...This action sometimes affects the hospital ability to provide cost effective care to consumers. The reason is that the leadership starts reducing staff positions i.e. information technologist and administrative personnel that they deemed redundant, and in many instances, they are never replaced. For some hospitals, the proposed merging was to cut down on expenditures and this impact the health care delivery system in the hospital. Some leadership fails to understand that information technologist and personnel administration contribute greatly to the healthcare delivery...
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...Financial Managers and Quality Initiatives in Health Care Post University Tina M Dixons Abstract This paper will discuss the importance of why financial manager should be concerned with quality initiatives in the health care setting. The topic will describe why quality initiatives are a key role in the financial success and failures in healthcare. Delivery of healthcare is synonymous with finance and the task related to quality improvement and quality initiatives that support accuracy in documentation and treatment. There is a strong correlation between providers and finance. Key words: Finance, Quality initiatives, Providers, Patient care. Financial Managers and Quality Initiatives It is clear that if good quality of services, successful outcomes and customer satisfaction are presented in a healthcare setting, then the financial stability may sustain. As financial managers collaborate to achieve health care quality, they know that there are several variable factors that must manifest in order to sustain and earn profits for their organization. Some variables include reduction in medical error, appropriate diagnostics, medical analysis, education programs, staff training, prevention, primary care, financial reimbursements, technological advancements and minimizing waste. Error and Accuracy Medscape reported that “Eight years ago, the Institute of Medicine's (IOM) report To Err is Human revealed that between 44,000 and 98,000 Americans...
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...Medical errors have adverse effect on health care organization structure because it put a question mark on health profession’s reputation. The medical error definitely can cause harm to the patient or even the death. Medical errors can happen anywhere in healthcare system: in hospitals, clinics, surgery rooms. Medical mistakes can arise from doctors, nurses, surgeons, hospital administration, and many others. Medical errors affect the health care organizational structure, culture, and social in many ways. Medication errors have severe direct and indirect effects on health care organizational structure, and culture is usually the outcome of breakdowns in a system of care. Many reasons can involve in medical errors such as, miscommunication of drug order, mistakes made in medication, surgery, similar medication names, and laboratory results. Dr. Gray D.Kao treated Ricardo for his prostate cancer; it is a common surgical procedure: doctor implants dozens of radioactive seeds in the prostate gland to attack the disease, but Dr. Kio implant most of the seeds, 40 in all, inserted in healthy bladder, instead in prostate. According to federal rules, regulation it was a serious mistake. Dr. Kio performs another surgery on Ricardo to make his mistake clear second time but he failed in second seed implant too. No one reported this second mistake. Ricardo was still in so much pain, and suspicious about that still something wrong in his body. Doctors then prescribed narcotics. “It...
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...Medication Safety Patient safety is the first priority concern for leadership in all health care organizations. The medication delivery process is the most common intervention in health care system. For that reason medication safety is considered the most challenging and complex process in improving patient care and safety during hospitalization. Medication-related errors are serious and occur at a rate of about one per patient per day (Allan, 1990). It is a harmful practice affecting patient’s health and life. Some of these errors may result in death or inefficiency of organs functions. In addition, medication errors may financially affect the health care organization due to long patient stay in the hospital for advanced treatment (Presto, 2004). This research paper will provide highlights on medication errors definition, importance of safety during medication process, factors contributing to medication errors and effective factors in preventing medication errors. Medication errors were defined as a fault in medication that may occur at any stage of the process in ordering or delivering medications (Bates, Boyle, Vliet, Scheider & Leape, 1995), either an injury occurred or the potential for injury was present (Bates et al, 1999). These errors could occur in dosing error, which is common (Lesar, Briceland & Stein, 1997), or wrong route, or wrong time, or error in medicine rate and omission error (O’Shea, 1998). Also there are some situations such as missing a dose of medication...
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...Future for Health TO ERR IS HUMAN: BUILDING A SAFER HEALTH SYSTEM H ealth care in the United States is not as safe as it should be--and can be. At least 44,000 people, and perhaps as many as 98,000 people, die in hospitals each year as a result of medical errors that could have been prevented, according to estimates from two major studies. Even using the lower estimate, preventable medical errors in hospitals exceed attributable deaths to such feared threats as motor-vehicle wrecks, breast cancer, and AIDS. Medical errors can be defined as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim. Among the problems that commonly occur during the course of providing health care are adverse drug events and improper transfusions, surgical injuries and wrong-site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities. High error rates with serious consequences are most likely to occur in intensive care units, operating rooms, and emergency departments. Beyond their cost in human lives, preventable medical errors exact other significant tolls. They have been estimated to result in total costs (in cluding the expense of additional care necessitated by the errors, lost income and household productivity, and disability) of between $17 billion and $29 billion per year in hospitals nationwide. Errors also are costly in terms of loss of trust in the health care system by...
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...Improving Local Health Care Travoria Freeman Think back on the last time you accessed health care services in your community and make recommendations for incorporating unapplied telecommunications concepts that would have improved your last visit. Provide specific examples to support your response. It is not unreasonable for a patient to expect particular services from their healthcare providers. What happens when you are traveling and have to make a trip to the emergency room, will your doctor at home get the information from that visit? Health information recorded in paper format makes these tasks very hard, if not impossible. Luckily, there is a growing movement to transform that, using information management and information technology. The use of this type of equipment allows for "high-quality, safe, and competent care. Society today is constantly changing. Society changes jobs, location of residence, and doctors often. While society speaks of a medical structure American medicine is disorganized: it lacks standards, measures, and the ability to exchange information that constitutes a true structure. The medical industry has taken to every kind of clinical technology; from digital thermometers to CT scanners. However, the implementation of information management and information technology in the medical industry falls behind the rest of our economy. Health informatics is best described as the...
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...Health Care Information Systems Abstract The U.S. government plays a large role in all areas of the health care delivery system, from financing to organizing, overseeing and providing care. Because of the large scale of the integration of the health care delivery system, government should lead the way and model the rest of the nation after two health care systems run by the government, which provide quality care and are up to date with information technology systems. Health Care Information Systems The United States health care delivery system is not meeting the needs of the American population. With the advancements in medical science and technology, Americans are living longer, and we are seeing an increase in chronic conditions that need coordinated and integrated care. As the cost of health care in the United States escalate, attempts to control those costs also increase. Controlling costs and access and quality improvements to the health care system are the issues pushing the Information Technology policies. Studies are consistently showing that the adoption of Information Technology is one answer to alleviating the rising costs to both patients and health care organizations and providing evidenced based health care management and organizational changes, providing and protecting consumers confidential and private health care information, ensuring the reduction of medical errors and waste. The Institute of Medicine’s, Crossing the Quality Chasm has...
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...Organizational Behavior in Health Care Management Name Institution Date Abstract This paper seeks to look into organizational behavior in health care management and most importantly its impact on health care management and delivery. Organization behavior is crucial in guiding the regulatory activities, the staff activities and the overall culture that directs an organization. Organizational behavior in health care setting is paramount to ensuring patient safety, ethical behavior among the medical practitioners, patient-centered care and effecting change in the facilities which is bound to improve healthcare delivery and patients’ satisfaction. The strategic management of any health care organizations is linked to incorporate effective practices and standards that are obliged to improve health care services delivery and nurture a positive organizational culture to improve the delivery of services and maintain highly qualified and motivated medical personnel that will ensure professionalism and efficiency in the facility. Organizational Behavior in Health Care Management Introduction Organizational behavior refers to the study of personal and group dynamics with relations to relations and interactions within a corporate setting (Borkowski, 2016, p.1). The manner and mode of interactions between individuals and groups of people in an organization affect the way in which an organization...
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...Running head: QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1 Quality and Safety in Health Care Management Murimi Stephen muriets@gmail.com JKUAT December 2014 QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1. Introduction 2 Although health care facilities are designed to ensure people are safe, they remain a dangerous place to be (Mitchell, Gardner, & McGregor, 2012). The sources of risks in the hospital include medical errors, falls, and health care associated infections (HAIs). The World Health Assembly (WHA) held on 18th May 2012 passed a resolution that addressed the issue of patient safety and quality in health care (Briš & Keclíková, 2012). WHA called for continued improvements in health care quality and patient safety (Briš & Keclíková, 2012). Therefore, there is a need to evaluate the existent health care systems in order to identify the causes of risks and come up with a plan that can improve health care standards. The plan should also aim at improving the safety techniques applied in other high risk industries, such as the mass transportation, chemical engineering, and nuclear power generation sectors (Shillito, Arfanis, & Smith, 2010). According to the accident causation model developed by Reason in 1990, accidents are caused by many factors that work in concert (Shillito, Arfanis, & Smith, 2010). Such accidents must be prevented by instituting the necessary checks and controls within the system (Shillito, Arfanis, & Smith, 2010). According to Shillito...
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...Organizational Behavior in Health Care Management Name Institution Date Abstract This paper seeks to look into organizational behavior in health care management and most importantly its impact on health care management and delivery. Organization behavior is crucial in guiding the regulatory activities, the staff activities and the overall culture that directs an organization. Organizational behavior in health care setting is paramount to ensuring patient safety, ethical behavior among the medical practitioners, patient-centered care and effecting change in the facilities which is bound to improve healthcare delivery and patients’ satisfaction. The strategic management of any health care organizations is linked to incorporate effective practices and standards that are obliged to improve health care services delivery and nurture a positive organizational culture to improve the delivery of services and maintain highly qualified and motivated medical personnel that will ensure professionalism and efficiency in the facility. Organizational Behavior in Health Care Management Introduction Organizational behavior refers to the study of personal and group dynamics with relations to relations and interactions within a corporate setting (Borkowski, 2016, p.1). The manner and mode of interactions between individuals and groups of people in an organization affect the way in which an organization...
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...Running head: QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1 Quality and Safety in Health Care Management Murimi Stephen muriets@gmail.com JKUAT December 2014 QUALITY AND SAFETY IN HEALTH CARE MANAGEMENT 1. Introduction 2 Although health care facilities are designed to ensure people are safe, they remain a dangerous place to be (Mitchell, Gardner, & McGregor, 2012). The sources of risks in the hospital include medical errors, falls, and health care associated infections (HAIs). The World Health Assembly (WHA) held on 18th May 2012 passed a resolution that addressed the issue of patient safety and quality in health care (Briš & Keclíková, 2012). WHA called for continued improvements in health care quality and patient safety (Briš & Keclíková, 2012). Therefore, there is a need to evaluate the existent health care systems in order to identify the causes of risks and come up with a plan that can improve health care standards. The plan should also aim at improving the safety techniques applied in other high risk industries, such as the mass transportation, chemical engineering, and nuclear power generation sectors (Shillito, Arfanis, & Smith, 2010). According to the accident causation model developed by Reason in 1990, accidents are caused by many factors that work in concert (Shillito, Arfanis, & Smith, 2010). Such accidents must be prevented by instituting the necessary checks and controls within the system (Shillito, Arfanis, & Smith, 2010). According to Shillito...
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...Economics of Health Care Quality and Medical Errors Charles Andel, Stephen L. Davidow, Mark Hollander, and David A. Moreno Charles Andel, MBA, BSRT, is Manager of Radiology Quality and Compliance at Loyola University Medical Center and a graduate of Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at cjandel@lumc.edu. Stephen L. Davidow, MBA, APR, is a health care marketing and communications professional with a strong focus on quality and patient safety. He is a graduate of Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at stephen@davidowcommunciations.com or 708-284-2300. Mark Hollander, MBA, is a financial manager at the Department of Veterans Affairs and graduate of Loyola University Chicago ’s Quinlan School of Business MBA in Healthcare Management program. David A. Moreno, MBA, is a biotechnology business analyst and graduate of the Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at dmoreno1@gmail.com. Hospitals have been looking for ways to improve quality and operational efficiency and cut costs for nearly three decades, using a variety of quality improvement strategies. However, based on recent reports, approximately 200,000 Americans die from preventable medical errors including facility-acquired conditions and millions may experience errors. In 2008, medical errors cost...
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...important and well monitored goals for any medical facility, from your small town family doctor’s office, to nursing and rehabilitation facilities, all the way to large hospital systems. The quality of service provided in a facility doesn’t just affect the patients. Quality of service also affects the bottom line, or whether or not the hospital system is profitable. In order to better access the system’s current quality of service and to devise improvement plans I would need to explore issues that have significant effect on quality of care such as, patient satisfaction and retention, medical errors and patient risk, costs, profitability, and staffing. What information/data would you ask for to help analyze the problem? What are some of the areas that you would want to focus on to help improve the quality of the hospital? Suggest at least one solution to improving poor quality of care in a hospital system. To start out I would like to get a better understanding of the reasons behind low patient satisfaction ratings. This could be accomplished via analyzing any available patient satisfaction surveys and using this information to detect any obvious problem areas as well as any strengths. Using this information I would devise a more specialized and in-depth survey to be sent out to all patients who did the original survey and to a cross section of recent patients from each area of the hospital (ER, ambulatory care, laboratory and other outpatient services...
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...The U.S. Health Care System Yusara Millan Phoenix University HCS/531 Kenneth Feldiman February 20, 2012 The U.S. Health Care System Today’s health care system is a constant focus of debate those who argue about the American system been the best health care system in the world but there is also the part that argues that the U.S. waste more in health care system than any other nation in earth and yet many Americans have not insurance coverage. The intention of this paper is to search the health care system of the U.S and identify as well as understand the structure of the health U.S. health care system. According to Chua, K. (2006) the United States has a very distinctive health care system; it is not like any other health care system in the world. The US health care system consists of private and public insurers in which the private component dominates the public component. Public Health Insurance Medicare is a federal program that covers disabled individuals as well as over 65 individuals, which is funding by federal income taxes, payroll tax shared by employers and individual premiums. According to Chua, K. (2006) the benefits of Medicare Part A covers all the hospital services, the Part B covers the physician services, and Part D offers prescription drug benefits. The Medicare Part C refers to Medicare Advantage, which is HMO’s that control Medicare benefits (Chua, K.2006). According to Chua, K. (2006) there is many breaches in the Medicare coverage, which...
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...Darrick Poole HCS/531: Health Care Organizations and Delivery Systems February 11, 2013 Eugene Burwell Reimbursement and Pay-for-Performance In 2010, health care expenditures in the United States almost reached $2.6 trillion. This was 10 times more than expenditures spent in 1980. The rate of increase slowed in the late 1990s and early 2000s but industry experts still expect the cost of health care to increase more than the national income for some time to come. Stakeholders agree this continual financial burden is of critical importance. During the last decade, the financial woes in the United States caused many people to lose employment and others to work for much lower wages. The effects of the financial conditions increased the focus on health care spending and peoples’ ability to afford health care. The premiums paid by employees for their families increased by 97% putting further strains on employers and their workers. Baby boomers reaching retirement age increased enrollment in Medicare and Medicaid causing strain on federal and state government budgets. In 2010, health care expenditures consisted of 17.9% of the Gross Domestic Product. Over half of the nation’s health care expenditures result from hospital care, physician, and clinical services. One way the Affordable Care Act seeks to address the issues of cost is by reducing the compensation for hospital and treatment services that result in medical errors or inadequate quality of care. One of these payment models...
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