...a look at how nurses should change their practice and role in healthcare. The new legislative reforms in the nation are being phased in over the coming years. This reform will expand the scope of the nursing profession and practice. This reform states that: “A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health (IOM-2010) .“ The Institute of Medicine (IOM) developed four key messages that form the origin for the analysis and endorsements presented. The first three are referring to the nursing role, and these are in summary: 1). Nurses should practice to the entire extent of their training and education. 2). Nurses should strive for higher levels of education and training, through a quicker more user friendly educational system that promotes seamless progression from one degree to another higher degree. 3). Nurses should be considered equal colleagues with physicians and other health care professionals, when remodeling health care in the United States. What is the impact on nursing practice, in primary care? What is the IOM’s visualization in the future of the practicing nurse? The IOM’S research has determined the healthcare industry is not utilizing the nurses’ capabilities, and nurses are not...
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...A Case Against Universal Health Care Melody Hicks MHA-620 Health Policy Analyses Dr. Martha Plant February 23, 2015 Change within the healthcare industry is occurring at an exponential rate. Although change is not new to healthcare, the underlying reasons for change are diverse compared to other industries. Consumer perception that healthcare is a right has inspired regulatory changes that affect both access and quality of care, adding to the already escalating costs. The entry of investor-owned companies into the acute-care markets in the late 1960s has created a challenging and changing healthcare environment, which threatens the survival of those unable to adjust to the trends of the industry (Johnson, 2009). Other factors contributing to unpredictable changes in the healthcare industry include the exclusive expertise of the providers, the physician/hospital relationship and related referral patterns, the absence of a traditional competitive market, and the fragmentation of the industry. The concept of change is far too broad to justify any one definition. Extenuating circumstances and unpredictable shifts within the healthcare industry require a strategic management model that addresses both change and changing. Visionary leaders must be alert to external change and have the organization prepared to respond by changing internally. Consequently, everyone in the organization plays a role in change management. Among the many definitions of change reported...
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...Introduction In healthcare, changes are made each day to respond to errors or improvements throughout the industry. The aspect of healthcare principles and practices revolves around these changes within an organization. In order to accommodate change, healthcare organizations should develop a departmental plan that covers many unanticipated concerns. Departmental plans may cover items such as addressing change, utilizing control mechanisms, effective communication strategies, and more. Planning may occur from many different levels to include ideas driven by employees to decisions made by the government. Planners, often time managers, facilitate change and assists staff members in coming to terms with new business practices. It is important that staff members understand the principles and practices of healthcare because change is inevitable. Additionally, although departmental plans may be developed, there is always a chance for inaccurate predictions or bad recommendations. Instead of managers creating a departmental plan from scratch, it would be wise to follow successful practices already instated in different organizations. Committees and Compliance Groups Committees are a valuable part of a healthcare organization because it assist managers minimize conflict amongst staff members (Liebler, & McConnell, p. 295-296, 2012). They discuss discrepancies and implement changes Create Employee Incentive/Retention Programs Committee and Compliance Groups are one of the...
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...Teresa Luna University of Phoenix February 21, 2011 Instructor: James Morello Accountability is honestly one of the most important aspects to the healthcare industry. It is one of those factors that one would expect to be a necessary part of an organization not only because it is expected but because it is a necessary evil. Employees need to be accountable for their actions in one way or another. An organization cannot function properly without this feature. It has become a new fact of life and affects an organization like no other factor and has cost the healthcare industry billions of dollars and continues to grow on a day by day basis. According to Porter-O’Grady (2007), accountability is the most overused and misunderstood element of leadership today. Accountability is very important to the healthcare industry because in order for an organization to succeed, it takes employees being responsible for their own actions. If employees do not take control of how they behave or become responsible for their own actions such as knowing and perceiving ones’ own honesty then money may disappear causing the organization to go bankrupt. If a physician or its staff makes false claims against a patient’s insurance it could put the organization as a whole at risk. The healthcare industry is a billion dollar industry and has a potential of becoming a very huge value to the public. Without accountability employees jobs can be lost and can make many employees suffer as well...
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...THE STATE OF OUR HEALTHCARE SYSTEM VIEWED THROUGH THE EYES OF A HEALTHCARE LEADER SAMANTHA CHERY KAPLAN UNIVERSITY ABSTRACT Our healthcare system has changed dramatically throughout the years. Many concerns are about the quality of services given to the patients, as well as the direction in which our system is heading today. One important issue that is very evident is that, the kind of services given to patients and community in our healthcare facilities is a reflection of the kind of leadership and management that it contains. The purpose of this paper is to introduce the great accomplishments of healthcare leader, Ronald G Spaeth. The paper will also highlight on how his philosophies and leadership methods have contributed to the success of his career and the impact that it’s had on the healthcare system today. Ronald G Spaeth is a pioneer in the health care industry. He has dedicated his life works to creating, ensuring an effective system for its employees and community. Spaeth obtained his education from Western Reserve University in Ohio where he graduated with a Bachelor of Arts degree. Following his undergrad studies, he went on to pursue a master’s degree in business administration from the University of Chicago in Illinois (Grazier, 2005pg. 144). After completing his education Spaeth advanced full force into the work field, building up a very extensive and impressive resume. He worked for Evanston Hospital from 1972-1983 serving various types of roles such...
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...MGT 5133: Management of Organizational Behavior The Servant Leader 2/16/2016 I. Introduction This essay will describe the true meaning of servant leadership. How the servant leader is inspired and performed his/her job within the health care organization? The paper will also inform readers of how each individual can unleash the servant within described by Larry Spears in his book “Reflections on Leadership.” Everyone has a deep need for serving, sometimes adults find it very difficult to unleash this desire to serve. Having worked in a large Hospital for over five years, it is easy to see why many people get frustrated and depart the health care industry. There are many complicated situations that happen working in healthcare. Throughout the majority of these situations between registered nurses, patient care technicians, and some doctors; there are solutions for dealing with most of those problems. Compassion, empathy, trustworthiness, faithfulness, respect, honesty, integrity, and rapport are all words that will be used frequently within the body of the paper. In my personal quest to better understand how to work well with people in a highly stressful environment as in healthcare, I begin to do my own research on process improvement and better systems that works in the hospitals. I turned my mind to various leadership books on healthcare and process improvements in the hospital setting. Some of the books I read was tremendously inspiring, interesting...
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...Scarlett Hospital to consider the impact a new highway system may have on the facility. Easier access to the larger city of Salem and its healthcare institutions brings the threat of potential loss of consumers to Scarlett Hospital. Timothy Rogers, the president and CEO of Scarlett Hospital, us trusted with the decision of what is the best strategy for the hospital to remain competitive with the larger facilities in Salem. Mr. Rogers’ feels his philosophy to deliver the highest quality of medical care possible will continue to help Scarlett Hospital compete in the more competitive environment. Mr. Rogers has been with Scarlett Hospital for 14 years prior to the merger between two competing hospitals. With having previous experience facing challenges from other healthcare institutions, I feel Mr. Rogers and Scarlett Hospital are prepared to compete with the more easily accessible institutions of Salem. Complacency Complacency is the self-satisfaction especially when accompanied by unawareness of actual danger or deficiencies; it can be an instance of usually unaware or uninformed self-satisfaction. (www.merriam-webster.dictionary.com) When dealing with complacency, the tone often set by frustrated managers can label workers as don’t care or lazy. Complacency doesn’t grow only from getting lulled when things go well. (Prater, 2013) Many leaders typical response to faltering performance is to turn up the heat. These reflexive leadership actions may actually...
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...Abstract Healthcare unlike many high-risk industries has made slow progress in improving patient’s safety. The role of nursing in improving medication safety has been largely underestimated. Much of the research undertaken to date in relation to adverse medication events has neglected the impact that nurses have or could have in improving patient safety. In examining literature regarding adverse medication events one can see the urgent need for significant improvement in medication practices and processes. In addition that this health care issue will only improve with the participation of all disciplines working towards a common goal of improving the safety of those in our care. Introduction Medications play a key role in healthcare but can also be a significant key cause of medical error and of adverse patient outcomes. Nurses by the nature of their roles in medication administration can be the last line of defense in eliminating or reducing adverse medication events. The administration of medication is a common and almost routine activity in a nurse’s daily work, yet it is fraught with complexity and risk for both the patient and nurse. As a student nurse working in partnership with a registered nurse I have observed a variety of practices in medication administration that have varied from what I have been taught in class. On reflecting on these practices and questioning nurses why such practice has been adopted has illustrated to me both the flawed processes and environment...
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...Women Leadership in Healthcare For decades women have served in the healthcare industry as the back bone of healthcare. They continue to work in all areas but have been given few opportunities to take leadership roles in healthcare organizations. This paper explores some of the reasons why women are circumvented in leadership roles and how women can be better prepared to lead in their organizations. The research concluded that women are effective leaders in comparison to their male counter parts. Leadership is an important concept in healthcare. It can simply be acknowledged as the ability to achieve a goal by using imagination, skill, relevant theory, and concepts that are supposed to lead an organization to success. The research conducted for this paper clearly demonstrates that women are an integral part of the ever changing healthcare domain as it relates to leadership. The need for gender diversity in leadership positions is critical for many organizations, especially in healthcare (Virick & Greer, 2012). Despite the fact that leadership is a complex social role, that arises from the actions to effect others in their roles, women can carry out such duties in the same manner, or even better than their male counterparts. (Fealy, McNamara, Casey, Geraghty, Butler, Halligan & Johnson, 2011). Historically, women have been underrepresented in leadership roles in all aspect of healthcare. As the trend of delivering care continues to change in the 21st century...
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...Effective Communication Paper Steven Fowler Healthcare Management July 13, 2015 Sonia Lewis Healthcare organizations are complex and dynamic. The nature of organizations requires that managers provide leadership, as well as supervisions and coordination of employee’s. Organizations were beyond the capacity of any single individual. Management has been defined as the process, compromised of social and technical functions and activities. Occurring within organizations for the purpose of accomplishing predetermined objectives through humans and other resources (longest, Ravich, and Darr, 2000). Implicit in the definition is that managers work through and with other people, carrying out technical and interpersonal activities in order to achieve desired objectives of the organizations, whereas organization models refer to the frame work of organization which includes line of authority, communication, resources, allocations and duties. The model of the organization is driven by the goals of the business and also defines the way the business activities are carried out. (longest, Ravich, and Darr, 2000). There are several types of organization models like functional, hierarchical, matrix, and product based. The best organizational model that best describe the company that I am employed at is planning and communication. In planning this...
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...Roles and Functions The functions of management in a healthcare setting would be planning, organizing, staffing, controlling, directing, and decision making. In order for a manager to plan in a healthcare setting this requires the manager to set a direction and determine what needs to be accomplished within the organization which involves being able to select priorities and determine how those results will be achieved. Organizing in the healthcare setting the manager will be focused on the overall design of the organization for which the manager is responsible. The manager will determine positions, the teamwork assignments, and distribution of authority and responsibility which are critical components. After all, organizing deals with allocating and configuring resources in order to be able to accomplish any goals that are being set by that manager. When it comes to staffing the manager is developing and maintaining the workforce through various strategies and tactics. As a manager you are leading to show other employees to follow your lead and direction in order for them to be able to take on their responsibilities yet along move forward within the company. Controlling involves the manager monitoring the staff activities and performance while taking the appropriate actions for corrective action to increase performance. Directing gives the manager the ability to focus on initiating action in the organization through effective leadership and motivation of, and communication with...
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...Professional Development of Nursing Professionals Today’s healthcare system is consistently evolving with new advances, technologies, and evidence based research, which challenges nurses to continue to stay on top of the industry to meet the increasing demands of our specialty to ensure continued safe and effective practice, and positive patient outcomes. Nursing most specifically is focused on a future of preventative, community, and palliative care to promote an increase in healthy living, and a proactive approach to ones health which will help to prevent an increase in healthcare cost in the future. In order to be successful our profession will need to focus on nursing education, leadership, and nursing practice. Nurses are the nerve center of the healthcare system and ensuring these key components are in place will lead us to a successful future. The Impact of the IOM Report on Nursing Education “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM p.163) The IOM is a report which has created a plan for the growth and future of nursing which focuses on higher education to ensure nursing stays proactive in its approach in the ever changing field of medicine. The evolvement of the health care system requires nurses to further their knowledge through advanced education. The education will need to focus on the level of nursing degrees and advanced certifications. For an example;...
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...As learned through the textbook and other references for this course the management theories and practices utilized within an organization can help or hinder the success of said organization. Through this paper I will review the strengths and weaknesses of American Healthcare Corporation’s (AHC) IT&S Southern Division as well as critique their primary leader. AHC’s IT&S Southern Division AHC is a large for-profit national healthcare provider network owning and managing over 150 hospitals, 40 surgery centers and hundreds of physician practices across the continental United States. AHC’s primary goal is to provide industry-leading healthcare in the most efficient and cost effective manner with the highest level of patient outcomes and satisfaction. AHC’s history spans over 40 years and was founded by doctors who wanted a better care path for their patients. AHC is comprised of several divisions broken down regionally across the nation and has also broken down key “shared services” departments to service and support the divisions. My analysis will focus on the IT&S Southern Division of AHC. IT&S Southern Division is responsible for the technical support and services of 24 hospitals, 10 surgery centers and 110 physician practices across Alabama, Florida, Georgia and South Carolina. The services provided span the information technology gamut including infrastructure, clinical applications support, physician support, project management and a 24 hour help desk. To enable the...
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...Effective Approaches in Leadership and Management Communicating skills can sometimes have a much lower importance when compared to financial and business matters. In reality, they are an important component in generating results that are desired in business. This includes from achieving physician buy-in for technologies, to persuading co-workers to accept changes made, to constructing support from the community for initiatives in the hospital. Currently a lot of healthcare organizations are starting to realize the significance of effective communication skills as well as utilizing advanced methodologies for greater improvement- like “lock-ins,” where managers, leaders and staff employees, co-operate for budget planning as well as “jamming” or “workouts,” which are group conversations that have been proven to be successful to other industries other than healthcare (Haeuser J, 2005). When discussing nursing, continuous quality improvement as well as patient satisfaction is a major issue needed to be addressed. To have good quality care as well as patient satisfactory scores, it is necessary to state the numerous other issues being faced by nurses, shortages in nursing and also having an accurate ration of nurses to patients. Patient satisfactory scores and quality care will not meet appropriate standards if these issues are not addressed by the nurse. The top priority of each healthcare provider and worker is ensured patient satisfaction as well as quality care. You are allowing...
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...Leadership Theories and HCAHPS Score Leadership Theories and HCAHPS Scores Which leadership theory is the best to implement the much needed goal of increasing HCAHPS scores? This paper seeks to identify two different leadership theories to see which is better in leading the nursing duties and tasks to improve quality of care for the patients which in turns result in higher HCAHPS scores. This paper will also seek to discuss strengths and weaknesses of the two different leadership styles so to have a better understanding of how each works and see which one would be better suited to help increase HCAHPS scores. First we need to know what HCAHPS are and why they are so important to the healthcare industry. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) has been around since 2005 and is going to effect payment from CMS for the hospitals. This payment affects the reimbursement of patients discharged from October 1, 2012 and forward. By holding health care providers accountable for both the cost and quality of care will hopefully reduce poor care and reward high performing providers. This survey that the patients participate in gives a report card on how a hospital is doing per the patient’s perspective. It also is an incentive program for the hospitals to improve their quality of care. (HCAHPS, 2013) There were three goals that shaped HCAHPS survey. First, it was designed to compare date on patients’ perception of the...
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