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Use of communication in healthcare
Use of communication in healthcare
Use of communication in healthcare
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Hospital Management Case Study
Analysis
My analysis of this case is that the communication process at the hospital is the biggest problem. Chris is a newly college graduate and already an associate CEO of a huge organization with little experience, Pat the CEO of the organization is wanting Chris to make decisions on a problem that he knows little about being he was just hired. The issues that are at hand are that the CEO is placing a lot of the work on the new person and relying on him to think of how to overcome a lot of the problems that have been going on for awhile. Some of the issues in the case are that the people working at the hospital are making medical decisions that are not supposed to be making and the insurance companies are also making the decisions on what a certified doctor should be making. Another issue at the hospital is that the finances are not the way they should be and the CEO is saying that it is the operations are not the way it should be. If the following recommendations are followed then the hospital should work a lot smoother. All the problems the have risen could be put in to one problem is that there is no communication with the departments and people are making decisions that should not be.
Synthesis
My recommendations that should be done are that both the CEO which is Pat and the associate CEO which is Chris should work on this together and come up with some ideas. It is true that the hospital does need some fresh ideas, which Chris can provide but also in this situation needs the experience that Pat could provide which he has only gave Chris a little background of the problems that are going on.
There should be strict guidelines in the hospital when decisions have to made about a patients' well being because right now prescriptions are being written without insurance and being paid on installments, nurse are making decisions on DNR directives, the insurance companies are telling the doctors the way a patient should be taken care of.
Prescription
All of these scenarios have to do the way the communication process is being handled and by the way situations are being handled it is affecting the hospitals finances because of the cost per day to take care of a patient.
...and his vision in successfully transforming the medical center to a tertiary care facility. However, in 2008 under Ron Henderson, the medical center expenses began to skyrocket and revenues failed to keep up. Also, a hospital census indicated that, on average, Medicare patients consisted of 58% and Medicaid patients consisted of 18% which caused the medical center to suffer from reductions in reimbursements. Although noted by solid evidence that utilization was experiencing a steep decline, Mr. Henderson added 127 new positions to the medical center. In 2009, Mr. Henderson was fired after the board of trustees realized that this financial bind of an $8.6 million deficit was caused by Mr. Henderson. In order for the new CEO, Richard Reynolds, to succeed at his new job title, he must create a benchmarking process adopting certain goals to remain a worthy competitor.
SGH has been plagued with patient quality issues, therefore SGH finds itself in a situation which is inherently antithetical to the mission of the hospital. The costs of healthcare continue to rise at an alarming rate, and hospital boards are experiencing increased scrutiny in their ability, and role, in ensuring patient quality (Millar, Freeman, & Mannion, 2015). Many internal actors are involved in patient quality, from the physicians, nurses, pharmacists and IT administrators, creating a complex internal system. When IT projects, such as the CPOE initiative fail, the project team members, and the organization as a whole, may experience negative emotions that impede the ability to learn from the experience (Shepherd, Patzelt, & Wolfe, 2011). The SGH executive management team must refocus the organization on the primary goal of patient
This case examines the multiple duties that the President and CEO of Midvale Community Hospital, Terry Blaze, participated in throughout the day to ensure that the hospital is running effectively. Throughout the day, Blaze attends numerous meetings, which are directed towards improvements, changes, or concerns that will overall affect the hospital. During several of them, he is required to make final decisions however, he often directs other personnel to make that final judgment call. It was evident that Blaze wore many hats as the President and CEO of the hospital, which made it evident that his time was stretched thin. This could result in tasks going unfinished or completed incorrectly. Some mistakes that may be made may have a major negative impact on the hospital therefore it is pertinent for Blaze to ensure that he is using his time wisely.
...he operating margin, cash on hand, and days in accounts receivable as these have been major factors. The new system being put in place for the materials management system should be closely monitored, as it will determine the adaptability of the department. The reformation of the Governing Board can be justified through the successes or failures it creates while going through the restructuring process. It will be important to get feedback from employees and the CEO to see if conflicts arise. The new physical therapy center will continue to be monitored to see if revenues are as high as thought with the expansion of this facility. Overall, it will continue to be a process of monitoring, reevaluating, and gathering appropriate data to determine if the strategic plan being implemented is continuously seeking the values, mission, and vision of the Coastal Medical Center.
Obtain a copy of the nursing organization chart. What is the position of this role within the institution 's/agency 's administrative hierarchy? What is the relationship of this position with other departments/areas within the institution/agency? Director of Nursing. In the chain of command it’s a position below the administrator.
CareGroup was formed on the basis of three major Massachusetts hospitals; Beth Israel, Deaconess, and Mount Auburn (McFarlan, F. Warren, and Robert D. Austin, pg.1). After a surprising merger of Mass General and Brigham and Women’s Hospital, all three hospitals in CareGroup suffered great financial losses (McFarlan, F. Warren, and Robert D. Austin, pg.2). Due to the multi-million dollar financial losses, CareGroup felt they needed a change, which is when they added Halamka to their team, naming him their CIO (McFarlan, F. Warren, and Robert D. Austin, pg.3). Being in a financial state of duress, it is undoubtedly crucial for a new CIO to have the technical skills and knowledge needed to manage a health care facility. In reference to this point, Halamka had stated, “…I know all the technologies, I program in 12 languages, and I’ve written books on Unix system administration. I’m a doctor, so I understand the clinical domain and the technical requirements” (McFarlan, F. Warren, and Robert D. Austin, pg.3). Clearly this exemplifies his qualifications as the newly instated CIO.
The healthcare world has simply grown too large, too quickly and, as a result, has forgotten the reason behind which it stands: the patient. Continuity of care is in dire need of repair and without effective communication and coordination of care, the problem will not be corrected.
Providing the steps to ethically sound excellent care, healthcare providers must acknowledge first the legal and ethical matters involved with proper investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at a constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice. Codes of nursing ethics and legal legislation have addressed almost all the necessary actions in making decisions in consideration to the best interest of the patient. Nurses must make sure that they are all guided by the set standard to lead their action and produce desirable and ethically sound outcomes.
Healthcare is considered of one of the most complex business models in the American Industry because it is one of the only industries where the consumer actually does not technically pay for the service he or she receives (Kudyba, 2010, p. 2). When consumers go to nail salons or hair salons, he or she pays the beautician for the specific service he or she asks for. In the healthcare industry it is totally different and most consumers do not understand the complexity of this business model. The consumer actually pays insurance companies and the insurance companies pay the provider/hospital based on negotiation arrangements from the data exchanges they receive (Kudyba, 2010, p. 2).
Something obviously went wrong and is being investigated. A woman in her early 40's came in for a minor day surgery. The surgery went well, but the doctor had to leave early and hands the patient to the care of the highest administrative on duty, being a charge nurse and emergency care doctor. The patient needed an extra surgical procedure on the parathyroid as well as a thyroid because of unforeseen tumors. Clear instructions were left by the doctor to reanalyze blood before the patient was to discharge to check for the calcium. If the calcium was not steadily rising, then the patient was not to be discharged but kept in-patient until he could see the patient the next day. The charge nurse busy with over 60 other patients asked the nurse to order the labs. Though ordered, labs were not administered. When the emergency care doctor came to discharge the patient he assumed the last lab given results for were accurate and steadily rising because they were done the same day and approved the patient's release. The charge nurse overwhelmed with work and exhausted and without lunch, signed for the patient's release and did not ask the nurse to verify the latest labs. As a result, the patient was
The delivery of healthcare mandates a lot of difficult decision making for healthcare providers as well as patients. For patients, much of the responsibility is left to them especially when serious health problems occur. This responsibility deals with what treatments could be accepted, what treatments could be continued, and what treatments could be stopped. Overall, it considers what route should be taken in regards to the health interests of the patient. However, there are circumstances in which patients cannot decide for themselves or communicate what they want in terms of their healthcare. This is where the ethical issue concerning who should be responsible for making these important healthcare decisions occur if a patient was to be in this sort of situation. Healthcare providers can play a role in the healthcare decision making as their duty is to act in the best interest of the patient.
I believe it is because knowing why you are doing what you’re doing makes you more knowledgeable, insightful and creative. This is why nurse managers are so valuable on their units to the hospital, they are the ones that hold the communication line between staff and administration. Our Lady of the Lake Regional Medical Center is a general medical and surgical hospital that has been located in Baton Rouge, Louisiana for over ninety years. It is a private Catholic hospital that serves as a teaching facility to surrounding students in the area. In addition they employee nine hundred physicians, three hundred staff members and treat over 25,000 patients a year. There Rosa Franklin has over thirty six years of experience working. She is currently the nurse manager on Cardiology 1. In this report I will be sharing with you the five managerial functions of a nursing manager in a hospital setting. This includes influencing, planning, organizing, staffing and controlling.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
This paper’s brief intent is to identify the policies and procedures currently being developed at Midwest Hospital. It identifies how the company’s Management Committee was formed and how they problem solved and delegated responsibilities. This paper recognizes the hospital’s greatest attributes and their weakest link. Midwest Hospital hired Dr. Herb Davis to help facilitate the development and implementation of resolutions for each issue.
not simply what is required by law, must be addressed because the healthcare industry is full of