According to Buchbinder, Shanks & Thompson (2010) the definition of is the process with technical and social activities and functions, occurring within organisations for the purpose of completing predetermined objectives through humans and other resources. More specifically, financial management is the subset of management that focuses on creating financial information that can be used to enhance decision making (Calabrese et al. 2013). With this definition, healthcare managers should be responsible to organisational tasks to maximize the best possible way to reach organisational goals and the proper resources with financial and human resources, considering the reason of organisation for existence in supporting the organisation through decision making processes (Buchbinder, Shanks & Thompson 2010; Daft & Marcic 2013). This essay, thus, the importance of proper understanding of management in achieving financial target will be discussed with the understanding of quality and safety concepts within healthcare organisations. To help more understanding on the role of healthcare managers in decision making, managers are nominated to authority positions where they form the organisation through making essential decisions. Managers have to consider two domains, external domains which indicate to the influences, resources, and activities and internal domains which focus on daily basis, ensuring the appropriate number and types of staff, financial performance, and quality of care, as they have to deal with various tasks and make decisions (Buchbinder, Shanks & Thompson 2010). Decisions made by healthcare managers concentrate on ensuring patient’s appropriate cares and effective services possible, as well as, on addressing achievement o... ... middle of paper ... ...reened out of insurance policies because of “pre-existing conditions”; 3) employers, feeling they cannot afford to continue to provide health insurance as a benefit, have either scaled back their benefits or eliminated them altogether by hiring part-time rather than full-time workers; 4) due to budget restrictions, the federal government and the states have tightened Medicaid eligibility criteria, typically too far below the official federal poverty level for most families to qualify; and 5) individuals have learned that they will be taken care of by providers, especially community hospitals, if they show up at the door, even if they can’t pay. Some low-risk people may avoid insurance altogether and assume they will be taken care of it ever need be. Most hospitals are legally obligated to accept these individuals once they entered the premises (Glick et al. 2004).
The government controls and regulates healthcare somewhat because healthcare organizations are in a position to take advantage of the elderly and sick so there are regulations that protects them. It seems as though healthcare facilities are being paid less for their services today. Some critical measures for the survival of a healthcare organization are to optimize performance and quality. Finding system-wide efficiencies and cost reduction healthcare will help. In order to get better and keep high quality and performance while still raising reimbursements, it is necessary and important to involve doctors with the ideas and plans for any management strategies.
...r the condition to be covered, or be charged extraordinary sums for premiums. The employee must not go without coverage for more than 63 days to avoid the pre-existing condition clauses in a policy. In reality, the government should make Medicaid benefits available to the newly unemployed or low-wage earners due to their now “low-income” status. The reality is that even if the government did make Medicaid benefits available, the state of the economy has caused many states to reduce Medicaid benefits for budgetary reasons.
According to the Association of Graduate Careers Advisory Services (AGCAS) (2012), Management Directors are responsible in counseling the hospital staff on many implementations that improve the quality of services provided by the hospital. They recognize possible risks that could possibly harm their organization and then try to find solutions. Risk Management Directors are responsible to administer and supervise the risk of the organization as a whole; physicians, nurses, patients, and all the hospital residents in general. Their job is not limited in only one sector of the hospital. However, they are responsible in a variety of areas, such as the Informational Technology department, Business
The United States spends vast amounts on its healthcare, while falling short of achieving superiority over other developed nations. One cannot overlook that the deepening recession has left many without jobs and therefore lacking health insurance. According to Fairhall and Steadman, (2009), even though the recession is hard on all, it is worse on the uninsured due to health care and insurance cost rising faster than incomes. Nevertheless, even those with jobs are lacking in health insurance due to employers, who provide insurance, are increasingly dropping their sponsored insurance. Many find that purchasing a health policy or paying for medical care out-of-pocket is cost prohibitive. “Since the recession began in December 2007, the number of unemployed Americans has increased by 3.6 million,” (Fairhall & Steadman, 2009). In 2009 it was stated that approximately 46 million Americans were uninsured, however not all of that number is due to the inability to afford coverage. According to a 2009 story written by Christopher Weaver of Kaiser Health News, 43% of that number should be classified as “voluntarily” uninsured. This subset of uninsured Americans consist of nearly half being young and healthy; therefo...
It is hard to imagine life without health insurance. If you have any type of medical problem that requires attention, and you have appropriate health care insurance, you can be cared for in the finest of private hospitals. You can get great treatment and your ailments, depending on the severity, can be treated as soon as possible. Doctors, physicians and surgeons are willing to put out a big effort if they know that they are dealing with patients who are insured and have the money to go under extensive medical treatment. But imagine life without such luxuries. For example, what happens if a relative requires much needed surgery, but does not have health insurance to cover the procedure? What happens if a lack of medical insurance prevents you or your family from seeing a doctor, which could result in health problems that had not been identified but could have been treated before they became life threatening? These scenarios may seem far-fetched, but these types of situations happen to people who lack health coverage everyday. There is a true story about a patient who was insured and diagnosed with treatable cervical cancer. Unfortunately, she lost her job and with it her insurance. She was then unable to see her private doctor, and was turned away from other hospitals because ?cancer treatment is not considered an emergency in a patient who can?t pay? (?Help for D.C.?s Uninsured?). The woman later died at her home without ever being treated. This example raises the question, since when are people with less money less deserving of health care or appropriate treatment?
By having health insurance they are put in priority over people who are uninsured. With the increase of people being covered it can have a negative effect because more people will be on transplant list, making the waiting time be longer which could be fatal to some people. Healthcare has come along was new technological advance making care safer and faster, new drugs to stop infections and improve body performance, and better communication between doctors and hospitals. “Health care economists estimate that 40–50% of annual cost increases can be traced to new technologies.” (Callahan, 2008) With these great advances in technology they do have their setbacks.in the past ten years more hospitals have been built in the US to accommodate the rise of people using healthcare. Doctors can refuse to care for people that have Medicaid and they do. The main reason doctors refuse to care for people that have Medicaid is that the government only pay a small reimbursement fee and the doctors lose out on the total amount they should have received.” a study in the health policy journal Health Affairs found that 33 percent of primary care physicians weren’t accepting new Medicaid patients.” (Mathews, 2013) If Obama care becomes a universal healthcare the government will have to find a way to force doctors into complying and providing services. As nice as universal
The first point will require healthcare facilities to provide continuing education, mentoring or preceptors to new management staff. I will outline the job description and new responsibilities required for an effective leader. The second point deals with cost management investing in the future of your employees for long term success. Will healthcare facilities invest in their employees? The third point will deal with decrease in staff turnover and increasing patient care and satisfaction
According to McConell (2012), the difference in a leader and a follower determines the success of a person regarding leadership. This chapter helps explain the content of qualities and proficiency for healthcare managers to be effective. Once again, effective management skills or certain qualifications enhance a healthcare organization environment. Healthcare managers and supervisors must have the capacity to handle challenges while the organization objectives and regulations may change over a period of time. Effective healthcare management governs the success of a healthcare organization. There are many different skill sets and leadership styles to be effective as a manager. People are interested in knowing what strategies are effective in healthcare management.
Furthermore, PM supports continual improvements as it doesn’t only illuminate achievement and practice impact but it also identifies and studies deviation from performance target and any faced problems and then relevant corrective actions are proposed. Rather than producing too many reports, PM help producing efficient reporting system designed to bring a meaningful image for tracking the performance and accordingly, decision-making and what are needed to enhance performance are better guided and are an evidence-base. Therefore, PM approach has been valued as an important framework to communicate, to implement strategy, and to point out improvement actions in different organizations including healthcare. Therefore Performance management is indispensable to effectively steer reforms in healthcare organisations.
Risk management constitutes an analysis (identification, assessment and prioritization) of risks that would affect the organization. Health care policy in itself would be in my estimation the cornerstone that would affect the foundation of the institution. Regulatory aspects of the industry would be a paramount to any discussion, since we would be required to adhere to Federal/State/Local requirements in order to remain compliant. As an institution we could have top of the line equipment, and staff, but if we remain non-complaint under the regulatory factor all is for naught. Additionally, we would need to consider to corporate governance, which would constitute specific elements that would govern how the hospital is managed and
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance
As many providers and facilities move towards a system that pays for quality versus quantity financial management is a component that is advocated by various health care groups. Sound financial management is important in all healthcare environments and becoming more financial savvy is needed to manage the systems.
“Health is not valued till sickness comes.”-Thomas Fuller. Within the healthcare field there are many positions that help take care of people from the top of the hospital chain to the bottom. One of the most important positions that operate behind the scenes of the hospital is health administrator.
Process FMEA analyzes the transactional processes and focuses on defects. System FMEA is used to analyze subsystems and systems for concepts and designs, but focues on the failure modes associated with the functions of the systems (Smith, n.d.). Design FMEA analyzes the design component, while the failures are derived from identified causes from the system FMEA. With these three types of process, the organization can assess the adequacy of the process and captures the relationships. How does the role of risk management suit into the current hospital operations? Risk management is a hybrid task joining several disciplines by reducing the occurrences of organizational damage. Health care FMEA is a technique used widely for assessing and identifying risks of client injury from possible system failures. The reason for using FMEA in health care is to ensure leaders are using a proactive approach by identifying the risk factors for patient safety, thus reducing medical
Human resources management has long been of great significance in healthcare services. Health care is a labour intensive industry with huge workforce. Its quality is highly people-dependent. Poor manpower management in health care can lead to high economic and human costs. As such, human resources management is a core strategic function in a healthcare organization to provide the public with high quality medical services at low cost with high accessibility in the modern society.