Week 6, Eddy/N400 It seems the recent changes in the health care system will help test the organizational structure of the hospitals structure in the US. The only way for a national health care reform to succeed is to empower two of the most key players: the patients and the nurses, because nurses are the front liner in implanting the changes whether they initiate it or it comes from outside. With the patient determination act, we have seen a change of power from health care professional to the patient who retains the last word in his treatment Nurses cannot play an important role without physician and a place to work. The place to work is an organization that could be a hospital, nursing home or hospice. Without empowerment from our work
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Some of us who like the share governance model may now work with an organization with a different management model. shortel,2007 states that “The largest limiting factor is not lack of money or technology or information or people but, rather the lack of an organizing principle that can link money, people, technology and ideas into a system that delivers more cost-effective care (I.e. more value) than current arrangements”. The first danger for nurses is to become dependent of the structure that we cannot address issues or initiate changes. Doctor, Kovner call it nurse insular and our point of view is only what they told us. To me, nurse need to reflect on the job they do, how they are doing it, on the organization. Recently in Ontario County some nurses working for the county nursing home were saying during interview that they learn about the place closing in the paper, because they never think about themselves and the organization structure and the job they are doing. It is also our fault because we never use evidence – based practice to help the organization solve problems that if they were identified early could have prevented the …show more content…
Whatever the structure in place by the health care entity, the health department does not see it as a problem except if it is related to the patients. For me it is not enough we know the game of most private owned nursing home“ staffing unit during survey” just to pass and under staff it a week later. I will suggest comparing staffing before during and after survey. The contrast is where do they find the staff during the survey? And not before and after. The contrast is in the inability of some health care setting to assess their weakness. Shortel, (2007) identifies some elements of the contrast in the health care structure delivery. Those ideal elements are:
1. Focuses on meeting the population’s health needs.
2. Matches services, capacity to meet the population’s needs.
3. Coordinates and integrates care across the continuum.
4. Has information systems to link patients, providers, and payers across the continuum of care.
Elements
5. is able to provide information on cost, quality outcomes, and patient satisfaction to multiple stakeholders.
6. uses financial incentives and organizational structure to align governance, management,
Some of us who like the share governance model may now work with an organization with a different management model. shortel,2007 states that “The largest limiting factor is not lack of money or technology or information or people but, rather the lack of an organizing principle that can link money, people, technology and ideas into a system that delivers more cost-effective care (I.e. more value) than current arrangements”. The first danger for nurses is to become dependent of the structure that we cannot address issues or initiate changes. Doctor, Kovner call it nurse insular and our point of view is only what they told us. To me, nurse need to reflect on the job they do, how they are doing it, on the organization. Recently in Ontario County some nurses working for the county nursing home were saying during interview that they learn about the place closing in the paper, because they never think about themselves and the organization structure and the job they are doing. It is also our fault because we never use evidence – based practice to help the organization solve problems that if they were identified early could have prevented the …show more content…
Whatever the structure in place by the health care entity, the health department does not see it as a problem except if it is related to the patients. For me it is not enough we know the game of most private owned nursing home“ staffing unit during survey” just to pass and under staff it a week later. I will suggest comparing staffing before during and after survey. The contrast is where do they find the staff during the survey? And not before and after. The contrast is in the inability of some health care setting to assess their weakness. Shortel, (2007) identifies some elements of the contrast in the health care structure delivery. Those ideal elements are:
1. Focuses on meeting the population’s health needs.
2. Matches services, capacity to meet the population’s needs.
3. Coordinates and integrates care across the continuum.
4. Has information systems to link patients, providers, and payers across the continuum of care.
Elements
5. is able to provide information on cost, quality outcomes, and patient satisfaction to multiple stakeholders.
6. uses financial incentives and organizational structure to align governance, management,