...(Hospitals, 2013). After the New York almshouse was successful, new hospitals started to appear all over the United States. The US now has around 5,000 community hospitals that facilitate to people in need of medical attention (American Hospital Association, 2014). The 5,000 hospitals are broken down into for-profit, not-for-profit, and governmental organizations. All of the hospitals have the common goal of quality care for patients but have a different financial structure. For-profit, nor-for-profit, and governmental agencies are the types of organizations that make up the health care system. For-profit hospitals make up a little over a 1,000 of the community hospitals around the United States (American Hospital Association, 2014). For-Profit hospitals are usually owned by a private or public investor. The profits that the hospitals make go to pay expenses, salaries, and also the shareholders. For-profit organizations have to give some of the profits to the shareholders in order for the company to remain viable within the market. For-profit hospitals have higher cost of health care services than other hospitals or organizations (Horwitz, 2013). For-profits have to raise the cost of services in order for a profit to be made and to bring additional income into the facility. The financial structure of a for-profit hospital starts with medical costs for each patient that is serviced. Then the billing and coding department will charge the patient and the insurance company...
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...Accountable Care Organizations May 5, 2012 Accountable Care Organizations represent a strategy outlined within the Affordable Health Care Act to control costs and improve quality. They require partnerships between providers, hospitals, and communities. There are challenges in health systems where private practice is the predominant practice structure. Key issues and challenges to an effective ACO are cost reduction and utilization management, business model shifts, risk sharing and population management, consolidation, a changing role of IT and value of data, physician integration, clinical process improvement, and consumerism and the patient. How to reduce cost is a question that has been pursued, and it needs to be looked at, as well as utilization of management. Does this mean that homes for critically ill children or a hospital that cares only for transplant patients is becoming the future of health care in the USA? Why Accountable Care Organizations? No one will dispute the high cost of health care in the United States. Critics often say that it is the result of how health care providers are paid. They claim that—with a fee for each service— this results in increased and wasteful spending. Critics say that this system rewards providers just for doing more procedures, rather than for providing efficient and high-quality care (Matthews, 2012). In an effort to handle this problem, the United States Government has passed legislation: The Affordable...
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...each health care organization, the information system is responsible for strategically managing the cost related from inefficiencies. Managing and reducing the amount of unnecessary care given by providing all information systems with a common database to monitor and document these occurrences. Then develop and implement a strategic solution to further improve the patient quality of care which reflects as a cost saving initiative. Information management systems are responsible for managing costs and striving to provide quality of care by achieving the mission of the healthcare organization. Strategic management can be seen through the coordination of care and patient tracking received by a patient who visits their primary care provider in an ambulatory care setting for health related problem. Next the primary care provider sends a referral as it is determined that the patient needs surgery and hospitalization. The coordination of care continues, because the patient will require a surgical consultation and assessment which will involve providing the electronic health record to multiple individuals for inputting results upon and managing. The laboratory tests, prescription information, medication administration, treatments, and post-surgical instructions will need to be available to coordinate a plan of care action on this particular individual. Depending on if the individual is to follow-up with the primary care provider or is to be transferred to a long-term care facility...
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...Forms of Health Care Organizations Class: MHA612: Financial & Managerial Accounting There are many common ownership forms that are available to form a health care organization. So when asked to advise fifty doctors on what common ownerships forms there are you must first think of what organization of health care you plan to open. Working on the capacity as an external consultant in the field is common to give guidance and provide feedback to any ideas that can help improve the way to do things. To have a better outlook on how things can be done 50 doctors have gathered together to come up with ideas on developing ownership form for their organization. The job is to oversee the ideas and ensure them that the ideas they are coming up with are practical ideas that shows a good understanding of the various common ownership forms that they can use as well as give them a detail briefing of the common ones they shouldn’t use. There are four main types of organizations they are Not for profit business oriented organizations, for profit health entities which include Investors owned, professional corporations/ professional associations, sole proprietorships, limited partnerships and limited liability partnerships and limited liability companies. Governmental HCOs and Non-governmental nonprofit HCOs. These four main types of firms differ in terms of ownership structures. They are different HCOs that require slightly different sets of financial statements. Health care organizations...
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...Positioning And Differentiation With Health Care Organizations In: Business and Management Positioning And Differentiation With Health Care Organizations Positioning and Differentiation with Health Care Organizations Two health care organizations located in the same area are Cedars-Sinai Medical Center and City of Hope Research Hospital, both in Los Angeles. Both facilities cater to and are championed by Hollywood celebrities, so in many respects they are similar. Their positioning and differentiation is distinctive in other respects, however. This paper will examine the positioning and differentiation of both organizations, noting their similarities and differences. Cedars-Sinai can boast that “Many a star has been born, literally” there (“Cedars-Sinai Medical Center,” 2008). Its location, “where Los Angeles meets Beverly Hills and West Hollywood,” ensures that it serves movie stars and other Hollywood celebrities, and this visibility prompts exceptional care (“Cedars-Sinai Medical Center,” 2008). In addition to its star-studded patient list, the hospital is also known for being a teaching and research hospital that has approximately 600 different research programs (“Cedars-Sinai Medical Center,” 2008). Even its Board of Directors boasts such notables as Steven Spielberg and Sherry Lansing, and it enjoys celebrity supporters such as Barbra Streisand, Denzel Washington, Mel Gibson, and others (“Cedars-Sinai Medical Center,” 2008; “Cedars-Sinai Medical Center,” n.d.)...
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...Health Care Organization and Delivery System Health Care Organization and Delivery System HCS/531 November 09, 2011 In the current era of technology, health care system continues to research on improvising the various ways on delivering outstanding health services to its people. In health care industry, majority of the developed countries are run by national insurance generated by enforced general taxes. Unlike in United States healthcare insurances are run by partly private and government institution ensuring individuals based on certain eligibility. Although the distinct system in the United States protrudes as one of the best health care providers around the globe, some individuals considered it as unmanageable catastrophic scheme. Additional information regarding United States health care system, the implications of its belief and values, and some models of health care delivery used in America are presented below. The health care delivery system of United States is a complicated organization involving education and research, medical suppliers, private, and government insurers, health care providers, payers, and the government. It composed an approximate number of 10 million in employment from doctors, nurses, dentists, pharmacists, administrators, caregivers, and more. The system also involves several institutions such as hospitals, nursing homes, mental health facilities, and clinical sites serving millions of people yearly...
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...Quality Oversight in Health Care Organizations HCA 497 Ms. Gloria Wilson September 17, 2012 Introduction A considerable amount of emphasis has been placed on the quality that is provided by the US health care system and substantial investments have been made for research to address the concerns that relate to health care quality. Promoting quality of care is essential for every person within healthcare organizations, from top-level management to non-clinical personal. The quality of care that is provided by every health organizations is not only the core of the whole health care industry, but the reputation of each health care organization (Baily, M., Bottrell, M., Lynn, J. & Jennings, B., 2006). According to the Institute of Medicine quality can be defined as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (Jost, 2003). The oversight of quality in healthcare is acknowledged as a main obligation to healthcare organizations. The purpose of this paper is to discuss organizations and or agencies that provide quality oversight; in addition to, other stakeholders and the role they play in health care. Joint Commission for Accreditation of Healthcare Organizations The Joint Commission for Accreditation of Healthcare Organizations is a, not for profit organization that was established in 1951and evaluates and accredits more...
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...Organization and Management of a Health Care Policy HSA 515 – Health Care Policy, Law, and Ethics August 13, 2015 With lives in their hands, hospitals have to function very precisely, executing high-quality services every hour of every day. Organizations that have this sort of requirement usually take on a vertical organizational structure that is having many layers of management, with most of the organization’s staff working in very specific, narrow, low authority roles. The numerous layers of management are designed to make sure that no one person can throw the system off too much. This structure also ensures that tasks are being done exactly and correctly. Organizational structure of a hospital refers to the levels of management within a hospital. Levels allow efficient management of hospital departments. The structure also helps one to understand the hospital’s chain of command. Organizational structure varies from hospital to hospital. Large hospitals have complex organizational structures while smaller hospitals tend to have much simpler organizational structure. A typical organizational structure of a hospital would usually be a combination of a hierarchical and divisional structure, since there is a chain of command where some levels are under another level, but employees are organized in departments or divisions that have their own roles. At the top of the structure would be the administrators, followed by the information services and therapeutic services. Both...
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...PREV 648 Management in Health Care Organizations Click Link Below To Buy: http://hwaid.com/shop/prev-648-management-in-health-care-organizations/ Management in Health Care Organizations Question 1 Scenario: You are employed by a 240-bed urban medical center. You directly supervise 30 staff Physical Therapists in the Rehabilitation Department in which you are the Department Head (DH). Over the last 5 years leadership has discussed merging with another smaller hospital in the local area. This hospital is a 120-bed facility that has faced various financial and patient care safety issues. As a result of the merger the management structure has been realigned to ensure operational functions of both physical facilities are controlled by a single manager-you have been chosen as that new manager. Instructions: Choose one of the six basic management functions: Planning, Organizing, Directing, Decision Making, Staffing or Controlling. Clearly describe why you chose this function and why you feel this particular function is essential to your effective management as a result of the merger. Hint: In order to sufficiently address this assignment, you will have to refer back to the lectures as well as conduct independent research in efforts to display the level of critical thinking required Formatting: • Title Page • 4-8 pages (double spaced) to include introduction, body, conclusion or summary • Reference Page (4 references minimum) • Written document should conform to American...
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...QUALITY ASSURANCE IN HOSPITALS/HEALTHCARE ORGANIZATIONS The Joint Commission accreditation standards are the basis of an objective evaluation process that can help health care organizations measure, assess and improve performance. The standards concentrate on important patient, individual, or resident care and organization functions that are essential to providing safe, high quality care. The standards set expectations for organization performance that are reasonable, achievable and rational. Each standard is developed with input from healthcare professionals, providers, employers, consumers, and government agencies like the Centers for Medicare & Medicaid Services. New standards are added only if they are in relation to patient safety or quality of care, have a positive impact on health outcomes, meet or surpass law and regulation, and can be accurately and readily measured. The National Patient Safety Goals (NPSGs) have become a critical vocal point by which The Joint Commission promotes and enforces major changes in patient safety and quality of care. The criteria used for determining the value of these goals, and required revisions to them, are based on the merit of their impact, cost, and effectiveness (AHRQ, 2013). Recent changes have focused on preventing hospital-acquired infections and medication errors, in addition to existing goals promoting surgical safety, correct patient identification, communication between staff, and identifying patients...
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...Award for Health Care Organizations Elaine Reeves HCA 375 – Ashford University Paula Arceneaux December 5, 2011 Quality Improvement in Healthcare Health care is something commonly visited with my family and me. Having three children in the last seven years, my family and I have had our share of hospital and medical office visits. The quality in care does not go unnoticed as I see many areas that need improvement, as well as other areas that are exemplary. One measure that many organizations utilize is continuous quality improvement (CQI). It is a structured organizational process by which personnel plans and executes a constant flow of improvements in order to provide exceptional quality healthcare (McLaughlin & Kaluzny, 2006). CQI is an approach to quality management, where traditional quality assurance is implemented and emphasizes on the systems of the organization. Aside from gaining satisfaction and confidence from patients, quality improvements of a healthcare organization (if applied successfully) can earn prestigious awards. When quality in healthcare meets government regulations and standards, and when satisfactory is met with the public and/or patients, many organizations are recognized for their achievements in quality. Some organizations are rewarded, along with their recognition, with awards reflecting their success. One such award is the Malcolm Baldrige National Quality Award. Stated in the article Four U. S. Organizations Honored with...
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...Financial Ethics, Financial Benchmarking, Financial Trend Analysis, and Ratio Analysis. Unit 2 Term Paper Business ethics is the appropriate business guidelines and customs regarding debatable issues, like the way a CEO runs his company, illegal stock trading, corruption, business social and monetary obligations. The government’s authorities frequently enforce business ethics, still there are times when businesses alone will use a straightforward structure that organizations can abide by so that they simply may benefit the public interest (investopedia.com, 2013). Article Review The first article chosen for this assignment, is Betsy Gallup’s article Ethics Are an Important Part of Running a Health-Care Facility, and she explains ethics as having three components: independence, integrity and objectivity (2009). The article continues by explaining ethics in the healthcare sector; as patients’ at a healthcare facility or hospital we expect to receive fair and ethical care from the facilities medical professionals attending to us. One expects the same ethical behavior from the healthcare workers that handle the coding and billing for one’s hospital stay (Gallup, 2009).Gallup tells us that the...
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...Organizational Change Plan – Part II Cindy Keshavarz HCS/587 June 21, 2014 Laura Rainey The role of the traditional physician, clinician, and patient is changing to incorporate the increased use of technology in the delivery of health care. Home health care is no exception. Patients today are fully informed consumers and insist on participating in their health care and being fully knowledgeable of all options available. Physicians need the most time effective and accurate measures to help care for their patients. Home health care must be able to maintain the competiveness, maintain financial security and deliver quality patient care. These are some of the factors motivating our current change of implementing the Tele health Program. Monitoring the Implementation of the Tele health Program Monitoring the implementation of the telehealth program begins with the training and education of nurses and physical therapists so that they may acquire the skills required for hands on use of the new system. All current and newly employed clinicians will need to complete the learning modules on the use of the telehealth program system. Practice monitors will be made available and kept in the office classroom for those who wish to practice with the unit. Team managers will also be trained as an additional resource persons for those needing...
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...As a middle manager of a health care organization, leadership has asked you to create training materials for your employees. The Creation of this quality-training manual for the various positions in this organization is an important part of the institution's quality management plan. The training session, serves the important purpose of providing a consistent way to communicate instructions to employees about how to perform essential functions of their jobs. It benefits supervisors responsible for educating employees about their jobs, but also provides content and structure vital in training new hires as well as managing the performance of current workers. Information provided, is about the processes and procedures employees are required to follow as well as tasks that form the basis of their jobs they are charged with performing. The training manual content is based on objectives clear enough to enable trainees to master the material with ease. The training will initially be conducted by means of Power point slides and a Training Manual handout. This information is accessible via the Upstairs Solutions Online Training Center Login Management Software. This Program will enable management to track and report employee training and ensure training compliance. The feed back form should be filled out to evaluate the training program, instructor and handed in at the end before the attendees leave. (See appendix A) Health Care and Human Services (Middle Manager Training Program:...
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...Running head: ASSIGNMENT 4 ORGANIZATION OF A HEALTH CARE FACILITY Assignment 4 HSA 515 Organization of a Health Care Facility As a chief operating officer, you are responsible for a 15-bed Emergency Room (ER). You have received many complaints within the last year regarding inadequate patient care, poor ER management, long wait times, and patients being sent away because of lack of space, staff, or physicians to provide appropriate care. Diagnose the root causes of the complaints about the clinic. In a 15-bed Emergency Room (ER), overcrowding of patients is the root cause for inadequate patient care in the ER. The increase in patients throughout the years with limited staff has become an issue for emergency rooms. The increase in patients is created by the increase in the number of aging population with chronic medical conditions and increasing number of uninsured or underinsured patients that go to the emergency room for everyday ailments. Due to the limited number of resources, the emergency room can not maintain an adequate number of physicians, nurses, and support staff to accommodate and care for the number of patients. Overcrowding not only creates long waiting times but also increases risks of medical errors. The physicians are over their capacity which can lead to undue stress and burnout, which in turns leads to poor and inadequate treatment to the patients. Due to the overcrowding, the ER physician will not have...
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