Opportunities and Challenges in a Healthcare Setting

1. Opportunities and Challenges ina Healthcare Setting HCM 462 Carlene Cox-Perone December 1, 2005

2. Our Mission, Vision and Values Our Mission Is … to provide compassionate quality health care. • Our Vision Is … to be a regional health care system recognized and chosen for compassion, trust, innovation and excellence. • Our Values Are ...      Compassion      Trust      Innovation       Excellence

3. Organization We are a not-for-profit organization able to provide several new services for the community, including open-heart surgery, a Level II neonatal intermediate care unit and enhanced cancer services. Our primary service area is a six-county region. • BehavioralHealth • LaboratoryCommunity • Education Medical and Surgical Care • Complementary Medicine • Occupational Health • Critical Care • Rehabilitation Services • Emergency Services • Respiratory Health Services • HomeCare • Sleep Disorders • Hospice & Palliative Care • Surgical Services • Imaging Services • Wound Management Center

4. Organizational Challenges • The traditional structure in healthcare is being challenged from every direction. • Customer demands mean organizations must respond faster. • New technology provides both challenges and opportunities. • Competition has an ever increasing global dimension

5. Emergency Medicine: Emergency Departments provide expert treatment for adults and children. Triage is a brief clinical assessment that determines the time and sequence in which patients should be seen in the ED or, if in the field, the speed of transport and choice of hospital destination. Cancer Services: Structure and Processes; Physical Aspects of Care; Psychological and Psychiatric Aspects of Care; Social Aspects of Care; Spiritual, Religious and Existential Aspects of Care; Cultural Aspects of Care; Care of the Imminently Dying Patient; and Ethical and Legal Aspects of Care. Management Oversight

6. Human Resources • Managers need to provide structure for organizing and ensuring delivery of specific strategies developed in line with the Mission, Vision, and Values of the organization. • Ensure fair and equitable workloads, scheduling flexibility, competitive compensation, recruitment/retention programs. • Managers will serve as role models, set priorities, and set improvement goals/standards

7. Communication • Leadership oversight will include: • Safety/Security • Staff Education & Development • Goal Setting • Budget/Financial planning • Monthly department meetings with staff

8. Employee Satisfaction • Overall job satisfaction • Coworker performance/cooperation • Teamwork and participation • Supervisor guidance • Communication formats • Physical working conditions • Mission/strategy development • Job Stress • Training & Development • Educational Opportunities

9. Cancer Services • · Cancer development· Diagnosis and treatment· Side effects· New research· Communication· Emotions· Sexuality· Self-esteem· Community resources

10. Emergency Department • Emergency departments in public hospitals save lives and prevent serious disabilities. • Emergency departments are primarily set up to help people who are experiencing a medical emergency that is life threatening or could cause serious disability. For a variety of reasons, they can also treat a range of other patients. But everyone understands that the priority is to treat patients who have the most urgent medical needs.

11. Quality Indicators • Oversight and implementation of unit based clinical quality indicators • 100% compliance on all indicators in chart review process • 95% of all customers give rating of above average to outstanding in their overall satisfaction of department.

12. References: • http://www.jcaho.org/ • http://www.acoem.org/ • http://www.cms.hhs.gov/providers/emtala/scletters.asp