...Bibliographical Entry Stefl, M. E., & Bontempo, C. A. (2008). Common competencies for all healthcare managers: the healthcare leadership alliance model. Journal of Healthcare Management, 53(6), 360. Biographical Sketch of Authors Author Mary E. Stefl, Ph.d received her B.A at Wittenberg University, then proceeded to the University of Cincinnati to complete her M.A and Ph. D. Currently, Stefl teaches quality control management, managerial empidemiology and leadership devlopement at Trinity University. Other than her academic achievements, Stefl also enhances her teaching with her experience as former chair of Accrediting Commission on Education for Health Services Administration (ACEHSA) and former chair member of the Board of Directors of the...
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...Abstract The Federally Qualified Health Center (FQHC) model for healthcare delivery is designed to meet the healthcare needs of the most vulnerable and underserved people and communities. They receive funds from the HRSA Health Center Program to provide comprehensive primary care services. They also receive funding from other public and private organizations including; cost based Medicaid payments, grants to support capital and operational costs, discounted pharmaceuticals, access to Nation Health Service Corps clinicians, Medicare, direct patient revenue, private insurance, state and local funding, and philanthropic organizations.The evidence is plentiful regarding the advantages and opportunities for the FQHC model of health care delivery. There are also challenges that impact the system of care as well. Some challenges include funding and workforce shortages. Because of quality, costs, and increased accessibility, APRNs play in integral part in the workforce in FQHCs. Federally Qualified Health Centers as a Model for Healthcare Delivery The Federally Qualified Health Center (FQHC) model for healthcare delivery is designed to meet the healthcare needs of the most...
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...In preparation for meetings or projects, there are various program planning models that can be used to assist decision makers depending on the goals of the program. These models have greatly helped leaders as the outcomes have benefited from careful planning. As decision-makers have gained great amounts of knowledge and experience, I have experience that collaboration within a group can be best effective when these factors are used. This allows different perspectives to be realized and produce a more professional product. Continuous quality improvement does not just happen, it has to be planned and managed using tools such as PDCA and DMAIC. If you want to be better than your competitors and to flourish as a business then you must ensure that business processes are continually improved (Liesener). In order to do this action plans need to be developed. For many employees, experienced or less experienced, the variety of problem-solving approaches for action plans can get confusing. But there are not so many differences between these approaches, as you could expect. All differences are depending only on the type of problem, which has to be solved. Various problem-solving approaches like PDCA and DMAIC can be sorted in the following categories (Liesener): 1. Is it a small, medium or large sized problem you want to solve and is the solution of the problem unknown? 2. Does your problem solving strategy follow a continuous improvement process or do you want solve a single...
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...Strategies and applications of the dynamic cultural leadership models and the omnibus leadership model Introduction With the rapid changes in a health care system around the world, healthcare organizations need to develop strategies that will help the organization to sustain with any difficulties that may arise. Healthcare systems expand their cultural leadership strategies in order to gain a thorough understanding of situations (Johnson, 2009) that will effectively improve their operations in community. Healthcare organizations use both the dynamic culture leadership (DCL) and the omnibus leadership as a model for implementation and a strategy for their success (Johnson, 2009). This paper will compare and contrast the strategies and applications of both model in an effective healthcare facilities that is committed in improving the health of the community As traditional leadership model fails to integrate the aspects of environment, cultural distinctiveness and higher power influences, the omnibus leadership model (OLM) was created to evaluate leaders and their leadership styles (Johnson, 2009). Under the omnibus leadership model, healthcare organization mission can be clearly defined only if the healthcare organization has appropriate resources; on the other hand, under the dynamic culture leadership model, health care system need to clearly state its mission so the employees can understand and know what is expected from them in the facility in order...
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...Personal and Professional Healthcare Communication HCS 350 May 12, 2014 Kristina Alums Personal and Professional Healthcare Communication Communication is the act of using words, signs, sounds, technology, symbols, or emotions to express or exchange information about one’s ideas, thoughts, or feelings to someone else. Health care communication is information that can be exchanged in the same ways but its main point is to enhance health. It is a necessary element of interaction between nurses, physicians, patient’s, and family members. The communication helps to enhance health by including information about disease prevention, diagnoses, treatment, health promotion, and health care policies which can ultimately improve a person’s quality of life. Effective Healthcare Communication “There has been evidence that communication between providers and patients, directly and indirectly, determine the extent in which patients experience fewer adverse medical events, exhibit higher levels of adherence to their treatment regimens, trust their care and their providers and nurses, are satisfied with their care and their providers, practice effective self-management behaviors, experience less symptom severity, suffer less morbidity and mortality, and access and utilize available health resources” (Marram, G. 2009, p3). Physician-Patient Communication When a patient and their family members understand the information that is being received about their care they are more likely...
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...K**** I**** Grand Canyon University: Transcultural HealthCare February 28, 2016 Applying Purnell’s Model What is cultural competence? To be culturally competent healthcare provider one needs to understand their own world outlook and those of their patients, at the same time avoiding stereotyping and their own biases. Cultural competence is obtaining cultural data and then relating that knowledge. Cultural competence is a conscious ongoing process. Cultural awareness allows a healthcare provider to see the entire picture and improves the quality of care and health outcomes. Familiarizing ones self to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence requires the ability to listen to the patient, to learn about the patient’s beliefs of health and illness. The Purnell Model for Cultural Competence is a framework having detailed questions and a format that could be used to assess culture in healthcare setting. The Purnell Model for Cultural Competence in a healthcare setting place an importance on effective communication as well as the need to know the cultural views of patients. Purnell’s definition of cultural competence is, the totality of socially transmitted behavioral patterns, arts, beliefs, values, customs, lifeways, and all other products of human work and thought characteristics of a population of people that guide their worldview and decision making (Purnell, 2002,pg6-7). In other words...
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...Fire clearly states the facts that currently affect the healthcare system in the U.S. and proposes solutions that are at our reach as individuals, as a community and as a country. We are a country that sets the tone for almost everything that is popular in the world and something as necessary to our livelihood as healthcare is, we certainly are not on top of how to set that tone in that aspect that should be as popular as the air we breathe. We have the ability to change the game as it is suggested in the movie, and persuade the behavior changes necessary for all Americans to make in order to control the management of diseases culture that we are currently in and turn it into a more preventive culture. The amount of money spent every year in the U.S. on healthcare is a number that is almost three times of what other industrialized countries spend per capita, and yet, our life expectancy is at number fifty in the world. Clearly, our outcomes are not commensurate with the money that is being spent. Preventive medicine is the model that we need to follow and we currently follow the disease management way of healthcare. 30% of the money spent per year is spent in vain, for, it does not improve the health of those treated. As suggested in the movie, we need to have more Primary Care Physicians that have the opportunity to educate, treat, prevent and follow up without the burden of productivity that is driving the healthcare system to be managed as a business rather than a social...
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...knowledge to the United States. The diversity of population is affecting the healthcare delivery system in the country. Nurses play a major role in the delivery of healthcare. Nurses are the direct caregivers to patients and spend maximum time with the patients and their family. “As the demographic composition of Western industrialized countries continues to diversify, the need for nurses to practice with cultural competence becomes essential” (Canales & Barbara, 2001, p. 103). Culturally Competent care Culturally competent care values diversity and respect individual differences regardless of one’s own race, beliefs, and cultural background. Culture can be defined as beliefs, values, customs and lifeway of a group of people that influence their choices in choosing health care practices. These behaviors are primarily learned in the family and are transmitted in the family. Culture is mostly unconscious and has strong influence on health practices. Subcultures, ethnic groups differ from the dominant culture and may have different values and beliefs. People from a given racial group may not necessarily share the same culture. Healthcare providers must recognize, respect and integrate patients’ beliefs and practices into planning patient care. Culture influences the healthcare providers. Each healthcare provider shares the responsibility of providing culturally competent care. It is essential for healthcare...
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...Luo and Wang first used the model to measure areas of physician shortage (Luo & Wang, 2003). First, the models use physician location to identify all the population that is within a threshold distance of the physicians, and from this, a population-to-physician ratio is computed. In the second step, the models use each population location and identify all physician locations that fall within the threshold distance and sums up the ratio from step one. The summed ratio represents the accessibility index for each population locations to healthcare. The model was later modified to account for distance decay by incorporating kernel density with a Gaussian function (see: Wang & Luo, 2005; Luo & Whippo, 2012; McGrail, 2012). The 2SFCA model has successfully been used in measuring accessibility to healthcare in various studies. Luo and Wang (2003) used the floating catchment area to assess differences in spatial accessibility to primary care in Chicago. They used a range of travel times in the model to analyze the sensitivity of the result and found that areas closer to the city center had better accessibility than other areas. Luo and Whippo (2012) examined spatial accessibility to physicians in the ten-county region in Northern Illinois. Their work varied...
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...Borkowski (2002). It has the potential to improve safety and efficiency in the ever changing healthcare system. The administrators of Brokovitz General Hospital are introducing Information technology as an organization wide change process. IT enhance productivity, improve security of patient information and reduce cost, this allows the HS to be more competitive with their counterparts. Information Technology will replace doing things manually, save time, reduces errors, and decrease cost as well as improves safety and quality of care of clients. This paper will explore the need for development, organizational and individual barriers, factors that might influence the proposed development, summarize organizational readiness for change, the theoretical models that relates to the change, and internal and external resources that are available to support the development. The change will be piloted in the emergency room and if successful it will be implemented throughout the institution. Need for Proposed Organizational Change According to Borkowski (2002), there is a great need for information technology in healthcare. The external forces have had a significant impact on the changes within the healthcare industry. For example, clients are knowledgeable consumers of health services which is mostly due access to the internet. IT has been the focus of recent reform efforts in the healthcare industry in the United States (US). Nevertheless, there has been enormous difficulty in developing...
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...different types of healing. Thru time we have progressed between several different eras of healing. The first era being in the 1860’s which predominately looked at biomedicine type therapy. The second era taking shape in the 1950’s and concentrating on the mind and body. The last of third era to evolve in current times is that of body, mind and spiritual healing. Because of these “era’s” of healing, medicine and healthcare take on new energy and become more geared towards the patient and therefore allow the patient to play a more active role in their life long plan. The new widespread use of these different healing models has allowed healthcare professionals to increase their awareness and appreciation of different modalities of healthcare and healing. (Dicarlo, 1996) One of the new types of modalities that have developed because of Era II is integrative medicine and patient centered care. It focuses not only on treating the disease process but treating the person, where the goal is to treat the mind, body, and spirit all at the same time. A classic model of the Integrative Medicine combines conventional Western medicine with commentary treatments such as herbal medicine, acupuncture massage and relaxation techniques, all in an effort to treat the whole person. (Kam, 2006) The Integrative approach puts the patient at the center, addressing not just the...
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...HMA1: Trends in Healthcare Western Governors University Healthcare Management Case Study HMA1 Linda Gunn August 21, 2010 HMA1: Trends in Healthcare The American healthcare system is in the midst of change. No other time in history has the call for healthcare reform been so strong. It is the emergence of expensive new technologies with an aging population and a new call for equitable quality access of health services for all citizens that have pushed for the impending change. Successful managers will need to understand the impetus for this change. The challenges will provide many opportunities for a manager that is properly prepared to lead and guide their organization. Model trends in the United States. Historically, the United State’s healthcare system has been provider dominated. Physicians ordered and directed care without concern for cost or resources. While complex and ever-changing, the focus was on treatment of infectious diseases such as polio, influenza, small pox. (Shortell & Kaluzny, 2006) Our current model of healthcare places much of the responsibility and burden of the cost of medical care on the individual. American healthcare spending approaches 17% of our gross domestic product (GDP), the highest of any member of the World Health Organization. Our performance consistently underperforms in comparison to our peer nations in such measures as life expectancy, infant mortality and overall level of health. (World Health Organization [WHO], 2000) ...
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...the world's second-largest country by land and the largest country by population. Knowing this, healthcare must be one of the most important issues in China. As China becomes more populated, there is becoming a greater need for health care professionals, quality health care facilities, technological improvements, and most importantly a proper amount of funding to support a successful health care system. However, recently, China has been struggling in regards to health care. There has been a widening gap in health status between urban and rural residents, correlated with increasing gaps in income and health care utilization. There have also been drastic changes in health care financing, including a dramatic reduction of insurance cover for the rural population. In 1949, the Chinese government took complete control of the healthcare system. Under the Chinese government, the country’s officials, rather than local governments largely determined access to health care. Referring to an article, “Equity in Health and Health Care: The Chinese Experience”, written in the Social Science and Medicine Journal, Yuanli Liu, William Hsiao, and Karen Eggleston exaggerate that the rural areas were in the biggest need for a healthcare reform during the late 1940s era. The authors explain (1999) “The Rural Cooperative Medical System (RCMS) was established as a three-tier system for rural healthcare access. The RCMS functioned on a pre-payment plan that consisted of individual income contribution...
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...AT SHARP HEALTHCARE Sharp Healthcare is an integrated regional Healthcare delivery system located in San Diego, California accounts to serve approximately population of three billion. It comprises of four acute care hospital, three specialty hospital and three medical group plus a full spectrum of other facilities and services. The first Sharp hospital opened in 1955 as Donald N. Sharp Memorial Community Hospital, a nonprofit facility in San Diego. It operate 1,878 beds, has approximately 2600 physician on medical staff , more than thousand physician in two affiliated medical group, and has more than 14,000 employees with $ 5.852 in assets and $ 1.9 billion in annual income. It is San Diego’s largest private employer. Sharp HealthCare is recognized for its commitment to clinical excellence and high-quality patient care by local and national organizations. In 2008, Sharp Healthcare ranked fifth in the California “ best places to work program” in the large employer category and was rated 47th out of top 100 places to work in united states by modern healthcare. Roughly 10 years ago, Sharp HealthCare began a process of self-examination to explore how it could best deliver top-quality health care in the new millennium. After conducting more than 100 focus groups with employees, physicians, and patients, the group reconceived its mission to become an ideal healthcare delivery system and a model for healthcare...
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...state the health care system in the United States is a mixed market system. The source of coverage comes from the government, insurance from employers, and private payment. The health care system in the United States is not a system because there is no standardization, and is fragmented. Financing, insurance, delivery, and payment is from private and public sources. These four components creates the fragmentation of the system. These components compose the Quad-function Model and are necessary for the delivery of care in the United States. The components overlap to varying degrees in traditional insurance, government-run insurance, and managed-care systems. Health care delivery differs on the arrangement of the four components (4-6). According to Johnson & Kane (2009), the implication of the beliefs and values on the United States health care system is complicated and interrelated. The U.S. health care system is different from other forms of health care used by other countries. American healthcare...
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