Complex Health Care

Complex health care arrangements include a variety of arrangements within health care organizations to help them survive the economic constraints placed upon them by the public and the government. The consumer demands increased quality and decreased cost. Government organizations such as Medicare and Medicaid are demanding a bigger bang for the buck. When that care is not delivered payments are withheld or penalties incurred on the organization. It has required hospitals and other healthcare organizations to find ways to deliver care more efficiently and for a lower cost (Centers for Medicare and Medicaid, 2106). In order to do this hospitals have entered into “loose affiliations between hospitals to complete mergers of hospitals, clinics and physician practices” (Sullivan, 2013, p. 21). Vertical and horizontal integration are two ways in which health care organizations form relationships to deliver better more efficient care to the consumer. Vertical arrangements are those by which a variety of related services are joined to provide a continuum of care. One philosophy that has gained popularity among healthcare organizations and has been adopted by the organization I work for, is the Medical Home. …show more content…
It is essential for the Nurse Manager to understand fully how to form groups and transform them into dynamic teams in order to accomplish goals. “A group is an aggregate of individuals who interact and mutually influence each other” (Sullivan, 2013, p. 144). The organization often brings individuals together in a group or committee, temporarily or permanently, to perform certain tasks. Typically the group is held to operational targets or metrics and reports up through a service line or manager. Additional tasks may include developing new processes in alignment with policies and best