Healthcare Organizational Systems/ Structures Evaluation
Healthcare Organizational Systems/ Structures Evaluation
Question description
As you continue your evaluation of a health care organization, it is essential to pay attention to culture. Organizational culture provides the context in which all interactions and processes occur, and is therefore central to any effort to enact change.
To prepare for Healthcare Organizational Systems/ Structures Evaluation:
- Continue to analyze your selected organization, as indicated in Week 3 (Section 1 of the Course Project).
- In addition, consider the ideas and information exchanged in this week’s Discussion. Continue to analyze essential elements of organizational culture and evaluate the influence of culture on the ability to achieve goals within your selected organization.
Write a 3- to 5-page paper in which you:
- Provide a description of the organization you selected
- Present your analysis of the organization with attention to:
- First, its mission, vision, values
- Strategic plan, goals, and objectives
- Also, key operational processes and patterns
- Information technology use
- Moreover, organizational priorities and investments, as indicated by financial data
- The essential elements of the organization’s culture
- Lastly, the influence of culture on meeting organizational goals
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We begin appropriately with the individual patient, whose needs and preferences should be the defining factors in a patient-centered health care system. Recent changes in health care policy reflect an emphasis on “consumer-driven” health care. The availability of information, the establishment of private health care spending accounts, and other measures reflect an increasing expectation that patients will drive changes in the system for improved quality, efficiency, and effectiveness. Overall, the role of the patient has changed from a passive recipient of care to a more active participant in care delivery.
At the same time, the fragmented delivery system, combined with the growing burden of chronic disease and the need for continuous
care, have all but forced many patients to assume an active role in the design, coordination, “production,” and implementation of their care, whether they want to or not. Unfortunately, most people do not have access to the information, tools, and other resources they need to play this new role effectively. Considering the roles, needs, and objectives of first-level actors—individual patients—and their interdependencies with actors at other levels of the system, opportunities abound for using information/ communications technologies and systems-engineering tools to improve the overall performance of the health care system.
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A starting point for increasing the “patient-centeredness” of health care delivery is changing the perspective of clinicians to consider patients and their families as “partners” and to incorporate their values and wishes into care processes. The level of responsibility patients and their families assume differs from patient to patient. Some prefer to delegate some, if not most, of the decision making to a trusted clinician/counselor in the care system; others want to be full partners in decision making. In either case, however, patients need a free exchange of information and communication with physician(s) and other members of the care team, as well as with the organizations that provide the supporting infrastructure for the care teams.
For patients to communicate “informed” needs and preferences, participate effectively in decision making, and coordinate, or at least monitor the coordination, of their care, they must have access to the same information streams—in “patient-accessible” form—as their physician(s) and care team. Information that supports evidence-based, effective, efficient care encompasses the patient’s medical record, including real-time physiological data; the most up-to-date medical evidence base; and orders in process concerning the patient’s care. The patient and/or his or her clinician/counselor or family member must also have access to educational, decision-support, information-management, and communication tools that can help them integrate critical information from different sources.
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