The design of health care facilities managed by many statutes and technical specifications. It also influenced by many less defined needs and burdens. A trend towards specialization has resulted in a growing number of health care types. Among them are hospitals, nursing homes, outpatient facilities, rehabilitation facilities, urgent care clinics, and various specialized outpatient facilities. Health care facility needs are emerging quickly, and the direction of that evolution difficult to forecast. There is a noticeable movement from hospital-based acute care to outpatient care, and approaching a holistic, preventative, and continuous care of health and wellness.
Health Care Facilities
Health care facilities handle ensuring quality of care in hospitals, nursing homes, and other kinds of health care facilities. The in-patient facility consists of hospitals and nursing homes that require admission for up to 24 hours. The outpatient facilities provide clinical, diagnostic testing, and therapeutic services (Riegelman & Kirkwood, 2014). Clinical services typically found in the physician’s office. An out-patient facility consists of an urgent care clinic, and it does not require staying overnight. A hospital facility consists of many departments, it can service patients in an emergency situation or admit patients that need further observation and care for a short period. The hospitals can perform day or emergency surgery and also provide out-patient services for clinic visits. The nursing homes are other facilities that can assist patients with daily activities. The nursing homes, mainly, for elderly or physically challenge people that needs assistance on an everyday basis for long-term care. The prompt clinics are the newest facilit...
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...e for minor problems. “Each type differs in its governance, finance, accreditation, and organizational structure. It is not surprising that most patients, policy makers, and even clinicians do not have a good overview of the system” (Riegelman & Kirkwood, 2014, p. 197).
Conclusion
Obvious many facilities can provide services to citizens. Even though, they each serve different purpose and offers a variety of services and treatments. All requires specialized education and training to perform these services for in and out-patient facilities. These institutions can work together to exchange data and ideas through integration. Each organization selects a person who can manage and oversee the operations. However, these organizations have some features in common, but there are some characteristics of their structure and purpose that can distinguish them from each other.
Integrated services help arrange services that are easy for users to scroll through. It provides financial and medicine management to work together on a goal and make the most of resources provided in the hospital (World Health Organization, 2008). For instance in the case study the hospital had a health food store, a physiotherapy clinic, an alternative medicine clinic, a pharmacy, and a home health care store under one management, making it a lot more easier for patients to access. Overall integrated services in health care can escalate the quality of care, enhance access to services and lower overall health care expenditures. Due to the fact that is more economically efficient to share human resources than have health care systems be dedicated to one particular disease, and it makes more sense to deal with all of the problems the patient is facing rather than focussing separately on just one health problem (World Health Organization,
Organizations that have this type of requirement usually assume a vertical organizational structure, with many layers of management, with the majority of the staff working in very specific, narrow, roles under authority. The many layers of management are designed to make sure that no one can throw the system off. This structure also ensures that tasks are performed correctly and accurately. Touro is a perfect example of this. Touro’s structure consists of a board of directors, which oversee the facility as a whole. Executives come next. The Board of Directors leaves it to Touro’s executives to see that their decisions are carried out and performed successfully in the daily operations of the hospital. Furthermore, each department has a department administrator which report to the executives about a specific operation system of the hospital. Last but not least come the patient care managers which directly oversee the medical providers. An example of a patient care manager would be a Charge nurse and the medical providers he/she would oversee would all the RN’s in the specific department for which they
Moss, A. J. et al. Design and operation of the 2010 National Survey of Residential Care Facilities. Vital Health Stat. 1. 1–131 (2011). at
Over the past years, there has been a nursing shortage which has led to the need of more registered nurses in the hospital setting. This is the result of higher acuity of patient care and a decrease in their length of hospital stay. In order for the patients to get safe and quality care, the staffing, education and experience of the nursing staff needs to be made a priority. Because of the lack of nurses, patient quality of care has suffered.
Both facilities will have the same Medical Director and one Director of Nursing running both locations. Management personnel will improve their communication by meeting once a week to discuss and brainstorm ideas; bill verification will be consistent in the two facilities; there will be a company wide purchasing system. To maximize revenues, there has to be a mix of out- patients and in patient care, there will be shorter stays in the future.
The first step to understand your role as a CNA is to know the difference between a hospital setting and a nursing center. Hospitals provide emergency care, surgeries, and laboratory testing. They care for people of all types of ages and all scenarios. Hospital patients have three types of illness: acute, chronic, or terminal. Acute illness is a sudden illness from which someone is likely to recover. Chronic illness is an on-going illness which there is no known cure. Terminal illness is an illness or injury from which a patient is expected to expire. On the other hand, long term care centers are designed to meet the needs of people who no longer can care for themselves but do not need hospital care. These people are called residents upon their entrance. Care centers provide residents with the right medical, nursing, rehabilitative, recreational, and social services. Nursing centers meet the needs of all kinds of residents from alert, oriented, confused, short term, life long, mentally ill, terminally ill, to persons needing complete care. Besides the differences hospitals and nursing centers have similar standards. They must protect and promote patients or residents rights. Both require high quality care, and a clean and safe setting. The Omnibus Budget Reconciliation Act ...
The competing external stakeholders seek to attract the focal organization’s dependents. These competitors may be direct competitors for patients or they may be competing for skilled personnel. The patients hold the role of seeking care. They demand that they receive quality care in the organization and that the care is consistent. The patients play a role in the organization because the organization needs the patients to run the facility. The organization provides a service that the patients need and demand. The source of influence from external stakeholders comes from control of strategic resources materials, labor and
The organizational structure of our healthcare organization would be described as a large organization involving four other healthcare institutions in the Tampa Bay area. Our health care facility is the largest of the four hospitals. Our organization is a 431-bed facility that is “home to five Centers of Excellence that focus on major disease areas including cancer treatment, women's health, pediatrics, diabetes management and orthopaedics” (University Community Health, 2011). The type of services we provide are community outreach programs, inpatient and outpatient services, clinics and centers, rehabilitation center, imaging services, and robotic services. “Our mission is to offer patients access to the most advanced technology and treatment options available” (University Community Health, 2011). I would describe our organizational structure as decentralized between the individual hospitals as well as within each healthcare facility. The responsibility of the decision making is delegated to the ones doing the work and they are accountable for the results (Danna, 2009). There are interdisciplinary committees between facilities as well as within each facility. Therefore improving communication, collaboration, and s...
The built environment undoubtedly affects the quality and care to the patients and family members. Patients and family members are expecting from a health care organization a well built environment that is suitable and accessible, caring for family, encouraging or beneficial to wellbeing, confidential, considerate, secure and safe. The environment checklist is an assessment tool that will help healthcare organizational designers and health care administrations accumulate information about consumer’s needs, measure satisfaction, and provide facility comparisons for molding the industry’s best practices. I reviewed the environmental checklist in my facility and discussed with my nursing manager the areas that need improvement and the areas that performing well. The three most important areas that I would address that needs to recover are 1.Information systems in place, 2.Staffing requirements and 3.Patients discharge.
Outstanding healthcare facilities try to compensate patients for economic and non-economic losses. They ensure the patients have their time and concerns addressed. They make sure that the patient experience makes them feel good.
NP’s are often found in Texas, Pennsylvania, New York, Florida, and California and Texas rank among some of the fastest growing states for new hospitals, clinics and other health care facilities. Elderly typically have more healt...
Nursing home is a place offers residential care for people who need continual nursing care [1]. In recent years, the number of older Americans over age 65 live in nursing faculties is more than 1.4 million, and it is expected to increase because of the aging of baby boom generation and population ageing. 6% of nation’s healthcare expenditures are spent on 15,500 nursing homes in U.S. The increasing population requiring nursing home and increasing expenditures suggest a pressing need for quality measure in nursing homes.
Case management has become the standard method of managing health care delivery systems today. In recent decades, case management has become widespread throughout healthcare areas, professionals, and models in the United States; and it has been extended to a wide range of clients (Park & Huber, 2009). The primary goal of case management is to deliver quality care to patients in the most cost effective approach by managing human and material resources. The focus of this paper is on the concept of case management and how it developed historically, the definition of case management, the components of case management, and how it relates to other nursing care delivery models.
Due to WellStar being a multi facility health system, its organizational design is constantly being reviewed for simpler and more efficient processes. WellStar’s two smallest hospitals, WellStar Paulding and WellStar Douglas, previously under went reconstruction with regards to their hierarchical structure in Patient Access Services (PAS). WellStar Paulding, the smallest facility of the five hospitals, renovated their managerial chain of command in PAS. WellStar Paulding’s patient volume is less than half in comparison to the 4 additional hospitals. As a result, their staff is smaller and only requires minimal supervision. In the past WellStar Administrators requested supervisors for every department, a manager of the entire department, and a director that managed PAS’ management directly and PAS staff indirectly. Recent cuts ...
...mplications that allow for opportunities of change. One of the presumptions is for training and staffing (Shi & Singh, 2012). With the utilization of health care improvements, the staff will need additional instructions on the performance of equipment and how to efficiently achieve the desired results. Managers or supervisors recognize the need for supplemental staffing and training to optimize patient satisfaction and quality of care. The health care administrator must also focus on changes in insurance policies and rules governing the provision of medical assistance (Shi & Singh, 2012).