A detailed organizational chart for your new facility
Each and every department of the hospital is responsible for performing certain type of assigned tasks but still departments are grouped together according to the similarity of tasks. Grouping of the departments also aim to provide health care facility with more efficiency. For this hospital the following are the organizational policies:
Services related to administration; which includes business people who are involved in the running of the business.
Informational services; which includes documentation and processing of information.
Therapeutic service; under which treatment is provided to the customers.
Diagnostic Services; these are the services under which the illness is identified.
Support services; these can also be referred as environmental services, which provide support to the entire hospital.
A mission, vision, and values statement for the new entity
The aim of this Healthcare facility is to provide their people with first class healthcare services, along with research and education. The hospital puts in great effort to protect the health of their community. The people on whom more focus is given include those who belong to rural, remote, metropolitan and indigenous areas.
The strategic plan of this hospital is broadly prepared on the basis of U.S. Government Health System. The success of strategic plan relies to a great extent on strong partnerships. These partnerships are based on collaboration and consultation with all people who are working in the hospital.
The main aim of the hospital is to meet its targets and these targets can only be achieved by taking strong measures. Strong measures need to be taken by the greatest assets of the hospital which are the staff members and the volunteers.
The hospital receives its award by providing best services to its patients and then getting thanks from all the patients. The demanding services along with the funding pressure makes the entire job quite tough, but still the hospital people work with determination to meet their target.
Success can be achieved by working together in light of a unique vision.
This Healthcare facility is committed to distinction in health care
This Healthcare facility is a highly specialised hospital:
Emergency and elective services are offered to the local community
Ensures that proper health care services are provided to the community of inner city health district.
Communities which live in remote and rural areas receive special health care services.
On behalf of Community, the hospital advocates for better health.
The patients coming to the hospital are mostly the people of local community; predominantly people are from the Inner City and from areas of South Metropolitan Health Service. The people coming to the hospital mostly belong linguistically and culturally to diverse backgrounds.
For the achievement of the vision the hospital need to work according to the requirements of the customers and in collaboration with the staff members so that the targets are achieved with excellence.
The motto Servio of this Healthcare facility was initiated before its inception, and it aimed to encourage the pride of the nursing staff. To this day, Servio symbolises the pride of the staff members working in the hospital. The following values are represented by the Servio:
Service: With complete care health care needs are fulfilled of the people of Western Australia.
Excellence: Consistent performance at high standards.
Respect: Respecting the patients, their careers, their families as well as the staff members who are working together in collaboration.
Valuing our staff: The staff members and the volunteers are appreciated at all times and are asked to behave with integrity.
Organizational Learning: In all aspects of the work, a continuous learning approach is promoted.
Procedures that govern the hospital-physician and physician-patient relationship including negligence and liability issues
Health Care reforms encourage the hospitals to work on cost control, maintain good relationship between the physician and the patient and deliver high quality health care. There is no standard according to which doctor and patient relationship is managed, this is because there are varieties of ways in which delivery can be made. Many hospitals are following aligned strategies with other doctors; this secures referrals, and enables negotiation of better rates and brings an increase in the market share. These days, hospitals are competing a lot with each other, especially in large multi-speciality physician practices and surgery centres. Physicians are aware of their negotiating power that is why they are keen to develop strong relations with other hospitals.
A variety of services can be provided if there is a co-management service agreement established between the physician group and the health system. Examples of services include, strategic planning, staffing, scheduling, human resource activities, and director services.
Such arrangements can be simple ones, or could be in a form of directorship, or complex enough under which entire profits responsibility lies on the physician group. One should be aware of the legalities while working on co-management services, because if the arrangement is not up to the standard then legal issues may arise. Co- management service agreements are made under regulatory guidance which is provided by federal physician self-referral law, this law is also known as the Stark Law, the civil monetary penalty statute (CMP Statute), the Anti-Kickback Statute (AKS), the False Claims Act, an entity's tax-exempt status and Medicare's provider-based requirements. An antitrust risks lies in such agreements which completely depend on the topics that are covered in the agreement.
Direct Hospital Employment Model
In this healthcare facility, Physicians will be appointed directly by the hospital's administrative departments. In fact, it is the most easy and convenient model that can be adopted, if the state regulative authorities allow. Since the local state laws allow such a model, therefore this facility will adopt and use the Direct Hospital Employment Model.
Furthermore, the local laws even allow physicians to be appointed even if the physician is practicing privately. Therefore, this hospital can buy his practice as an extension to his employment service. Direct employment allows greater integration needed to maintain consistent and reliable medical practice, assessing the performance of these practices, developing HIT (Health Information Technology) solutions, creating P4P bond between payer and contractor, smoothing the recruitment of physicians and retaining them. Moreover, the payment regarding the office expenses and supplementary services are recorded as provider based instead of a free standing one that allows greater chances of reimbursement of the paid amount.
Some of the legal limitations regarding the attitude of physicians towards their patients are applied through the laws put forth by judges or the legislative laws. In this section of brief, few common reasons behind civil actions, are highlighted, that are against the physicians. If we move forward with in this discussion, we come to notice several overlaps in the definition of physician's liability towards the patients, as per civil and common laws.
Injury is defined as any action that is meant to cause harm to a person (patient) and that too for unjustifiable reason by another person (physician). In the eyes of local courts, what matters most is whether the physician has breached the law of maintaining the responsibility of care or not. If he has done so through any sort of carelessness or neglect, he is liable for his actions. Following are the some questions that may be asked on behalf of court to the defendant to examine the liability of such negligence.
If the plaintiff was under the supervision of the defendant?
If defendant's action has breached the responsibility?
If such breach has caused any injury to the plaintiff?
Whether the breach by the dependant and injury to the plaintiff has any sort of causal connection between them?
Breach of Fiduciary Duty
One unique type of legal relationships is Fiduciary relationships. In this relationship, one individual has an authority over the other regarding his interests including financial, medical and legal ones. The court uses two questions to determine whether the there is any liability for a defendant towards his plaintiff in the event of breach of fiduciary duty. The hospital will therefore ask these questions as well to determine the validity of the breach. These questions include;
1. Whether the connection between the dependant and plaintiff a fiduciary one?
2. Whether the defendant has actually breached his duty?
According to local laws, physicians are bound by 2 types of obligations. First one is towards their patients regarding their due care. These obligations are further explained and discussed in the upcoming sections. Moreover, they are also indebted towards the state. They need to work towards the progress of public health along with the support of governance. At few occasions, the obligations towards patients and public are in the state of conflict and even try to outclass each other. The obligations of physicians towards public/state are explained in charter of public health statuses (215). An equilibrium state needs to be maintained by this healthcare facility while securing state interest and individual rights.