Discussed is the overall wage bill budget, structure of health agencies, and quality, accountability and innovations of health workforce. Government limitations in overall wage bill expansion can result to inadequate resources meant to hire health workers. Although fiscal constrains in developing countries is a major threat to delivering of health, the government needs to put into consideration the impact brought about by policies of wage bill. It is evident that wage bills have restrictions which constrain improvement of the workforce in health sector. A survey done in developing countries revealed that there are considerable weaknesses found in policies and practices of recruiting, deploying, transferring, promoting, sanctioning, and paying of the health workers.
Continuous quality care in the healthcare setting is critical. Risk management, patient safety, and full-disclosure programs play essential roles in quality care. Preventing medical errors, acknowledging the problem, and finding ways to resolve these issues are the program’s main goals. Implementing certain regulations can help decrease future errors and claims. “A successful risk management and full-disclosure program requires well-defined policies and procedures for responding to preventable adverse events, coupled with a dedication to transparency.” (Youngberg, 2011).
Therefore, CNOs will need to provide information to patients that are clear, beneficial, pertinent and readily available. In order to improve the quality of care that patients receive, the CNO needs to engage physician participation to be successful in public reporting initiatives. Although this may be a challenge, encompassing physicians in the hospital’s vision will gain their buy-in and harvest favorable results for the organization, while promoting quality performance. Additionally, CNOs need to involve staff within the organization to outline the culture and organizational needs. Innovative tactics such as empowering staff, enhance measureable worth to the organization to include patient satisfaction and safety.
1. Module two deals with external influences in healthcare administration and the conflicts that may cause lack of growth in the organization. External influences can range from society, stakeholders, staff, and patients. Health administrators should be in agreement with staff and physicians to maintain proper ethics and safety for everyone. Society has a big influence of healthcare organizations with spending their money towards health insurance, medication, treatment services and exams.
Stakeholders in health care include health care organizations, physicians, insurers, employers, consumers, and policymakers. The complexity of health care itself makes balancing the needs of all stakeholders and compliance with health care law a challenge for American Well. Ethical issues in telehealth include concerns of health care quality and buy-in from physicians and policymakers. American Well must use the ethical decision making process to ensure compliance with health care law while also developing products that physicians are willing to utilize and policy-makers are willing to support. Ethical reasoning, ethical principles and decision making are valuable tools that will assist American Well in aligning decisions with changes in health care
Patient satisfaction is defined as a subjective evaluation of the health service derived from client’s expectations(1). For this reason, patient satisfaction depends on understanding patients’ expectations to accommodate their needs and wants. Another reason, Feedback from patients is highly recommended due to the significant effect on the overall service quality in order to improve organizational learning and developmental agenda. Therefore, providing an opportunity to fulfill the needs. As reported by Ahmad, Nawaz and Uddin (2011) Patients’ satisfaction is an important subject for healthcare providers because there are differences in patients’ demographic about hospital facilities and services.
These objectives are to maintain or enhance the quality of life, dignity, and well-being of every individual needing healthcare services. Every management decision made affects the health and well-being of both the individual and communities. The healthcare executives that follow the ACHE Code of Ethics are more likely to model acceptable behavior and reach the mission goals of the organization (“About ACHE”,
Today healthcare cost is constantly rising. It is important to ensure that patient 's health are maintained and supported outside the clinical settings such as their homes and communities. Healthcare organizations play an important role in serving people to provide an effective health care and improve the patients ' outcome. They focus on activities and strategies to provide a high quality care for many communities. This is their way of helping people and their community healthy.
In a health care environment, risk management focuses on threats or harmful situations through identification, analysis, reduction, and prevention. Quality improvement centers on performance and ways to improve that performance based on standards, which are always being reviewed and enhanced. Both are essential in any health care situation. Both programs work cooperatively to provide a safe environment and a high standard of patient care. Good leadership, fostering a culture of change and safety, team work are essential in implementing quality improvement and risk management in the organization.
The hospital and physician practices in prior decades are not the same today and it’s vital to uphold standards for patient safety, care, and medical costs. As (Medicaid.gov, 2015) states, by contracting with various MCO’s to deliver Medicaid program health care services to their beneficiaries, states can reduce Medicaid program costs and better manage utilization of health services. Most states are implementing and coordinating more traditional services for managed care. Medicaid will to rise and aiding people who live in poverty, but the amount of challenges that lie ahead are problematic. For instance, the types of services including long-term care, mental illness, and eligibility standards are not permissible for everyone.