...important to focus on organisational values and engaging stakeholders, including patients, when working to improve care quality and patient experience? Introduction This paper examines how organisational values and stakeholder engagement can improve patient quality, experience and care. The author will do this by exploring what stakeholder engagement is and how it is being used in the healthcare arena to improve care quality and patient experience. The author’s critical analysis will discuss the relationship between organisational values, stakeholder engagement and the delivery of quality patient care, before relating this to his professional practice, prior to drawing and presenting conclusions. The author having worked in the NHS for a number of years as a Commissioning Manager in a non-clinical role has often found it difficult to see the impact that sound organisational values and robust stakeholder engagement can directly have on the delivery of patient quality, experience and care, working through Module 3 has been a truly eye opening experience for the author. Having completed Module 1 and 2 of the EGA course and now coming to the end of Module 3, there have been many opportunities for self-reflection and time to make sense of how and why organisational values, engagement and service delivery are all interlinked. Analysis Engaging Stakeholders to Improve Care & Quality “Stakeholder engagement is the process by which an organisation involves people who may be affected...
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...Technology in patient management has become progressively complex, altering how nursing care is provided. Before technology became a major tool in patient care, nurses depended greatly on their senses of touch, sight, hearing, and smell to monitor patient health status and to identify variations. “Over time, the nurses’ unaided senses were replaced with technology designed to detect physical changes in patient conditions. Consider the case of pulse oxymetry. Before its widespread use, nurses relied on subtle changes in mental status and skin color to detect early changes in oxygen saturation, and they used arterial blood gasses to confirm their suspicions. Now pulse oxymetry allows nurses to identify decreased oxygenation before clinical symptoms appear, and thus more promptly diagnose and treat underlying causes,” (Powell-Cope, G., et al. (n.d.). No one would deny that technology has had a significant impact on the healthcare industry. From new testing techniques to surgical equipment, today's medicine is very different from that of just 10 years ago. And now, with the explosion of the Internet and other digital communications, a wealth of health-related information is more accessible to patients than ever. Patients seek information immediately and often research both disease and cure on their own. In many cases, this results in better-informed patients and makes it possible for them to take greater responsibility for their healthcare. But in other cases, when patients access inaccurate...
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...com/ijns Engagement at work: A review of the literature Michelle R. Simpson * Center on Age and Community, College of Nursing, Cunningham Hall, 1921 East Hartford Avenue, University of Wisconsin-Milwaukee, Milwaukee, WI 53201-0413, United States Received 26 March 2008; received in revised form 20 May 2008; accepted 22 May 2008 Abstract Objectives: Engagement at work has emerged as a potentially important employee performance and organizational management topic, however, the definition and measurement of engagement at work, and more specifically, nurse engagement, is poorly understood. The objective of this paper is to examine the current state of knowledge about engagement at work through a review of the literature. This review highlights the four lines of engagement research and focuses on the determinants and consequences of engagement at work. Methodological issues, as identified in the current research, and recommendations for future nurse-based engagement research are provided. Design: A systematic review of the business, organizational psychology, and health sciences and health administration literature about engagement at work (1990–2007) was performed. Data sources: The electronic databases for Health Sciences and Health Administration (CINAHL, MEDLINE), Business (ABI INFORM), and Psychology (PsycINFO) were systematically searched. Review methods: Due to the limited amount of research that has examined engagement among the nursing workforce, published research that included...
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...However, there is limited research examining the relationship between health literacy and outcomes related to pregnancy. Health literacy is important because it is potentially a modifiable variable within the health care system. Changing someone’s economic status or educational level is out of healthcare providers’ hands. However, adapting communication, care and patient education in regards to a patient’s health literacy level is feasible. The goal of this paper is to analyze the current body of literature on health literacy’s relationship with prenatal outcomes and identify areas for future research. This paper will also synthesize from the literature which interventions may be most appropriate for narrowing the gap between patients with low and high health literacy. Additionally, this paper will summarize the main implications for practice brought forward by the...
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...Marketing Simulations: Patient Engagement Lauren Phillips, Latonya Miles, Kelli Lee, Daline Castillo, Larry Henson HCS/490 January 17, 2016 Marketing Simulations: Patient Engagement The goal for this marketing team is to determine how to market the use of the new personal health record system to various age groups of patients within the organization. Through the patient engagement simulation we were able to determine both short and long term goals to help better serve our potential clients, and the steps that were necessary to allow these goals to be achieved. This paper will show how this simulation is relevant to our potential future careers, and the importance of engaging future health care consumers. In this simulation it was to goal to be a part of a marketing team to determine the best solution to make their current PHR system, or personal health record system more useful to patients and see more patients use them. Currently personal health records are used at this facility to help patients access their records, this can be beneficial to both caretakers and patients because it can keep their health information up to date. The problem this facility is seeing is that there has been a drop off in use from the younger demographic that uses it currently as well as baby boomers and geriatrics hardly use the program. The goal of the simulation is to understand the situation fully and find the best course of action to increase use of the personal health records. Once...
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...various roles. My father is an allergist there and has been helping patients in Southern Colorado with asthma, chronic cough, wheezing, food allergies, drug reactions, reaction to insects, hives, and rashes. My father trained at National Jewish Hospital in Allergy Asthma Immunology and finished his fellowship and set out to have a little piece of his American dream, a private solo practice. My father started the clinic in Pueblo in the 1980’s and slowly opened satellite clinics in Colorado Springs, Canon City, La Junta and Alamosa. Currently has one other physician, and a physician assistant working with him, with a support staff of roughly 30 employees. The support staff includes two receptionists, two insurance clerks, one transcriptionist, one marketing paid intern and approximately 20 nurses. The market segment that this clinic caters to is lower-middle class, and middle class patients from the blue-collar town of Pueblo, CO. Most of these patients have Medicaid insurance. Patients come in as walk-ins many times without any prior appointments. Sometimes wait times can be longer than usual if many patients walk in at the same times, particularly during pollen season and flu season. When bottlenecks occur this precipitates many disagreements between receptionists and intake nurses. I’ve had various roles at this organization since the age of nine. At first I was helping at the front of office helping patients check in, then I slowly graduated to the position of a nurse and...
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...FAILURE TO RESCUE Abstract This paper describes failure to rescue (FTR), according to recent studies. Failure to rescue is discussed in terms of importance to nursing. The paper speculates on how knowing about failure to rescue may help in the nursing course studies and critical thinking skills. FAILURE TO RESCUE Introduction According to a 2007 article in Med Care, use of failure to rescue as an indicator of hospital quality and patient safety has increased over the past decade. Researchers have used different sets of complications and deaths to define this measure. (Silber JH, Romano PS, Rosen AK, Wang Y, Even-Shoshan O, Volpp KG, 2007). This paper gives a description of failure to rescue, discusses the importance to nursing and nursing students, in regards to course studies and critical thinking skills. References for this paper are research studies that used the “original” FTR (using all deaths) description. Description Failure to Rescue is generally defined as the inability to save a hospitalized patient’s life when he/she experiences a complication. A complication is a condition that is not present on admission, such as cardiopulmonary arrest/shock, pneumonia, upper GI bleed, venous thromboembolism (VTE), and sepsis. Failure to rescue does not necessarily imply wrong doing. (Silber, JH, 2007) Importance to Nursing Patients that experience a complication are at risk for failure to rescue. Surgical and trauma patients are most vulnerable. Early warning...
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...Patient-Centered Health Care Home Many people in the United States do not have access to high quality primary care. There is substantial evidence indicating that sufficient access to high quality primary care results in lower overall health care costs and lower use of higher cost services, such as specialists, emergency rooms, and inpatient care. A large amount of the nation’s dollars are spent on health care. This large budget affects providers, patients, employers, and payers such as Medicaid, Medicare, and private insurers. This is a primary concern in many states including, Minnesota. There are significant gaps in the quality of health care that patients in the United States receive. The current health care payment and delivery system is particularly poor at providing care for people with chronic conditions. As a result of these factors, policy makers debated over proposals that can actually be effective. Some of these proposals aimed for reducing cost, focusing on patient, and improving quality of care. An example of a proposal that focused on patient-centered care and increased quality of care is the creation and introduction of Patient-Centered Health Care Home (PCHCH), also known as “Medical Home.” The introduction of the PCHCH in Minnesota will increase patients’ accessibility to health care services, give them power to be involved in decisions regarding their care, have continuity of care with their physicians, prevent duplication of services, reduce health care cost...
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...Qualitative Research Critical Analysis Paper Introduction This paper is an academic critique of a qualitative research paper written by Bridgitte Cypress (2014) entitled “The emergency department: Experiences of patients, families, and their nurses.” In this research, the subjects were investigated with regards towards lived experiences to gain insights on how each key elements correlate in the Emergency Department. This academic critique will highlight its strengths and gaps by operating an analytic approach based on the research process in which it exemplifies the parts and qualities of a qualitative research Research Design There is a commitment in maintaining the social context/emic perspective in this study to capture and reflect worldviews...
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...common strategies in managing employee engagement in startup companies in Seattle, Washington, US. Although many research and studies has been conducted to identify strategies to manage the employee engagement, many companies are still unsuccessful to improve their engagement level and their turnover rate. Therefore, this research will narrow the study of employee engagement to a specific type of company, so the result of this study will be most possible to be adopted and referred by other companies in the same category. Engagement level in thirty sample startups will be determined using ISA Engagement Scale and common HR strategies will be evaluated among companies with higher employee engagement score. In the future, the findings of this study can be use as a reference for practitioners at startup companies to develop a better human resource strategy, improving their employee engagement level. Keywords: engagement, startups, human resources, strategy Introduction According to State of the Global Workplace Study by Gallup, there are only 13% of employees are engaged at work in the world. In other word, only one in eight employees that are emotionally committed to their work, contributing to the company’s growth by working effectively and efficiently. Studies have proved that engaged employees contribute to the company’s performance (Arrowsmith & Parker, 2013; Reilly, 2014; Pollitt, 2008) and strategies to improve employee engagement has been identified by numbers of scholars...
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...How Organizational Behavior influences Attrition Keller Graduate School of Management Author Note This paper was prepared for GM591- Leadership and Organizational Behavior taught by Professor Brett Gordon. Correspondence concerning this paper should be addressed to Table of Contents Company Background 3 Organizational Problem 4 Problem Statement 5 TCO Topic 5 Expanded Organizational Introduction: 5 Enhanced Problem Overview 6 Reasons & Measures of Preventable Attrition 7 Possible Solutions 7 How to Create Sustainable Performance 8 Inadequate Developmental 8 Boost Morale and Engagement 8 Increasing Responsibility and Exposure 8 Create Value 9 Optimizing Interactions between Staff 9 Achieving Quality Management 9 Offering Performance Feedback 10 Minimize Incivility 10 Managing conflicts 11 Responsible Leadership 11 Establishing Relationships 11 Summary of Recommendations 12 Reflection 13 References 15 How Organizational Behavior influences Attrition Company Background JDR Pharmaceutical discovers, develops, manufactures, and delivers innovative human therapeutics globally to patients with unmet medical needs. An established leader in biotechnology since 2001, JDR lead the industry by introducing safe, effective medicines from lab, to manufacturing plant, to patient. JDR therapeutics have pioneered the approach with helping millions of people around the world in the fight against cancer, heart disease, neurological...
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...Principal Fetterolf Healthcare Consulting Robert Fortini VP & Chief Clinical Officer Bon Secours Health System Paul Grundy, MD, MPH Global Director of Healthcare Transformation IBM President Patient-Centered Primary Care Collaborative Richard Hodach, MD, PHD, MPH Chief Medical Officer Phytel Michael B. Matthews Chief Executive Officer Central Virginia Health Network Margaret O’Kane President National Committee for Quality Assurance Andy Steele, MD, MPH, MSC Director, Medical Informatics Denver Health 2 Dear Colleagues, Population health management has been around for a while, but only recently has it gained serious attention from mainstream healthcare organizations. The reason is simple: healthcare reimbursement is changing, and hospitals, healthcare systems, and physician groups must adapt to a new world in which providers are rewarded for meeting quality objectives for their entire patient panel, and not just those actively seeking healthcare. The emphasis clearly is shifting from volume to value, and organizations that focus on providing patient-centered, quality healthcare across a population will come out ahead. This guide represents the first comprehensive effort to define a roadmap for providers that are exploring population health management (PHM). The literature on patient-centered medical homes and...
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...Influences of Health Care Research HCS/465 February 22nd, 2016 Dawn Bricker Influences of Health Care Research In this paper we will discuss an innovation that has been developed in the last 20 years that has influenced the health care industry. That innovation is telemedicine. Telemedicine What is telemedicine? According to the American Telemedicine Association, “Formally defined, telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, email, smart phones, wireless tools and other forms of telecommunications technology.” They continue, ” Starting out over 40 years ago with demonstrations of hospitals extending care to patients in remote areas, the use of telemedicine has spread rapidly and is now becoming integrated into the ongoing operations of hospitals, specialty departments, home health agencies, private physician offices as well as consumer’s homes and workplaces.” This innovation has lasted 40 years and has continued to gain traction and popularity in recent years due to the advances in technology. There are many benefits for telemedicine. Improved access is very important, given the provider shortages throughout the world, in both rural and urban areas; telemedicine has a unique capacity to increase service to millions of new patients. Reducing or containing the...
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...administration has initiated a significant reduction in force and tasked management to redesign patient care delivery; this includes the introduction of universal workers. A committee developed to assist in this process recommends transforming RCHS into a learning organization to encourage workers to adapt and excel despite the changes. After presenting past studies where this model failed when implemented in other organizations, administration charged management with making redesign and universal workers a success at RCHS. This task brings about many challenges: how does management begin the process of redesign? What work processes and performance expectations must be considered once the design is completed? What structures will management put into place to turn RCHS into a true learning organization? Additionally, what plans will be necessary to control the intra-organizational and inter-organizational communications that must occur to implement the job redesign changes? Finally, how can management ensure individual job satisfaction for the universal worker position? Implementation of Job Redesign The RCHS senior management team decided to redesign the job of nurses and implement a universal worker to assist in support services needed for patient care delivery. Nursing positions were redesigned to “that of a care manager who directs the processes of care for the patient during the acute care episode and beyond” (Coulter, 1997, para. 11). According to Sharon...
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...solutions-focused research article presents valuable information for the senior HR leader seeking competitive advantage. ********** Introduction In today's marketplace, where companies seek a competitive edge, motivation is key for talent retention and performance. No matter the economic environment, the goal is to create a workplace that is engaging and motivating, where employees want to stay, grow and contribute their knowledge, experience and expertise. Motivation is generally defined as the psychological forces that determine the direction of a person's level of effort, as well as a person's persistence in the face of obstacles. The direction of a person's behavior refers to the many possible actions that a person could engage in, while persistence refers to whether, when faced with roadblocks and obstacles, an individual keeps trying or gives up. (1) The responsibility for motivation is three-fold: it falls on the senior leadership, the direct manager and the employee. Numerous factors are involved, from trust, engagement and values (individual and organizational) to job satisfaction, achievement, acknowledgement and rewards. Motivation is essential for working autonomously, as well as for collaboration and effective teamwork. The ultimate focus of the organization is to successfully retain talent, meet goals and go beyond expectations. It is the role of HR and organizational leaders to foster an environment for excellence. Through a foundation of research, theory...
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