of the main goals to the resolution that Kaiser will put into action...
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...made calls, and logged into the health care gov site only to face glitches and delays. There are key factors that have affected Kaiser Permanente internally. These factors have promoted changes in the financial departments, Research and development, Marketing, and the Customer Service Care Center. The external factors that affect Kaiser. First, let’s examine how Kaiser Permanente started. History Kaiser Permanente was founded in 1945. Kaiser Permanente headquartered in Oakland, CA. In accordance with KP.Org, Kaiser is now one of the largest not-for-profit health care plans, with over 9.1 million members. In today’s health care systems even individuals with insurance only get the right care about half the time. (McGlynn, E.A. (2003) Members of Kaiser Permanente receive quality care from Kaiser’s medical groups. The vision is to provide high-quality care, to be a leader in total health by making lives better (www.kporg.newsletter). The mission of Kaiser is to provide high quality affordable health care services to improve the health of members and community. One of the factors that makes Kaiser a leader in the industry is their incomparable team of doctors and skilled professionals. Together physicals have built a team of professionals that continuously work to improve the quality of care to their members. Now that we’ve discussed the history of Kaiser, we can examine how the Financial departments have been...
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...Select one of the following companies to study in depth over the next 4 weeks. BP Oil Kimberly-Clark Kroger Nucor Walgreens Wells Fargo Kaiser Permanente Ascension Health Google Apple Your own organization* Your final project for each week in this course will require you to examine this organization. * If you wish to use your current organization in which you work, you must have this approved in writing by your instructor before moving forward with the assignment. Research your chosen company. Find a minimum of one library source, which will support your thesis in this assignment. Review your assigned weekly lecture and text reading. Select from this reading 3-5 key concepts, which will also support your thesis. In a two to three page paper, address the questions below. Your paper should follow APA format including a title and reference page. The two to three page paper length requirement does NOT include the title page and reference page. Refer to your classroom area titled South University Policies and Guideline: Using APA Standards in Your Coursework to ensure you are following the correct format. Managers have the responsibility to oversee and influence the direction of an organization. Their input is critical to an organization’s performance and success. Describe the manager’s functional role in the organization. Explain expectations of the role. Evaluate how the manager fulfills the expectations of the role. Explore the different...
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...resolve workplace issues with employees. For example, Germany's Volkswagen utilizes a program called, Works Councils (Finkin, & Kochan, 2014). This program allows employees to share their work to reduce working hours rather than allow management to lay off employees at the company. On the other hand, Southwest Airlines, and Kaiser Permanente tailored programs specific to fit their individual company needs (Finkin, & Kochan, 2014). Lima Tire Company, a subsidiary of Treadway Tire Company was having issues with high operational cost and high turnover among foremen. Although the programs that were designed to control labor relations for the company; they were not effective as the company hoped. The company still faced the issue of a dysfunctional organization (Skinner, & Beckham, 2008). So, what are some of the strategies utilized by U.S. union free organizations today and why is it critical to the success of an organization to meet its goals and mission? This paper presents a summary of Lima Tire Company, a non-unionized organization, provides an alternative to handling its major problems, and provides a recommendation to help with the major issues. Brief Case Overview By the opening of the Lima Tire Plant in January 2008, Ashley Wall, the current Director of Human Resources has to devise plans that will correct several serious problems the company faced. Currently the HR Director saw an increased turnover rate among foremen, lack of training, skyrocketing raw material cost...
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...| Business | The Back Bone of Economy | | Amy Lopez | 11/4/2012 | [Type the abstract of the document here. The abstract is typically a short summary of the contents of the document. Type the abstract of the document here. The abstract is typically a short summary of the contents of the document.] | Business is the back bone of any economy. It forms an economies foundation and without business your economy would be almost no existent and nothing more than a barter system really. Life would look much like a feudal system of our ancestors. In the US we have a capitalistic economy and business is the main component of it. Business is in every corner of every sector of what we do when we go to work. Most everything you can possible think of that relates to the economy is business. Retail, services, agriculture, manufacturing, health care, even the current campaign for president all involves business. Even when civilizations were based on an agricultural type of economy, business transactions occurred. For example, in an agricultural society based solely on farming, there would be different types of farming taking place. If one farmer grew coconuts, and his neighbor had cattle, they would probably trade coconuts and milk with each other. This is just a practical business transaction to make. If they did not barter in this way, one would be forced to go without milk and the other would be forced to go without coconuts. This is just an illustration to point out that...
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...Deirdre Hornes (De-De) Vallejo, CA 94591. (707) 373-2044. dedehornes@hotmail.com Summary Executive Assistant offering an impressive record of providing support to C-Level executives (similar to a Chief of Staff). Willing to go the extra mile to deliver within budget. Strong relationship building. Able to plan and execute large meetings with ease. Key skills include: * Executive Assistant/Office Manger * Project coordination/management * Creative problem solver * Building effective relationships | * Excellent verbal and written communications * Sharepoint | Professional Experience Kaiser Permanente, Oakland, CA –2009 – 2014 Executive Administrative/Project Manager – Technology Risk Management Operations Provide assistance to Executive and team which include prioritizing and managing multiple projects simultaneously. Act as a liaison for executive and executive team which includes cross-functional team of business operations owners, system developers, compliance officers, IT network and security team on projects to develop and execute change initiatives. Leveraged in-depth understanding of end-to-end customer experience to identify pain points and latent customer needs. * Strategically manage and maintain Executive Director’s calendar. Setup meetings with other Executive Administrators to coordinate calendaring for large complex meetings. * Facilitate staff meetings by structuring agendas, taking notes and organizing...
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...Kaiser Permanente Ecosystem Born from Dr. Sydney Garfield's failing 12-bed Contractor's General Hospital in the Mojave Dessert during the height of the Great Depression, Kaiser Permanente is now one of the largest, not for profit hospital organizations in America. Through a sequence of unforeseen events and the development of the prepaid health plan system, it grew from a simple 12-bed facility in the Mojave Desert to 38 hospitals and 622 medical offices stretching from Hawaii and the Pacific Northwest to Colorado, Georgia and Washington, D.C. and its suburbs. (Press Release, 2015) World War II is the historic event that really impacted the growth of Kaiser Permanente. As the Grand Coulee Dam Project was coming to an end in 1941, America was entering World War II. This meant that ships and other steel products had to be built and would require tens of thousand of workers. Henry J. Kaiser would employ these workers but also had the obligation to provide healthcare for them and their families. Knowing Dr. Sidney Garfield from previous projects, including the Grand Coulee Dam Project, Mr. Kaiser called Dr. Garfield to implement the prepayment healthcare model that was very successful in the past. Upon calling, Mr. Kaiser discovered that Dr. Garfield was entering active duty with an Army Reserve unit and would be leaving in a few weeks. In a plea made to President Franklin Roosevelt from Henry J. Kaiser, Dr. Garfield was released from the military and begin to plan and lead...
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...Administrative Ethics Paper Patient confidentiality has become a trending topic in the Health Care industry and in the news. Many organizations have placed patient confidentiality at the top of their important “to do” lists. The United States government is really emphasizing the importance of patient privacy and they are also cracking down on facilities that are not abiding by HIPPA’s regulations. Stiff fines and penalties are being administered to organizations that are found not to be in compliance with HIPPA regulations. I’ve recently read an article about a breach in patient privacy at Kaiser Permanente. Kaiser Permanente is one of the nation’s largest not-for-profit health plans, serving approximately 9.1 million members, with headquarters in Oakland, Calif("Fast Facts About Kaiser Permanente", 2014). Issue and its impact on the population it affects most The issue that has occurred at Kaiser Permanente is that their server has been infected with a malicious malware. The breach of the organization has been going on for quite some time. The organization thinks that the server has been infected ever since October of 2011; the breach was not discovered until February of 2014. This is quite some time for a breach in security to go undetected. The breach of the “secure” server has affected over 5,000 patients. All of the patients protected health information was on the server. This breach mostly affects the 5,100 patients that had private medical information and personal information...
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...that can like the two together is electronic medical records (EMR), or personal health records (PHR). Despite the contrary, personal health records provide benefits and challenges to consumer and providers, but never the less provide a channel for both entities. One added benefit of communication through PHR, is the improvement of patient health. Through enhanced lines of communication, patients and doctors can better discuss health related issues in a constructive and productive way. For example, Kaiser’s HealthConnect, individuals can view their own personal health records and immediately respond to any concerns to their physicians electronically (Kaiser Permanente, 2012). This enables the two parties to express and relay messages in a private forum where medical issues, though limited, can be entertained. According to Kaiser (2012), “Because KP HealthConnect includes more comprehensive patient information, it helps...
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...One real world problems I have encountered would be the day my husband and I got fired from our jobs in the same week. This incident happened about two years ago when the economy was starting to go down and the recession was just a reflection on what was to come. I had just started working as a call center agent for Kaiser Permanente working the graveyard shift; this had been the first job I had taken with those hours. In order to work permanently for Kaiser Permanente there is a probation period of four months, during these four months an employee cannot call in sick without a doctor’s note, cannot be late to a shift more than twice, and cannot call in to be absent. One day I had a really bad migraine and ear ache and decided to call in sick. The next day when I went back to work I had forgotten to get a doctor’s note to take to work and my supervisor had advice me to get one the following day or my job could be in jeopardy. The week went by and I had forgotten about the note, when my probation evaluation was up that incident came up and the department supervisor decided I had to be terminated. About three days earlier my husband was also terminated from his job due to our childcare issues. Now that it happened and time has passed to reflect on what went wrong I believe a way to solve this problem in a persuasive thinking manner would have been for myself to go to work that day and speak with my supervisor and explain to him that I knew the rules of calling in sick during the...
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...Week 2-Effective Communication Paper Kaiser Permanente based in Oakland California is the largest not-for-profit health plan in the United States. They do primary, secondary and hospital care emphasizing prevention to its members. They use electronic medical records and use care pathways that provide its 8.7 million members cost effective and high quality care ("What Health Systems Can Learn from Kaiser Permanente: An Interview with Hal Wolf", 2009). Kaiser covers all of the health care needs to its members in one place which includes hospitals, laboratories and pharmacies. In this essay we will discuss the organizational model used, the communication style, both positive and negative communications and how technology could affect the organization. Kaiser Permanente is made up of 3 organizations which are Kaiser Foundations Health Plan (KFHP), Kaiser Foundation Hospitals (KFH) and the Permanente Medical Group (TPMG) ("Our Business Structure", n.d.). KFHP is a nonprofit prepaid plan that contracts with individuals and groups to receive health care. KFH is a nonprofit public corporation that owns and operates its own facilities in California, Oregon and Hawaii to provide services such as hospital stays, sponsors charitable, educational and research endeavors ("Our Business Structure", n.d.). TPMG is the group of physicians that contract strictly with Kaiser Foundation Health Plan to deliver care for the patients and members. Also with our organization is one known as...
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...Business Research Process Kaiser Permanente Kaiser Permanente (KP), a prominent and not-for-profit healthcare establishment, has received an opportunity to trial and promote a new medical equipment in which KP members can ultimately receive improved patient care services. Should the equipment trial conclude successfully, the equipment can be purchased at a reduced price. With KP facilities equipped with extensive radiology and oncology equipment, specific KP medical centers will receive a state of the art MRI machine on behalf of General Electric (GE). The new MRI machine will provide more clear and accurate images for x-rays, CAT scans, ultrasounds, and nuclear medicine tests. In addition, the machine would eliminate patients having to sit or lie in uncomfortable positions to retrieve bodily images which will increase patient satisfaction. Should KP choose to trial the equipment and attain positive results, remaining KP facilities and other healthcare competitors will pursue the purchase of the new MRI machine. However, prior to committing to a new billion dollar equipment and promotion commitment, KP must engage in research to determine if the new equipment will benefit their members along with which facility would pilot the new machine. “Good research generates dependable data that are derived by professionally conducted practices and that can be used reliably for decision making” (Cooper & Schindler, 2011). Various teams will combine efforts to extract data from...
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...Organizational Behavior Terminology and Concepts MGT-307 September 12, 2011 Farid Dalili Organizational Behavior Terminology and Concepts I will be discussing in this paper how the organizational culture, organizational behavior, diversity and communication is analyzed at Kaiser Permanente. I will define and explain how Kaiser Permanente uses the terminology and concepts in our hospital. Organizational Culture Organizational culture is the shared beliefs and values that make a difference in the behavior of organizational members. Culture plays an important role in stability and safety in an organization. Organization culture defines an organization's leadership and in order to understand its leadership, it is a must to first understand its culture. “Although it is relatively easy to conclude that what works well in one culture may not work as well in another, it is far harder to specify exactly how cultural differences affect things like motivation, job satisfaction, and ethical behavior.” (Schermerhorn, Hunt, & Osborn, 2008). The organizational culture at Kaiser Permanente has started a program called “Live Well Be Well” for their employees. This program has really made a big difference at our facility. The employees have better understanding of their health, motivated to come to work everyday and work ethics have improved as well. . Employees rely on culture for the ability to respond to any circumstances, culture becomes hard core in many organizations...
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...key issues pertaining to EMC. These issues are fast tracking the ED at EMC and the need for specialty physicians to care for patients. The average occupancy rate of the hospital is 50 percent. The emergency room was created for 16,000 visits but sees over 45,000 visits. EMC serves the medical needs of the local community, regardless of social, ethnic, or religious background. EMC’s customer base is a growing, aging, and culturally diverse population. Over half of the ED visits are by uninsured or underinsured patients. EMC was the last independent hospital in the area. Managed care was encroaching on the area, including Kaiser Permanente. Kaiser was set to make significant inroads to the EMC service area in the next 18 months. EMC expected the strong possibility to contract with or be acquired by Kaiser. An additional threat by Kaiser Permanente existed because they were planning to build a facility close to Emanuel Medical Center. With the implementation of EMTALA, hospitals were required to give access to emergency medical care for all regardless of the ability to pay. HMO’s and government programs lowered reimbursement rates to the hospital. The ED continued to remain a financial burden as well as an unsatisfactory experience for patients. The service standards are declining, morale is low, and staffing is an issue. Patients seek primary care at the ED because of little or no access to a physician and this is the most expensive form of care. Over half of EMC’s admissions...
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