Slide 2: Introduction
According to National HealthCare Corporation (2016), the organization also generates revenue by managing seven skilled nursing facilities, three assisted living facilities, and one independent living facility owned by third-party operators. Additionally, they have a partnership agreement and a 75.1% non-controlling ownership in Caris Healthcare. Caris Healthcare specializes in hospice care and has 26 locations in four states. Further, NCH provides accounting and financial services to 20 skilled nursing facilities for small operators. Lastly, the organization operates four regional pharmacy operations. These pharmacies serve 56 owned facilities, six managed facilities, and 13 third party entities.
Slide 3: Short and
…show more content…
In addition, according to the American Physical Therapy Association (2011) most nursing facility patients are appropriate candidates for therapy services. Therapy services improves patient outcomes by reducing falls, improving mobility, and reducing chronic pain. In addition, providing therapy services will ultimately increase profits. Conway (2013) suggested effective health information technology systems facilitate safe, effective, timely, patient-centered, efficient, and equitable health care. Finally, expanding into new markets will enable NHC to form new business partnerships, increase economies of scale, and boost brand recognition.
Weaknesses:
65% of NCH’s patient revenues are derived from Medicare or Medicaid. Importantly, these government programs are subject to frequent and substantial changes. Nursing and physical therapist shortages are expected to worsen. In fact, the American Physical Therapy Association (2014) claims there will be a physical therapist shortage of up to 28,000 by 2020. Moreover, Carnevale, Smith, and Gulish (2015) reported there will be a shortage of nearly 100,000 nurses by 2020.
…show more content…
Leaders recognize improving clinical quality will have many benefits for both, residents and the organization. For example, it will benefit residents by improving satisfaction, reducing complications, and improving their quality of life. It will benefit NCH by reducing turnover, improving occupancy rates, attracting top talent, and enhance employee satisfaction (Advancing Excellence in America’s Nursing Homes, n.d.). Increasing professional development opportunities will be key for improving clinical quality. Professional development enhances the clinical staff’s competencies and will decrease turnover, which will enable NHC to experience a greater financial return on their development
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
The author is a registered nurse care pathways coach at the Alabama Quality Assurance Foundation with responsibilities for decreasing avoidable hospitalizations in a local long-term care facility. He has 22 years of experience in the nursing profession, including psychiatric, medical surgical, and geriatric nursing. He has developed an interest in providing advanced nursing practice as a nurse practitioner using holistic approaches as he has matured as a nursing professional. His desire to improve access to primary health care and improve the quality of care for the poor and elderly is a decisive influence on his future as an advanced practice nurse.
Nevidjon, B., & Erickson, J. (31 January, 2001). The Nursing Shortage: Solutions for the Short
CVS Caremark is the largest U.S. pharmacy services provider. CVS is known for operating pharmacies, which sell prescription and over the counter drug, as well products such as photo processing services, cosmetics and convenience foods. CVS focus on charitable giving by partnering with Community Heroes. CVS provides $55,000 in grants to Rhode Island nonprofits that focus on health care, children, social services and military support. Through community grants, CVS is focusing in ways to give to their community by providing access to health care for underserved communities. Last year, CVS Caremark provided a $5,000 grant to the Interfaith Partnership for the Homeless (IPH) to increased access to health care services for underserved population
There is a surge of retiring nurses and a rising number of patients. Hospitals are scrambling to fill the tens of thousands of nursing positions, therefore, asks the question as to
According to the Bureau of Labor Statistic’s Employment Projections 2012-2022 released in January 2014, the Registered Nursing workforce is the top occupation in terms of job growth through 2022. It is expected that the number of employed nurses will grow from 2.71 million in 2012 to 3.24 million in 2022, an increase of 526,800 or 19 percent. Growth will take place for a number of reasons: demand for health care services due to increasing life expectancy; chronic conditions, such as arthritis, dementia, diabetes, and obesity; and the number of individuals who have access to health services.
The Centers for Medicare and Medicaid Services (CMS) have recently begun requiring hospitals to report to the public how they are doing on patient care. Brown, Donaldson and Storer Brown (2008) introduce and explain how facilities can use quartile dashboards to transform large amounts of data into easy to read and understandable tool to be used for reporting as well as to determine areas in need of improvement. By looking at a sample dashboard for an inpatient rehab unit a greater understanding of dashboards and their benefits can be seen. The sample dashboard includes four general areas, including nurse sensitive service line/unit specific indicators, general indicators, patient satisfaction survey indicators and NDNQI data. The overall performance was found to improve over time. There were areas with greater improvement such as length of stay, than others including RN care hours and pressure ulcers. The areas of pressure ulcers and falls did worse the final quarter and can be grouped under the general heading of patient centered nursing care. The area of patient satisfaction saw a steady improvement over the first three quarters only to report the worst numbers the final quarter. A facility then takes the data gathered and uses it to form nursing plan...
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
"Projected Supply, Demand, and Shortages of Registered Nurses: 2000-2020." American Health Care Association. U.S. Department of Health and Human Services, Jul 2002. Web. 10 Mar 2012.
Improvement in quality of healthcare: Work in interprofessional teams, employ evidence-based practice, utilize informatics, provide patient-centered care, and apply quality improvement (QI).
For many years, the nursing shortage has been a relevant topic in today’s society. The nursing shortage is defined as a lack of trained nurses to provide care for ill individuals. Nursing schools inability to grow programs quickly enough to meet demands (Nursing Association of Colleges of Nursing, 2014). The shortage is not only an issue in the United States but all over the world. This problem affects a wide range of people from current registered nurses, patients, and other members of the healthcare team. According to the Nursing Association of Colleges of Nursing (Rosseter, 2014), the nursing shortage is due to the expansion of healthcare and nurses who are baby boomers beginning to retire. The Bureau of Labor Statistics’ Employment reports,
Although the CNL role is fairly new to the health care system, it has impac...
Support of a decentralized organizational philosophy can transform organizations, staff, and patients because it affects the culture, improves staff outlook, promotes personal involvement and encourages staff to reach higher levels of quality care. In my organization, nursing leaders should strive to involve all patient care units and staff in shared governance, educate unit leadership council chairs, and build on the positive aspects by empowering, motivating and developing staff members. These actions will increase creativity, responsibility, intellectual stimulation, and well-being.
Maintenance and promotion of quality improvement initiatives are essential for the successful growth and development of the health care industry. Nurses are key to all quality improvement initiatives as they are in the frontlines and have the most contact with the healthcare consumers. Therefore, nursing professionals are good at putting in their valuable inputs for quality improvement efforts. On a daily basis nursing professionals strive to deliver safe, efficient, effective, patient-centered care in a timely manner. With the growth and development in the health care industry, there is an increased need to provide competent and high quality services. Nurses are equipped with distinctive proficiency required for delivery of patient care
Quality improvement (QI) involves the regular and constant actions that enable measurable improvement in health care. QI results in enhanced health services, organizational efficiency, quality and safe care to patients, and desired health outcomes for individuals and patient populations (U. S. Department of Health and Human Service, 2011). A successful quality improvement program is patient-centered, a collaboration of teams, and uses data in systems. QI helps to develop a culture of excellence in nursing, identify and prioritize areas of improvement, promote communication and collaboration, collect and analyze data, and encourage continuous evaluation of systems and processes (American Academy