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Strengths and weaknesses of patient centred care
Leadership and interprofessional teams
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Organizational Leadership and Inter-Professional Team Development
When patients and family are involved in their own healthcare, they become empowered and their quality of care improves with better outcomes and increased cooperation. Patient- and family- centered care organizations are working hard to promote care that truly involves around the needs of the patient. One way to assess if an organization is reaching their goals in providing quality care to their patients is through the patient- and family- centered focus is by utilizing the Patient- and Family-Centered Care Organizational Self-Assessment Tool (PFCC). This assessment tool evaluates the current practices in the organization from leadership to inter-team professional development with a scoring system of one being the lowest to a five being the highest, with the option to mark unsure for each category. The PFCC tool was used to evaluate the OhioHealth Mansfield Hospital setting, scoring each category to have the ability to analyze their business practices while identifying their strengths and weaknesses, to give the ability to recognize and implement a strategy to put in place to improve a weakness recognize by the PFCC tool while recognizing the key stakeholders and their roles along with the financial implication on the organization as a whole.
Business Practices
The Affordable Care Act (ACA) relies heavily on the Patient Centered Medical Home (PCMH) model, but with new regulations, and reimbursement rates affected by patient satisfaction, health care facilities are now having to look at their business practices in the facility. Health care facilities are going to need to look at staffing, and the practice environment to promote efficient care delivery, because if ...
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..., even though this reputation had carried through with the hospital from the previous name change ten years prior. The values of OhioHealth are to provide compassion, excellence, stewardship, and integrity to not only the patients, but to their families along with the employees to make sure that it shows that the healthcare system as a whole from the administration on down is honored with dignity, and is shown value and worth by showing respect.
Identification of Strengths and Weaknesses
When analyzing the PFCC self-assessment tool at OhioHealth Mansfield, it allows the identification of strengths and weaknesses at said hospital, and a breakdown for each domain and its elements in which has an effect on patient-centered care. In the analysis some domains show all positives, but in most domains however the facility shows both positive with weaknesses as show below:
Healthcare organizations must inhere a strategy to stay ahead of their competitors so that they can maintain their patient volume. By measuring the quality of care through performance, patient satisfaction, and experience, and cost all play a role of having patients to choose your hospital. Today, many healthcare organizations have adopted the triple aim strategy of great quality, great patient experience for a reasonable cost. With the tracking of their patient experience and continuously improving the quality of care at a reasonable cost to stay one step ahead of their competitors and to maintain and increase patient volume has been successful help in the healthcare
...on rates have shown to improve when the facility is practicing patient- and family- centered care, which ultimately can increase the reimbursement rates from Medicare and Medicaid. The increase reimbursement rates are extremely important for non-profit health care system such as OhioHealth Mansfield whose revenue comes from over sixty percent in Medicare and Medicaid funding. The PFCC self-assessment tool was analyzed based on OhioHealth Mansfield with strengths and weaknesses, which one big weakness consisted in the personnel domain which consists of support for staff, and the utilization of patients and family involvement in decision making and new employees. The system change of adding the new role of the patient navigator allows collaboration with a diverse team including patient and family members, along with ultimately increasing patient satisfaction rates.
As our health care system continues to evolve and become more focused on a preventive and coordinated approach to patient care, we too must progress and create programs that follow such principles. The Patient-Centered Medical Home (PCMH) model follows similar ideologies and recently has gained increasing support. The patient’s primary care physician, who will provide preventive and continuing care for the patient, directs this medical model. The PCMH model of care is comprised of a health care team working together to serve their patient and provide quality care.1 The model works to empower the patient by promoting communication with not only the physician but with the nursing staff, specialists, and other health care providers. Every patient
At the Progressive Care Unit at Spectrum Health Blodgett Hospital site, the CFHI is recommended as the most appropriate Organizational Assessment tool due to its versatility and comprehensiveness. The recommendation is made based on the all-encompassing nature of the OA since it tackles a wide variety of important aspects that will help the institution transform its operations into a high-performance organization. Firstly, the CFHI assessment tool notably engages all relevant stakeholders in the transformation process; stipulating their respective contributions toward the desired goal. In this respect, the institutions management, staff, patients, and their families are engaged and empowered to play their respective roles. Here, the Unit’s
Competitive advantage matters greatly to those responsible for the management of healthcare institutions. Together with rapidly escalating healthcare costs, increasingly complex medical technologies, and growing regulatory and legal pressures, healthcare organizations face a critical need to improve the quality of care at reduced costs (Cu...
The facility is evaluated utilizing the PFCC Organization Self-Assessment Tool. Scores range from one to five. This VHA facility is outside a hospital setting and some elements of the tool are not applicable, and these elements are scored as a one. The facility effectively address PFCC needs in many areas, and some need to be improved.
The Potter article, The Strategy The Will Fix Health, lays out a strategic value agenda for high quality healthcare. This value agenda has six interconnected components. First, organize into integrated practice units. The leaders at Cleveland clinic and ThedaCare consolidated hospitals, outpatient clinics and Cosgove went further to integration care coordination through establishing disease focused Institutes. Second, measure outcomes and costs for every patient At the Cleveland Clinic the Institutes defined and developed shared outcome measures. Dr. Cosgrove saw patient outcomes as “the ultimate measure of quality.” He wanted outcomes to be reported internally as well as externally. Outcomes were also compared to available benchmarks. ThedaCare
With the rapid growth of the healthcare industry, especially considering the recent on-going policy changes, it is no surprise to the general public that healthcare providers are spending less time with the patients. This is due to the broad spectrum of inattentiveness to healthcare quality. The Donabedian Model classifying healthcare quality is crucial in understanding the areas in which quality is present, or in this case, not present. As far as structures go, they are inherently involved as the environment in which patients are treated plays a significant role in satisfaction and overall outcome. The processes involving the provider and the patient are lacking necessary interpersonal relationships for physicians to effectively diagnose and treat patients. The current problem in healthcare quality is the lack of patient centeredness in ambulatory care. This problem is resulting in low patient satisfaction and sub-optimal outcomes from discrepancies in care.
It is comprised of 14 hospitals across Tampa Bay and Central Florida regions. BayCare’s mission is to improve the health of all we serve through community-owned, health care services that set the standard for high-quality, compassionate care (BayCare Health System, 2016). This goal is short, clear, and elevating, which is according to Northouse (2016) is one of the characteristics of team excellence. BayCare is comprised of several hospitals in which different teams are involved. Hence, having this kind of goal is significant so the teams are working towards a realistic goal that everybody involved would believe it will be worthwhile and will promote engaging their talents. The other characteristics of successful teams are having a results-driven structure; unified commitment; collaborative climate; standards of excellence; external support and recognition; principled leadership (Northouse, 2016). The mission of the organization encourages everybody to work together whilst combining the other characteristics. These characteristics are also useful for leaders in addressing any weaknesses within the teams while the team-based structures allow the organization to remain competitive by responding quickly to the constant and rapid changes in our organization. One way of assessing its effectiveness is through feedback (Northouse, 2016). Year round, BayCare gathers feedback not just from the team
In order for primary care practices to be successful they have to arrange their office setting and scheduling to satisfy their consumers’ needs. Bodenheimer (2003) advocates for improving primary care accessibility by arranging their offices into teams. He explains each team would have “one primary care physician, two non-physicians clinicians (nurse practitioners or physician assistants), three nursing staff, and a receptionist” (p.797). He states patients will be greeted by their team who knows their h...
In this unit, we will be discussing real-life healthcare organizations, the 5 P’s of healthcare marketing, and evaluation strategies that may be used to determine marketing potential.
However, the goal is to reclaim the organization as competitive and thriving to improve quality. The organization need to convey to the community that they are in the process of providing results, utilizing active listening, and providing a solution is imminent. Regarding Lester, to solve a problem within an organization it starts with restructuring the fundamentals of the programs that are not progressing. In chapter six the problem-solving methodology explains the importance of effective managerial performance, able to communicate, not being biases, have the knowledge, ask the question why, identify the problem, know that everyone interest is important, and finding the vital step missing that connects the organization to the people. Also, HSO’s are design to network with the community, in Lester case what is important is increasing coverage, monitoring access, educate staff, use coordination of care, taking accountable for complaints, serving the public efficiently, and offer resources. The organization purpose is to succeed the community health care needs by offering comprehensive quality and integrated health
Those engaged in performance improvement and care redesign must prioritize, not minimize, personal interactions, and must support and reward the time required to respond to patients’ and families’ needs, concerns, and distress.
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.
William, R. (2009, August). Improving quality and value in the u.s. health care system. Retrieved from http://www.brookings.edu/research/reports/2009/08/21-bpc-qualityreport