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.
The challenges that all acute care hospitals and facilities faces are the demand for highly specialized services has increased. The US population is constantly aging and the elderly tend to need more acute care services. Because many people lack health insurance, they tend to use emergency rooms in the hospitals as their source of care. The increase demand in acute care prompted hospitals to expand their facility
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
stationed staff in one area of a hospital ED to treat patients presenting to the ED" (Minott, 2008). This results of this experiment stated that "28 percent of patients diverted back home and avoided hospital readmission" (Minott, 2008). Another study showed that "greater registered nurse hours spent on direct patient care were associated with decreased risk of hospital related death" (Kane, Shamiliyan, Mueller, Duval and Wilt, 2007). This shows that there is a correlation between direct care between healthcare providers and a better outcome amongst patients.
Organizational philosophy commits in establishing a high quality program that will be of distinct benefit to the community, as well as the medical staff. Mission consists of high patient satisfaction, compassion, reduction in medical errors, proper medical decisions, and patient education. For this reason, leadership is seeking the interest and commitment for expansion of a JRU to establish a program that is compatible with goals for quality, cost-effectiveness, and growth within the most efficient period.
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.
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 ...
Environment can describe many characteristics of the setting nursing care occurs in. It can include preventative measures made in communities, such as health fairs and clinic visits, or a transition to the higher level of care a trauma victim may require for optimal chances at survival. Light, Ventilation, clean water and sound are also featured
Hospitals recognized the need for the case management model in the mid 1980’s to manage the lengths of stay of hospitalized patients and the treatment plans (Jacob & Cherry, 2007). In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals ...
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...
The nursing profession consist of different workflow designs to provide the appropriate care to our patient population. “Nursing models of care are developed to identify and describe nursing care” (Finkelman, 2016). While providing care for our patients it is important to render the appropriate care delivery model according to the type of patients you are serving within the community. They are many different approaches to providing care to patients and the care model design. Some model may include some aspect of the other nursing model depending on the situation. Some of the different models include “total patient care, functional nursing, team nursing, primary nursing, contemporary model and care and service team
An organizational analysis is an important tool to become familiar with how medical businesses and organizations are able to meet standards of care, provide services for the community and provide employment to health care providers. There are many different aspects to evaluate in an organizational analysis. This paper will describe these many aspects and apply the categories to the University Medical Center (UMC) as the organization being analyzed.
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.
Carpenter, D. (2007). Visions of health care’s future: Bigger, more patient-focused systems?. Hospitals & Health Networks, 81(5), 4-7.
Hospitals play an important role in the health care system (Hospitals, n.d.). They are health care institutions that have an organized medical and other professional staff, and inpatient facilities, and deliver medical, nursing and related services 24 hours per day, 7 days per week. Hospitals offer a varying range of acute, convalescent and terminal care using diagnostic and curative services in response to acute and chronic conditions arising from diseases as well as injuries and genetic anomalies. In doing so they generate essential information for research, education and management. Traditionally oriented on individual care, hospitals are increasingly forging closer links with other parts of the health sector and communities in an effort