K (2008) the Anatomy of Social Security and Medicare. Independent Review, 13(1), 5-27 Retrieved from EBSCOhost. Coile, C. C., & Levine, P. B (2011). Recessions, Retirement, and Social Security. American Economic Review, 101(3), 23-28.
(2008). Employer adoption of evidence-based chronic disease prevention practices: a pilot study. Retrieved November 10, 2010, from http://www.cdc.gov/PCD/issues/2008/jul/07_0070.htm Geyman, J.P. (2005). Myths and memes about single-payer health insurance in the United States: a rebuttal to conservative claims. International Journal of Health Services, 35(1), p. 63–90.
When it comes to goals and mission, Performance Management affects the organization directly. In order to be a successful company, they need to meet their objectives and also be able to assess the performance of their employees and the comparison of the organizations and its goals. It is crucial to set goals and initiatives to make sure that all employees are working toward the same outcome. The problem with this case study is that the hospital was facing a lacking of direction because their initiatives was not widely accepted by the current employees. The employees were unable to see their role as part of the mission of the hospital and its relation to patient care.
However, not all of the new technology will successfully emerge into the health care system because it is very costly to implement. Consumerism and patient empowerment is also a change that has taken place and this involves the public having a higher expectation of the quality of service being provided. Recent studies reveals that patients are now demanding more information, and wants to be involve in the decision making when concerning treatment options. The demands for more information are supported by trends in ethics and law regarding patient autonomy and informed consent. Patients within the last
Transaction system is must to claim the insurance policies. The patients with the policies need to be kept aside from the patients who are without their insurance policies. Transaction System would definitely benefit the clinic because the patients are increasing and it is very difficult to keep every
Seymour Politz, Chairman of the Finance Committee at Glen River Hospital, has been charged with planning for a much needed hospital expansion. There are several options on the table, and Politz presented his thoughts to Dr. Bernauer, Hospital Administrator. The first option is to simply add at least 30 additional beds by raising money through a fundraising campaign. The second option is to reorganize, using the existing clinical beds for major illnesses only and expanding by adding only simpler, less expensive, rooms. This option would struggle to get doctor’s buy-in because they could feel their work and their less critical patients wouldn’t be valued as in the past.
Everyone should be aware of the changes that the government is expecting the homes to assure the quality care they are providing. This will help to ensure that we are performing to the best we can and are meeting all necessary standards and expectations within our policies and procedures. To develop a successful strategy for change, we need to understand the types of barriers faced in healthcare. Some are not aware of the changes needed for the development and lack familiarity with, the latest evidence-based guidance. In addition, they may be aware that new guidance has been issued but don’t know how their current way of working needs to change to ensure they provide the best care for patients in line with the guidance.
Nurse to patient staffing ratios I read an article published in the Online Journal of Issues in Nursing about staffing ratio’s. The article pointed out that the nurse to patient ratios are high because the hospital doesn’t get additional reimbursement based on the individual acuity of the patient. Since the hospitals already have to keep a set standard of nurses they have lowered the number of unlicensed personnel and housekeeping staff to offset the cost (Welton, 2007). This practice doesn’t solve the real issue that the ratios present such as safety, it simply reduces the cost to the hospital while putting a greater workload on the nurse. The article explained that the nursing needs are even higher because of the shorter hospital stays.
Changing Physicians and Hospital Relationships Abstract The role of a Physician is very important when a patient is being admitted in a hospital. The big challenge that has been discovered is managing relationships with physicians. Driven by reimbursement trends, technology changes and growing physician entrepreneurship, hospital-physician relationships are in flux and pose competitive threats to hospitals (Paul B. Ginsburg, President, and Center for Studying Health System Change). The tension between the two has caused major changes within the cost, quality and access within the hospital. The fact that hospitals are depending on physicians to admit patients and make use of the hospital’s resources, hospitals courted physicians by providing them with time, equipment, staff and other perquisites with little regard for the effects on hospital cost causing a change booster within physicians, the hospital and its patients.
There are several obstacles that may influence a change to an electronic medical record. One is if the workers do not want the change to happen (Boonstra & Broekhuis, 2010). However, if there are key people seen as important that support the change the process will be easier. Other factors that affect change is the ability to change and a willingness to change (Boonstra & Broekhuis, 2010). Management must give the employees the tools needed to overcome this obstacle.