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Health Care Management:
In light of the circumstances in the current health care system, health care organizations need to continue enhancing their operating performance, particularly in improving patient outcomes and satisfaction. This objective can be achieved through adopting best practices for health care organizations based on several competencies such as establishing the right kind of governance, enhancing coding compliance, focusing on patient-oriented care, and elimination unnecessary differences. An example of a best-practice health care organization is Capella Healthcare, which was recently named among the 40 fastest growing healthcare organizations based on revenue growth.
Capella Healthcare was founded in 2005 and has grown to become a national leader in the development and operation of healthcare organizations. This organization was founded by experienced healthcare professionals with the goal of offering medical, operational, and financial expertise to community healthcare facilities in order to make positive contributions to the local health environment ("About Us,"…… [Read More]
Health Care Management
There is both cohesiveness and autonomy within Samaritan Medical Center and its affiliates, which primarily include long-term care facility Samaritan Keep Home, assisted living community Samaritan Summit Village, and both Samaritan Auxiliary and Samaritan Medical Center Foundation of Northern New York, Inc. (Samaritan, 2014). Samaritan Medical Center is the principle organization in this collective and provides a variety of inpatient and outpatient health care services to both the military and the civilian communities within upstate New York. The organizational structure includes a top down approach which is led by a respective Board of Trustees for each of the preceding five organizations. Board members have specific positions including chairperson, secretary, treasurer, and others, and are responsible for governing the administration team which implements the directives and general direction denoted by the board members. The administration team for Samaritan Medical Center includes heads of all the major areas of…… [Read More]
That there is a high level of preparation, but that this level is not considered enough, is something that calls attention to how serious the problem of bioterrorism is. It can be almost impossible to deal with a situation like that because most areas of the country simply cannot marshal the resources necessary to treat the numbers of potential victims.
The question also calls attention to another issue, which is the role that government agencies play in health care. There are a lot of agencies involved, and the level of coordination that is required is intense. Government is in a unique position to bring all the different stakeholders together to address the problem, but at the same time government is complicated by all of the agencies, overlapping jurisdictions and lack of established communication channels. So this question was interesting and the research I conducted was informative.
The second question wasn't…… [Read More]
Health Care Management
The financial pressure points faced by firms in the health care business can be determined by looking at the flow of funds diagram. In this diagram, the health care organization sits in the middle, and as a result acts almost as a conduit or intermediary between different entities. Funds come into the health care organization from third party payers, and go out to suppliers and employees. There are other pressure points as well, however, wherever intermediaries exist.
One such pressure point is with the third party payers. They take in money from patients and employers, and disperse it to health care organizations and to physicians. They earn their profit on the difference between what they take in and what they pay out. This makes the third party payers a key pressure point, since not only do the people that pay them want to pay less, but the…… [Read More]
The ureau of Labor Statistics expresses that the profession of healthcare management is experiencing rapid growth, which can mainly be attributed "to the expansion and diversification of the healthcare industry"[footnoteRef:1]. Employment of health service and medical managers is expected to grow by a massive 16% between 2010 and 2018. Healthcare management is about providing direction and leadership to healthcare organizations and to the units, departments, and divisions therein, and ensuring the personal satisfaction of the men and women who dedicate their lives to serving, and wanting to make a difference in others' lives. In order to effectively achieve this, healthcare managers-to-be need to understand the succinct details around the functions, responsibilities, and roles tied to these positions. [1: 1 John Thompson, Sharon uchbinder and Nancy Shanks, "An Overview of Healthcare Management," Jones and artlett Learning, 5, http://samples.jbpub.com/9780763790868/90868_CH01_FINAL_WithoutCropMark.pdf (accessed March 3, 2014) ]
The Functions of Healthcare Management
Healthcare…… [Read More]
Healthcare Management and the Knowledge Economy
Today, the healthcare industry is undergoing myriad changes, most of these stimulated by a combination of regulatory need and technological advance. here the two intersect, the industry is under a considerable amount of transformation. This transformation has a direct impact on the roles and responsibilities of healthcare professionals and particularly on those who must demonstrate effective leadership through such change. For those serving healthcare management functions, roles are increasingly being defined by these dramatic shifts in policy, procedure, practice and other dimensions of care impacted by reform or advancement.
Therefore, perhaps the most important role that the manager will play in today's healthcare system is that as a leader in reform. Quite certainly, new legislation and the demand for better ways of meeting the challenges of a currently struggling industry will demand effective internal stewardship and commitment within the management corps to the goals…… [Read More]
This can lead to both autonomy and cooperation within the group, as no member will feel that his or her skills are not utilized to an optimal level.
It is also possible that non-constructive conflict can arise from the diversity within a group if not managed effectively. Jokes that are not meant to be so may for example be taken as offensive by certain members of the group. Other members might feel that they have skill sets that are not fully utilized. In order to mitigate such conflicts, a paradigm of continuous communication should be established among group members, with the understanding that each opinion and skill set should receive equal and due attention.
10. A food service worker could be motivated by encouraging creativity in dishes created for the establishment on a daily basis. Rewards could be offered for excellence and variety. This also relates to task identity and…… [Read More]
These revenue sources fluctuate significantly over the year, often requiring a rationing of budget for critical supplies. The clinic's budget is one that fluctuations on a quarterly basis depending on funding from the foundation donors and how quickly Medicare, Medicaid and insurance companies reimburse for treatments given. The facility has never had excess revenue and routinely operates unprofitably, continually seeking funding from the foundation to keep the staffing levels up and hire new doctors in the areas of specialization including pediatrics and orthopedics. The most challenging revenue stream is that of the insurance companies, many of which have completely different processes for approving treatment vs. paying for it. At least 50% of the office staff's time is spent going through arbitration calls with insurance companies to make sure the clinic is paid on claims. The foundation also audits the financial records quarterly and will also interview doctors who go through…… [Read More]
The first is to distinguish Methodist Healthcare in the market place; second to create an information systems strategic plan; third to create a system by which the right place, right people, right time and right focus are aligned strategically, fourth to review finances in order to ensure funding for future projects and strategies, and finally to establish Methodist Healthcare as a learning institution focused on the education of associates.
The Care Transformation Initiative was implemented to more strongly align the objective of excellent patient care with the workplace needs of physicians. It has been mentioned above that the new vision of Methodist Healthcare focused on strengthening the institution as an excellent and desirable workplace for physicians. As such, an educational strategy has been implemented, which is focused on upgrading the knowledge and skills of physicians in the health care of patients.
Other strategies that could help in the goal of…… [Read More]
A not-for-profit hospital must also provide an assessment of how they are continually upgrading their training and services departments, and show through financial analysis and reporting how the funds set aside for these areas is actually used as well (Greaney, 2006). Not only is the auditing and compliance requirements significantly different between for-profit and not-for-profit hospitals, the visibility and reporting into key technology investments to benefit a hospitals' performance is also reported as well. Of all areas of difference however the most significant is in the area of how each charges for services from a market and competitive valuation standpoint (Zaleski, Esposto, 2007). This area of pricing is what separates for-profits in terms of their ability to quickly raise prices if needed, in addition to changing pricing strategies quickly. This often results in for-profit hospitals having a very expensive financial operations and financial reporting function, with specialists on the hospital…… [Read More]
This is also an individually focused discipline, which relates to the development of critical thinking skills. The third and fourth disciplines are interpersonal, collective paradigms. The hared Vision discipline refers to a commitment within a group or organizational setting, in which a mutual purpose is developed. Team Learning focuses on group interaction, with high importance placed upon communication techniques through which collective thinking and learning are transformed. The final effect is then greater or better than the sum of the individual parts. The final discipline, ystems Thinking, revolves around an increasing understanding of interdependency and change on a larger scale than the individual organization. This can be built upon the basis of the other four disciplines. The most difficult of the disciplines for a learning organization to master is probably those based upon interpersonal learning, interaction, and common goals, such as the hared Vision and Team Learning disciplines. These require…… [Read More]
Thus, this implies that, taking into consideration the two promotes the organization in providing improved services as compared to those provided by its competitors, hence, its excellent performance and competitiveness (Qader & Omar, 2013).
Cox, K. (2009). edefining Private Practice -- Smart Ideas for a Changing Economy. Social Work Today. Vol. 9 No. 6 P. 12. etrieved on April 5, 2014 from http://www.socialworktoday.com/archive/112309p12.shtml
Elefant, C. & Black, N. (2010). Marketing Your Practice Today: How to Use Social Media to Network and Build elationships. American Bar Association. 2010 Issue | Volume 36 Number 3 | Page 40. etrieved on April 5, 2014 from http://www.americanbar.org/publications/law_practice_home/law_practice_archive/lpm_magazine_articles_v36_is3_pg40.html
Mangold, W.G., & Faulds, D.J. (2009). Social media: The new hybrid element of the promotion mix. Business Horizons, 52(4), 357 -- 365. doi:10.1016/j.bushor.2009.03.002
Qader I.K. a., & Omar, a.B. (2013). The Evolution of Experiential Marketing: Effects of Brand
Experience among the Millennial Generation. International Journal of…… [Read More]
By contrast, divisional level adaptive strategies focus more narrowly on specific market segments that relate to the market strengths, potentials, and weaknesses of individual organizational divisions (Swayne, Duncan, & Ginter, 2006). Whereas corporate level adaptive strategies concern the viability and success of the entire organization, divisional adaptive strategies concern only the business environment of individual divisions largely irrespective of the overall strategic mission of the organization. Consequently, it is possible for the adaptive needs of the organization to dictate adaptive strategies that may seem antithetical to the strengths of divisional components, such as contraction in scope despite operational success at the divisional level (Swayne, Duncan, & Ginter, 2006).
Appropriate Conditions for Corporate and Division Level Adaptive Strategies
Generally, appropriate conditions for corporate level adaptive strategies are external factors that have the potential to present significant opportunities for growth and expansion, or alternatively, those that present potential challenges that threaten the…… [Read More]
Market share implies attracting new customers and increasing the customer retention rate with excellent service (this is in line with the fact that the company proposes a premium pricing strategy, something that implies premium service for a higher price). Profit maximization implies a balanced revenue to expenses approach, particularly since the premium pricing strategy implies better quality equipment and high-paid doctors.
How do we get there?
There are several essential areas that need to be supported in order to reach the proposed objectives described in the previous paragraph. The most essential component is the medical staff. As described in the previous parts of this plan, the medical staff will include prestigious physicians, specialized in assisted reproductions, particularly endocrinologists and embryologists. They will be paid both with a high salary with benefits and with a participation in the organization's profits.
The second essential component is the state-of-the-art technology and equipment: one…… [Read More]
HEALTHCAE Management. Allocation Health Care esources From review readings week, provide a critique quality -- life surveys health care economic analysis determine allocation health care resources
Issues in health care management
The healthcare sector is one of the more important ones within the American society, but it has recently proven unable to cope with all pressures. The economic crisis and the dramatic aging of the population pose additional threats on the healthcare system and raise new questions regarding the allocation of resources. At this level, a question is being posed relative to the appropriateness of using quality of life surveys and health care economic analysis to ensure the allocation of the health care resources. In order to answer this question, four specific issues have to be addressed, as follows:
The allocation for public and private health care services
The incremental and comprehensive reform
The ethical underpinnings of resource allocation, and…… [Read More]
CM has actually planned a phased technique to significantly use of EHRs, with the meaning and use of EHRs advancing with 3 phases of significantly durable standards (Meaningful Use and Certified Electronic Health Record Technology Rules Unveiled, 2010).
Medical records are now being changed from paper into the more quickly accessed electronic medium. Due to this brand-new technological application, government rewards and invests in programs that are assisting healthcare service providers throughout the nation make the switch to electronic wellness records by setting particular standards. Personal privacy and ecurity without a doubt are important to an effective transition from paper to electronic wellness records. Clients healthcare details are now secured under legislation titled the Health Insurance Portability and Accountability Act (HIPAA). HIPPA offers clients the right to get a copy of their healthcare records upon request. It offers standards about who can or cannot see and acquire a client's healthcare…… [Read More]
I discovered the Goleman post an intriguing read. He had a lot of reality scenarios that I can personally connect to. I genuinely think our feelings play a huge component in our daily lives, specifically when it pertains to our tasks. I constantly hear, "leave your individual troubles beyond the work location; we have a company to run right here." How about a worker who simply lost a relative, how is she expected to do that? Leaders in many companies nowadays are self-absorbed and concentrate how they can turn profits. This urge to turn benefits is where the healthcare leaders today are resorting to use the internet and the services it offers. Again, it is the responsibility of the healthcare group leader to ensure that all those who work under him are aware of the importance of the internet and the fallacies that may be present on the internet…… [Read More]
Health Care Labor Force
One of the challenges that can arise as organizations become more complex is that oversight is more difficult. With more people and more divisions, there are more transactions, and more opportunity for unethical decision-making. In many cases, it will also be more difficult to identify unethical behaviors. Another challenge is that one of the main methods of preventing ethical violations is to have training, and an organizational culture, that rejects unethical behavior. People within the organization who receive training are in a position to understand when they may be involved in an ethical dilemma, and they will also have better tools for addressing such as dilemma. So in theory, it is entirely possible that there could be more ethical issues in larger, more complex organizations. Just on raw numbers, the more people are in an organization the more likelihood that there will be some sort of…… [Read More]
Sibley Memorial Hospital in Washington, DC
Sibley Memorial Hospital is a non-profit making entity; fully accredited by the Joint Commission on Accreditation of Healthcare Organizations. It is located within the Palisades area of Washington DC. The health facility is licensed by the District of Columbia Department of Health and Human Services. The facility majors in surgery services, oncology and orthopedics. The center is a sister facility to the John Hopkins Medicine starting 2010 (Washington Institute of Surgery, 2011)
Sibley hospital has its roots in the Lucy Webb Hayes National Training School for Deaconesses and Missionaries. The Missionary society was headed at first by Lucy Web Hayes. She was the wife of utherford Hayes; once the president of the United States of America. The facility has been hailed for its outstanding service to the community over the years.
Sibley is inclined to deliver high quality health service to the…… [Read More]
ight to Healthcare Management
The Act entitled the patient protection and Affordable Care Act for it to become law it had to be enacted by Senate and house if representatives of the United States. In March 2010, president Obama went ahead and signed the comprehensive health reform, the patient protection and Affordable Care Act into law. This law provides the opportunity for Americans to access preventive care more easily. This includes family planning, alongside other related services. With this law these services are now more accessible and affordable to many American citizens.
The concept behind Obamacare dates way back to 1989 where it was propose initially by politically conservative heritage so as to act as an alternative to single payer heath care (ObamaCare Facts., 2013). Obama care has many provisions that offer new patients protection when they are dealing with insurance companies.it also mandates everyone who can afford health insurance…… [Read More]
Planned change in the eldercare advocacy organization
In the coming years, many countries will experience a dramatic shift in healthcare infrastructure due to an expanding elderly population size. However, the changes may vary across countries depending on many factors such as the kind of social welfare available in each country, the political environment which determine policies, the level of healthcare available and individual expectations in each country. Due to this wide variance, the innovations within this space will also vary greatly. What this means to the healthcare manager is that managing innovations becomes very hard (Shlutz, Andre & Sjovold, 2015 p 42). This also impacts on performance management which is fast gaining popularity in the public sector as a means to improve on accountability. Unfortunately, it has been cumbered by a series of challenges in its implementation; this is in spite of the frameworks developed over the last couple of…… [Read More]
National Institute of Health Care Management Foundation
Founded in 1993 and based in Washington, D.C., the National Institute of Health Care Management Foundation (NIHCM) is a not-for-profit, non-partisan organization the works towards "improving the health of Americans by spurring workable and creating solutions to pressing health care problems" (NIHCM, 2017). The Foundation exists between the ideological space occupied by think tanks on the one side and associations on the other side. By providing evidence-based research and reports, the Foundation "sparks insights and collaboration" among health care groups, who then implement solutions to overcome obstacles in the health care industry. The Directors of the Foundation include some of the top CEOs of health insurance companies, while NIHCM's advisory board consists of academics, doctors, and former government workers.
Specific actions taken by NIHCM in the past include the sponsoring of grants for research to the amount of $2 million over the past…… [Read More]
In the recent years, trends have emerged in the healthcare management industry, which includes patient protection, social media in healthcare, and drug shortages. Patient protection has largely been influenced by laws and policies in different nations. In the United States, the enactment of the Patient Protection and Affordable Care Act (PPACA) has resulted in the lowering of overall healthcare costs, whereby millions of individuals have access to insurance, thereby guaranteeing free preventative care. Social media in healthcare has stemmed from the increased use and adoption of the technology for health-related reasons by patients as well as healthcare practitioners. Moreover, drug shortages have emerged as a challenge that hospital pharmacists encounter and manage in different measures on a daily basis. The paper explores the trends in the three aspects as they relate to the healthcare management industry. Furthermore, it focuses on drug shortages as the topmost priority.
Social Media in Healthcare…… [Read More]
Healthcare Management Issues: Complementary and Alternative Medicine (CAM)
The objective of this work is to provide a written summary on information related to Complementary and Alternative Medicine (DAM) and to answer the question that asks how CAM products and providers are regulated. This work will additionally answer the question of what impact the proliferation of CAM has had on consumer spending for health-related care and products and the question of whether there should be more widespread third-party coverage of CAM.
The National Cancer Institute reports that Complementary and Alternative Medicine (CAM) is "the term for medical products and practices that are not part of the standard medical care. Complementary medicine refers to the treatments that are used with standard treatment." (National Cancer Institute, 2011) Alternative medicine is treatments that are utilized rather than using standard type treatments. Standard treatments are such that are "based on scientific evidence from research…… [Read More]
It was especially effective when evaluated for the specific demographic segmentation the organization was targeting. Young adult males were particularly inclined to watch the commercial, thanks to the buxom, bikini-clad beauty as the star. In addition, young adult females were more likely to relate to the star of commercial, more so than if they had cast a middle-aged housewife. Although these demographics were more likely to watch the commercial, such a small portion of the commercial was devoted to the actual message, it's difficult to determine the effectiveness on whether or not these viewers would take action, such as learning more about breast cancer or conducting monthly self breast exams, or other behaviors that would help with early detection of breast cancer, to ensure the likelihood of survival.
egarding the seven Ps of marketing, the Save the Boobs campaign was more effective than originally anticipated regarding the place of the…… [Read More]
Accounting Fundamentals for ealthcare Management
This paper examines governmental and nonprofit accounting and discusses how it differs from commercial accounting. In the accounting field, there may not always be a clear distinction between the three types of organizations. The dividing line between business and nonbusiness organizations may depend on the incidence and relative importance of the nonbusiness characteristics found in an entity. The funds of such organizations are usually earmarked for specific purposes and must be used in accordance with laws, regulations, or contractual requirements.
One distinction of nonbusiness organizations is that they generally have no single indicator of performance, such as profit or net income. FASB:CS-4 provides two performance indicators for financial reporting for nonbusiness organizations:
They provide information about the nature and relationship between inflows and outflows of resources.
They provide information about service efforts and accomplishments.
FASB: CS-4 also sets forth the distinctive features of the nonbusiness…… [Read More]
Shortell & Kaluzy, Health Care Management, 6th Edition, Coordinating Organizations
Organizational culture can play a major part of mergers and alliances between two or more companies. As such, it is important to identify the factors that actually comprise an organization's culture. By isolating each of these factors, it becomes substantially easier to assess what sorts of issues, if any, might arise between a potential alliance between organizations. Additionally, an analysis of the five factors that comprise organizational culture can also indicate just how each organization may make adjustments to ameliorate any problems regarding its alliance that stem from differences in company culture. '
One of the most important factors that helps determine the type of culture an organization will have is its values. Quite simply, the ideas that people prioritize will greatly affect how a particular organization goes about pursuing its business objectives. Values are set at a couple of…… [Read More]
Healthcare Management -- Discussion Questions
Communication strategies are very important when it comes to promoting the practice of healthcare delivery and ensuring that customer service is offered at the highest level. If a person does not communicate well it can harm him or her both personally and professionally. However, that is still a rather isolated issue that is generally considered to be self-limiting in nature. With companies, and especially with healthcare companies, the issue of poor communication is much larger and more significant. As a healthcare worker, a person has to be able to communicate information to patients, families, and other healthcare workers (Nutbeam, 2000). When a person is a manager in a healthcare setting, though, there is much more pressure to make sure that everyone gets the information they need in a timely manner and that the communication preferences as addressed in such a way that each and every…… [Read More]
Healthcare Financial Management
To quote Jonathan Clark at the beginning of his article, "Improving the revenue cycle can be a daunting task due to the scope and complexity of the interdepartmental process." Of the suggestions offered by the authors, which concept(s) give you the greatest insight into creating an improved evenue Cycle process in the organization where you work (or one in which you are familiar)? Be sure to identify which article or author you are referencing.
In his comprehensive advisory article to improve the medical industry's revenue capturing capabilities, entitled Strengthening the evenue Cycle: A 4-Step Method for Optimizing Payment, Jonathan Clark provides a series of sensible solutions to the ongoing dilemma of payment optimization. David Hammer also provides guidance to healthcare finance professional in his article The Next Generation of evenue Cycle Management, by reminding them that the key performance indicators (KPIs) which dictated policy in previous years…… [Read More]
isk management in healthcare organizations includes activities that integrating the recognition of risks, assessments of risks, coming up with strategies to be used and mitigation of these risks that have been identified. The focus on this paper is how to proactively prevent risks in healthcare organizations. The area of focus in financial risk management is risks that are managed using trade financial instruments such financial management systems, appropriate EM, coding, billing, collections, general accounting, budgeting, expense management, managed care contract strategy and vendor relations processes. isks are unavoidable and are present in every human situation .T he most common concept that appears in all definitions of risks is the uncertainty of the outcomes involved in the risks. Due to the uncertainty of the nature of risks the healthcare systems should have proactive measures in place to ensure that these risks are prevented and do not take place at…… [Read More]
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.
In conclusion, this article review focused on new Healthcare Delivery Systems…… [Read More]
Healthcare management (Strategic operations plan)
Several studies, including Kelly arnes, show that healthcare generally moves from "costly settings" such as hospitals into cheaper and more flexible options, such as retail clinics and mobile health
What this actually shows as a future trend is that the global recession has played an important role in defining the customer profile. Clients are no longer interested solely in the best available services, but in low-cost services. For this, they look at flexible options and, in the same context of flexibility, they look more and more towards customization. Customization includes customized treatments and customized location (home, hospital, clinics, mobile)
At the same time, the demand for innovation remains key. The Harvard usiness Review points to the demand for innovation in emerging markets, such as China and India, but this is also true, to a different degree, for the U.S. market
. Innovation can take different…… [Read More]
The reason why, is because this is a sign that the quality of care that is being provided in declining. What normally happens is staff members, will often become frustrated with: health care environments that are inefficient and where management has an attitude of indifference. This is problematic, because it can spread through the organization like cancer by: eating away at the fundamentals that made the facility great.
Once this occurs, it will have an impact on: the costs, efficiency and profitability of the hospital. This is the point that this could undermine the reputation of facility and it could have an impact on the brand. When this takes place, it is a sign that many hospitals are falling into a downward spiral of: declining quality of care and increasing costs. At which point, it only becomes a matter of time until: some kind of major restructuring must occur or…… [Read More]
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences…… [Read More]
ecause unions retain the exclusive right to negotiate on behalf of its members, the individual worker may have little recourse to easily address incompetent leadership.
The Disadvantages of Unionized Labor for Healthcare Employers:
The primary disadvantages of unionized labor for healthcare employers correspond to the relative loss of control over issues and workplace elements commonly transferred to workers (through their unions), which accounts for the traditional resistance with which many employers responded to unionization attempts. On the one hand, unionized workforces are able to secure better pay and benefits from employers than would have been available to workers without union representation; likewise, employers must cede control over many aspects of operational and personnel decisions traditionally within administrative control.
On the other hand, particularly in light of the beneficial effect that unionized nursing has had on the quality of patient care and reduction in patient mortality, it is difficult to conceive…… [Read More]
arity: Health Care EIT is one of many luxury and acute care investment properties on the market.
Imatability: Given the lack of available credit for starting new property ventures and construction, the company's current facilities do give it an advantage. Financial barriers to industry entry are higher than they were in the past. This can act as a barrier to 'imatiblity' of its business model.
Organization: Health Care EIT has a fairly concentrated organizational structure. While this can be an advantage in terms of assuring consistency of service, it can also result in narrowness of vision, such as (perhaps) a tendency to focus too much on high-end offerings, when seniors may have less financial leverage than in the past.
Sources, rarity, and imatability of cost advantages
Economies of scale may be possible, given the size of Healthcare EIT. Unlike some of its competitors, the company was an early, first mover…… [Read More]
Health care reform has the objective of getting more people insured, and leveraging government bargaining power to lower the cost of health care. Our organization needs to be ready for this. We have the baby boomers joining Medicare, and Medicare is seeking to lower health care costs; so are private insurers. As an organization, we need to bring our costs down in order to remain profitable. This need not be hard -- every other country in the world does it. In this context, streamlining operations, eliminating waste, bargaining with suppliers and finding ways to streamline services to increase customer turnover are all measures that I would undertake in order to ready the organization for the full implementation of health care reform. Eliminating waste is a critical component of maintaining profitability within the health care system (Berwick & Hackbarth, 2012).
Something I would do differently with respect to health care planning…… [Read More]
Changes to Healthcare Practice and Delivery: A Study of Two Detroit, MI Healthcare Facilities Separated by Twenty Years
Changes to technology and to the political and regulatory landscape have led to many changes in the ways that businesses in all manner of industries operate. Increased communications capabilities, the shrinking size and cost for advanced technologies, and a variety of other changes have provided many businesses with an opportunity to operate more efficiently, and in so doing have also made many industries and markets more competitive. An examination of some typical businesses operating in these industries today as compared to their counterparts that were in operation twenty years ago provides ample evidence of the changes that have occurred and the ways in which businesses have adapted.
The healthcare industry has by no means been immune from these changes, but in fact has changed more than many other industries due…… [Read More]
Universal healthcare is the only saving formula for this nation, which is doomed in a health care crisis of unprecedented proportions. There is a urgent need to transform healthcare from its present state of commercialism towards the humanitarian approach which guarantees 'healthcare for all' independent of their social or financial circumstances. A shared and collective responsibility of healthcare management is the only viable formula for America. It is high time we learn from Canada, UK and other European nations and restructure the current broken state of our healthcare. The successful passing of the USNHC act (H.R. 676) is the only way for America to wake up from its healthcare nightmare. Will the powerful insurance industry hold its ground yet again and resist this awakening leaving all the citizens doomed? This is an important question for all the citizens of our country.
1) Science Daily, 'American Values lamed for U.S.…… [Read More]
The relationship between the doctor and a possible patient is established when the physician asks the person for the first time as how he could be of possible help. This direct and simple enquiry is the beginning of the trust of the patient that has to be put in the physician for any treatment to proceed. The patient is in need of help at that time, and has to trust the professional for getting the help and the patients want to do it. They need a person to take care of them during their period of suffering from illness. This relationship between the patient and the physician in the financial sphere also involves the same amount of reliance, confidence and trust, as otherwise, not treatment can be undertaken. This makes it essential that the physicians clearly mention to the patients when there is any conflict of interest in…… [Read More]
Health Care Strategic Management
Data is very important for all companies as having a poor quality of data involves costs of many dollars to American companies. According to studies done in the U.S. The total value of the cost of wrong data to the companies is more than $600 billion and that was in 2002. The amount is certainly large and will also increase as the quantity of business increases, and that results in larger quantities of data being produced. Yet, the value as in money terms is not the only problem that is faced by companies every day due to data, and that is even truer for healthcare companies. Healthcare companies cannot function properly when they do not have the data properly stored. Thus it is important for these companies to make sure that their data is correct and maintained correctly. This also involves the understanding of the problems…… [Read More]
One instance where the doctor had influenced governance in the community hospital's organization plan was when the hospital had been unable to accommodate the increasing number of patients. Because most of the health care staffs in the hospital are similarly providing their medical service in other hospitals, as with the doctor, there was not enough time for the organization to plan to work on the improvement of the management planning. But, for our doctor interviewee who has a commitment in the delivery of good health care service, he volunteered to organize the management planning and improvement of the organization's structure. However, the doctor did not just individually govern the management planning. Instead, he promoted shared governance within the organization wherein everyone was able to contribute in the improvement of the framework and structure of the community hospital. A body of model employees and staffs were formed to exercise the authority…… [Read More]
Allocating Healthcare esources
Allocation of Healthcare esources
It may seem that the resources that a healthcare organization has at its disposal is contained in a very small list, but for proper allocation of total resources every possible thing has to be considered. esources refers not only to the money that a business has on hand, but the people, buildings, land, recruitment of people, retention and finances. An organization is the sum of all of its parts and must operate within the framework of those resources. How those resources are allocated is an important function of the control of the organization also. This essay will discuss the resource acquisition and allocation processes in a healthcare organization with specific emphasis regarding those processes in allocating financial, operating, capital, human, recruitment, and retention resources.
esource Acquisition and Allocation
In one aspect a healthcare organization is no different from any other organization…… [Read More]
The proposed work group should have intimate knowledge of the issue and the different human resources policies impacted by the problem. This issue is connected to a variety of workplace departments, including human resource policies (in terms of employee expectations and quality of life); IT policies (how the Internet is managed and system security); and legal issues (employee rights). epresentatives from all of these different departments should be present on the team. Ideally, their personalities should also work well together.
Although the work team is made up of diverse components, it should also have a clear sense of its mission and goals. Defining that central mission is an essential part of the first steps of "forming" a team. The team should also have a strict deadline to ensure that it meets its objectives with minimal waste of time and energy and understand the connections between their areas of…… [Read More]
Strategic Healthcare Management
How is the strategic planning process for a healthcare organization different from that of other service industries?
It is often said that there is no good time to become ill -- however, from the health care provider's point-of-view, an unplanned rise in community ailments is an unfortunate unplanned excess cost to the organization as well as an unfortunate blow to a number of individual's states of health. This is why strategic planning of health care costs for organizations must evaluate the appropriateness, necessity, and quality of the prescribed services on a retrospective basis, as well as on a prospective or concurrent basis. ((ProPAC, 1996)
In contrast to other service industries, it can be more difficult for healthcare organizations to plan for seasonal rises and lows in demands placed upon the institutions and its works. True, flu and allergy season brings certain predictable demands for flu shots and…… [Read More]
The different issues that are affecting the facility are: directly tied to a lack of leadership inside the organization. This is problematic, because the staff members will often look to upper management and supervisors to determine how they should be interacting with patients. When they see that managers do not care, they will exhibit similar kinds of views as part of their job. This is the point that efficiency will decline and costs will increase. Once this occurs, it means that it is only a matter of time until this will lead to an erosion in the profit margins of the organization.
Evidence of this can be seen by looking at the different challenges that have been reported at California Hospital Medical Center to include: high employee turnover, a lack of follow up and poor customer service. These three factors are indications that the there is lack of…… [Read More]
healthcare administration and governance is medical staff credentialing and "delineation of privileges." As a senior manager, you will be directly involved in making sure that physicians practicing in your organization are qualified for the services they offer and procedures they perform. You must protect patients' safety as highest priority in this regard. hat steps will you take in the process of physician credentialing and delineation of privileges for your hospital or clinic?
The delineation of privileges may be one of the most important aspects to healthcare management. If the professionals that are tasked with treating patients are not properly trained or qualified then it is likely that patient care will suffer. Therefore, credentials for the delineation of privileges must be designed individually based on the particular roles of the employees in the organization. They should also follow best practices and national standards. Each position in the hospital should be designed…… [Read More]
Americans healthcare delivery in the United States has been via a market driven system, 1 usually through purchase of health insurance, participation in HOs or other types of collective agencies. For those who qualify enrollment in edicare and edicaid programs will cover or defray costs of healthcare.2 For a growing number of people in the U.S. medical care costs are not covered by insurance or government programs, for them out of pocket and indigent services are their only options.3 This paper will look at the how financing healthcare affects both costs and use of healthcare services.
Private Health insurance.
Private health insurance in the United States developed around the 1930's during the Depression4 and grew during the economic expansion of the post-WWII years. "Under most private insurance and Blue Cross -- Blue Shield plans, fee-for-service, with physicians determining the economic value of their own services, became the established method of…… [Read More]
With the ever-changing health care sector, reimbursement has increasingly been tied to care quality and health care outcomes. The Centers for Medicare and Medicaid Services (CMS) have particularly been changing the way hospitals are reimbursed, with hospitals that deliver high quality care and report better health outcomes getting higher reimbursements than those that perform poorly. This has led to increasing prominence of the pay-for-performance approach. Under this approach, hospitals that report greater patient satisfaction, reduced error rates, lower readmission rates, and higher recovery rates for chronic illness get higher reimbursements than their poorly-performing counterparts. The implication is that health care organizations must pay greater attention to performance, especially in terms of quality, safety, and individual performance. Measurement and models used in the commercial world for these three aspects are considerably relevant to the health care sector. This paper discusses the usefulness of the total quality management (TQM) model, the Organization…… [Read More]
A Model Healthcare Delivery System
The healthcare delivery system also referred to in short as the HCDS is the most effective system that works for most healthcare organizations in all countries with fair, effective and efficient distribution of resources. It is a fast growing service that demands attention from various quarters and domains. At the optimal level, the service program presents relief and hope to the individual, and the general population. The system offers a balanced quality care service through efficiency and fairness. HCDS varies across the world but its focus is constantly on enhancing healthcare access, quality of service and coverage. The success of the program is dependent on the availability of certain basic resources (Kumar & Bano, 2017, p. 1).
HCDS is how the society has responded to the health determinants. The idea of a healthcare system contemplates involving the people that are likely to be served…… [Read More]
This work will first provide a synopsis of a more detailed review of literature developing the case of transformational leadership model in healthcare, exploring some of the claims of the model as it is observed in practice. (Edmonstone & Western, 2002) the work will then provide a qualitative review of 50 healthcare professionals, from leadership to trade. Ultimately the work will attempt to focus on a single hospital organization setting and review all departments, through a questionnaire regarding the leadership model (based on characteristics of the TrLM) and attempt to determine first if the literature is accurate in its assessment of TrLM being the most common and i.e. popular model in health care and then determine if this leadership model is reflective of better health outcomes for the community served than were provided prior to implementation of the TrLM. Lastly I will determine if some of the…… [Read More]
As David Logan mentions in the 2009 TED talk called “Tribal Leadership,” most people are in what he called Level Three Tribes: functioning at a high level of personal and professional performance but lacking the broader visions that can unite people and change the world. Reflecting on Logan’s message, I have become more aware of the ways I remain stuck at either Level Two or Level Three throughout my life but am passionate about moving up and into Level Four and hopefully, Level Five. The tribes I belong to are many, including more than one at the professional level. For example, I am a member of several different professional organizations, am a team leader in a healthcare institution as well as in class, and am also a member of an extended group of healthcare workers and patient advocates in the community. In my personal life, I am also a member…… [Read More]
1. Nursing Theorist Overview
Theory guides nursing practice and provides a framework for nurse leadership and healthcare management (McKenna, Pajnikar & Murphy, 2014). All prominent nursing theorists like the individuals covered in the multimedia presentation have influenced nursing practice in some way or another, and all do resonate with me on a personal and professional level. I will incorporate elements of all theorists into my practice in terms of interpersonal communications and attitudes towards health and healing. Of the theorists covered in the presentation, those of Florence Nightingale resonate the most because of her inclusion of environmental factors implicated in patient care. Environmental factors like lighting or ventilation can have a profound impact on perceptions of quality of care, too, which has a strong bearing on the efficacy of the healthcare institution (Sabza & Pirani, 2016). The environmental factors that Nightingale identified as being important to patient care also have…… [Read More]
The Greatest Challenge to US Healthcare
The role is played by the government
The role played by the government in healthcare is a divisive issue. Many healthcare organizations executives do support the idea of extending healthcare coverage to the uninsured, however, who this is implemented is the cause of concern. There are numerous changes that are taking place in the healthcare industry and the government needs to catch up quickly. Policy development is the role of government and there is a need to ensure that there are timely and applicable policies in place to govern the provision of healthcare services to the masses. As it stands, healthcare is moving from fee-for-service to value outcomes and there should be policies in place to support this advanced move. Providers have been moving towards value-driven care and the government policies should be able to mirror this movement. While not all providers will be…… [Read More]
Healthcare: Clinical Integration
What is clinical integration
History of clinical integration
Goals of clinical integration
Importance of clinical integration
New payment models
Barriers to clinical integration
Lack of practitioner alignment
Lack of interoperability
How to achieve success in clinical integration
The future of health care systems
Physician acquisitions vs. clinical integration
HIEs -- solution to clinical integration?
Policy makers are beginning to appreciate the fact that only systemic change can effectively change, for the better, the manner of health care delivery in the U.S.; and that anything less would only alter the system's edges - with little or no substantial effect on cost-control, innovation-promotion, effectiveness of reward incentive schemes, coordination and coverage (AHA, 2010). Clinical integration has been found to be crucial to the change needed for the achievement of the aforementioned goals (AHA, 2010). Despite…… [Read More]
Shirley Carpenter is the President and CEO of Westmount Nursing Homes, and she has a meeting with the board. She has been implementing TQM at the company for several months. In her tenure, the revenue and net income have increased significantly at Westmount but the margins have decreased. There is presently an impasse in a negotiation with the union, which appears to be the subject of the meeting. Prior negotiations with the union have not gone well either. Shirley needs two strategies at this point -- one to deal with the board and one to deal with the union. It is recommended that Shirley resolve ongoing acrimony between the board and the union by focusing on strategic HRM and productivity -- fewer workers of higher quality making more money, but delivering greater productivity.
There are a few main actors in the case. Shirley was brought in…… [Read More]
Did America justly fulfill its manifest destiny? Explain your opinion.
America did fulfill its destiny. This occurred with the country uniting as one nation embracing these ideas of personal freedom and equality. While at the same time, it went from a series of small backward colonies to becoming a world power. These objectives were realized over the course of American history. (Kennedy, 2012)
The biggest reasons for the westward expansion were based upon the desire to obtain land and have access to various natural resources (i.e. gold, silver, coal and oil). This was a part of America's expansion into becoming a new nation that embraced the ideas of personal freedom. A classic example of this peaceful expansion occurred with the purchase of Alaska from ussia in 1867. To this day, it is continuing to contribute economically and militarily. (Kennedy, 2012)
However, the westward expansion often involved the use…… [Read More]
Management & Leadership in Health Care
Characteristics Which Distinguish "Leadership" From "Management
The main difference that exists between leaders and managers is that leaders have individuals who follow them, whereas managers have individuals who work for them. Getting individuals to understand and believe in your ideas in addition to working with you in order to achieve your goals is leadership, while managing is more of heading and ensuring daily activities run as usual (go2 Tourism H Society, 2015).
Management and leadership are both vital for good health care delivery services. While the two are alike in some aspects, they incorporate different behaviors, skills and outlook. Good managers should do their best to be better leaders, and good leaders require management techniques to be efficient. So as to realize a vision, leaders will have a vision of what is attainable and then communicate it with others and develop strategies to achieve…… [Read More]
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).
Identify the milestone you chose in the history of quality improvement in…… [Read More]
Health Care -- Lean Philosophy on Cost Reduction and Quality Improvement
Lean Philosophy is initially traced back to Henry Ford's innovative assembly line, revolutionizing manufacturing while failing to provide true variety. Building on Ford's concepts Toyota management established a Lean Philosophy in the 1930's and 1940's that focused on production flow and waste elimination, resulting in rapid, low cost and high quality processes, along with simpler and more accurate management. These concepts were further elucidated by authors including James omack, who established the Lean Enterprise Institute in 1997.
The essential elements of Lean Philosophy are 5 principles including: defining the value sought by the customer; specifying the value stream of the product satisfying that value while challenging wasted steps; making a continuous flow of product through refined steps; creating "pull" (essentially meaning "customer demand/expectation") from step-to-step for continuous flow wherever possible; continually improve and refine the process to cut the…… [Read More]