Organizational Responsibility & Current Health Care Issues HCS - 545 11/19/2012 Organizational Responsibility & Current Health Care Issues In today's modern world with plenty of technology, it is hard to believe that we cannot figure out how to reduce Medical errors. The issue of medical error is not new in health care organizations. It has been in spot light since 1990's, when government did research on sudden increase in number of death in the hospitals. According to Lester, H., & Tritter, J. (2001), "Medical error is an actual or potential serious lapse in the standard of care provided to a patient, or harm caused to a patient through the performance of a health service or health care professional." Medical errors …show more content…
The Organizational culture and structure can have real big impact on the quality of care either negatively or positively. If the organizational culture is poor then it is really hard to provide best health care that can work effectively. Poor organizational culture creates poor work condition at the facilities for workers, which leads to lots of stress and low quality of patient care. A many medical errors caused by employees, who were under lots of stress and workload (Imhof & Kaskie, 2008). The organizational structure is as important as culture for health organizational to provide best care to patients. According to Glickman, Baggett, Krubert, Peterson, and Schulman, (2008) "Organizational design is a formal, guided process for integrating the people, information, and technology of an organization, and serves as a key structural element that allows corporations to maximize value by matching their corporate design to overall strategy." It is really hard for large organizations to provide high quality of care when the organization structure is not set properly. Most large health organization have their work divided into small tasks and each employee is responsible for his or her duties. As I have discussed earlier communication is major problem in health organization that leads to many medical errors. Without clear communication between
Management is important in any environment, but especially so in the healthcare field. As the health care system continues to evolve, sound management is critical to the survival of health care institutions (Johnson, 2005). The management team in a healthcare environment must always aim to improve the efficiency of the day to day activities and constantly plan for ways to improve the productivity and efficiency. Every manager’s main duty is to succeed in helping the organization achieve high performance while utilizing all of the organization’s human and material resources. On a daily basis health care managers must recognize performance problems and
Organizational effectiveness depends upon the internal components of a business. For a hospital or a health care organization the internal components are the nurses and healthcare workers within the hospital. Business rely on their employees to make the business successful. For a healthcare organization of any kind to be successful their nurses must have and maintain critical thinking skills. Critical thinking skills often evolve over time with past experiences. This is why there must be a nice blend of new and old employees within a unit to make the organization effective and to keep the patients safe.
Organizational culture in the health care organizations has gained increased consideration as an important factor that influences the quality of health care (Brazil et al., 2010). Currently, at Cooper Hospital, hierarchal culture is present. Rules and regulations emphasize stability and management is recognized for supporting order. While this has been successful thus far, it is important for this organization to begin to support the organizational culture of development. This will help promote the changes that are needed to support the issue of patient throughput by promoting innovation and risk
It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).
The way we practice healthcare and healthcare organizations are changing due to the pressure to reduce costs, improve the quality of care and to meet rigorous guidelines. This change has forced health care professionals to examine we evaluate our overall performance. Paradise Hospital, Inc. has not had any service improvements since 1995. A physician named Avedis Donabedian (2005) proposed a model for assessing health care quality based on structures, processes, and outcomes. He defined structure as the environment in which health care is provided. This is known as the organizational characteristics such as the measurement of staffing ratios and the number of hospital beds. The process is described as the method by which health care is provided. This represents the communication and interaction seen between doctor and patient. The necessity for the tests and procedures performed. The outcome is defined as the consequence of the health care provided, was there a desirable or undesirable effect.
Well, “ObamaCare, officially called the Patient Protection and Affordable Care Act, is a health care reform law signed in 2010 by President Barack Obama”(ObamaCareFacts.com). This form of insurance was developed by President Obama and his colleagues to enhance the quality of health insurance for the general population while making it affordable as well. The main focus of ObamaCare is to try to prevent those who are sick and not very wealthy from getting dropped by their insurance providers. It will also fight the problem of discrimination of age and other personal attributes like sex of an individual. This will change the health
340). The current culture can be described as a normative, process culture in that employees follow regulations and policies when completing their work. The organization is transparent with their communication, hence employees respect them. However, the workface feels like they are running to lean and only care about the bottom dollar hence turnover is high. There is great coordination of care between all departments except for the marketing department. There is a disconnection secondary to the clinical staff feeling that marketing only brings in patients to meet their quotas instead of patient that truly need services. Moreover, marketing is the only department that is bonus eligible. As a result, the folklore is that the organization only cares about the bottom-line and not the employees. Additionally, the only reason patients come to this hospital is because the employees “kill them with kindness”. Superior Hospitals needs a cultural change. It needs to more towards an academic and normative culture as employees are highly skilled and need further training and education in order to be successful. The research notes that this type of culture pays particular attention on who they hire, their current skill sets and their motivation to learn and grow, so that turn-over rates remain low and the employees are fulfilled in their roles (Sponaugle, 2014). Moreover,
I think industry leaders have finally begun to realize that complex problems such as medication errors for example, cannot be remedied without the help of those involved in preparing, distributing, and administering medications. Like Swiss cheese these very complex processes often include wholes or potential areas of risk throughout various levels of each process, but when multiple risks converge it can create an opportunity for an adverse event (Mansour, James, Edgley, 2012). If an organization only examines the problem by focusing on one of these specific areas it may impede their perspective (Porter O’Grady & Malloch, 2015, p.23). For example, an organization who places blame on a provider for making a medication error may overlook the fact the the pharmacy labels are difficult to read, medications delivered to the ward are not appropriately verified, or medication are erroneously stored. As organizations move to a more decentralized structure they are beginning to see the value that individual roles have on the big picture. Organization’s that support an environment of non-punitive reporting as well as encourage interprofessional collaboration
The Great Depression causes a shift in priorities. During this unfortunate time period, there is a greater focus on unemployment insurance and “old age” benefits”. In addition, the Social Security Act is passed, excluding health insurance. President Truman offers a national healthcare plan, which involves a single system that would include all of the American people. Unfortunately, the American Medical Association calls Truman’s proposal a “ communist plot”. National Healthcare outlays are 4.5 of the Gross National Product. America will have a private insurance for those who can afford it and welfare services for the needy. In addition, there is a federal responsibility established for the poor who are sick. The American Medicine Association
The hospital system where I work understands the impact of having a lack of quality
Health care organization is an aggressive complex system which describes the functions and characteristic features of health care service providers and explains the knowledge and concepts health care management in detail and takes preventive measures to reduce uncertainty and enhance to develop several health care services to the individuals to maintain and regulate the integrity and effectiveness of the health care organization and professionals (Wilson, 1980). This report describes the governance views, objectives, strength and weaknesses in health care system, management in health
Healthcare providers are being pressured to improve clinical quality at lower prices and achieved the higher standards of care. Healthcare organizations are challenged to maintain high performance services. The essential structural elements to have high performance organizations are management, leadership, human capital and group
There is a sudden increase in expenditure on healthcare in the world today. The development is partly associated with demographic changes, high demand for healthcare services, complexity in patient dynamics, as well as increasing prices of medicine. Overtime, the knowledge of medical personnel has been adequate to address all the quality aspects of the services rendered to patients. Nonetheless, the healthcare system today demands for complex organizational and supportive procedures to allow for adequate service delivery. Such complex requirement cannot be achieved if the healthcare organizations do not have the relevant attitudes and behavior change which has become inevitably important over the years. The priority areas in this respect
Patient advocacy is a sensitive issue because of the various dynamics that revolve around it. There are emotional, psychological, medical and interpersonal reasons to have or not have patient advocacy as part of health care systems. The multitude of issues facing the US health care system includes financing, literacy, chronic diseases, safety, staff and technology. There is need for patient advocacy in the health care system in the form of involving patients and their families, health care professionals, health care administrators, planners and policymakers, third-party payers, and government agencies in the processes (Johnson et al., 2008, p. v).
There is an alignment between the corporate strategy and its leadership, structure, systems, and culture. This can be seen by leadership by the policies and practices that they exemplify. The management goes above and beyond to ensure that patient care is at the highest level. This can be seen on the hospital units where the nurse manager of each shift goes into every room, introduces themselves, and asks the patient if there are any issues or if they need anything. The structure of the corporation is built around patient care. Everything in the hospital is designed to provide the best patient care.