The Structure of healthcare organization

Identify and explain the aims and core Business of health Institutions from the perspective of both the Organisation and the nursing sector within the Organisation.

Healthcare is explained as services contributed to persons or communities by health care faculty for the objective of developing, managing, scanning or strengthening health (WHO). It includes the power to influence factors of health-improving activities. Satisfying well-being services are meant to deliver safe, adequate and valuable quality care for needy.

A healthcare organization defined as that workforce who works in responsive, honest and an efficient manner which leads to the best health results by providing available resources, the satisfactory number of equally distributed staff who is active and productive (Bartunek, 2011).

A well-organized healthcare system includes (WHO):

• Positive impact on the health status of individuals, families, communities
• Defending the population from what can cause diseases
• Protecting people from the financial burden caused due to illness
• Providing equal and easily accessible care to peoples

To achieve above aims, all health organization have to plan and execute some essential activities, regardless of how they are coordinated: they have to give satisfying deliveries, mobilize and allot finances, evolve skilled health workers, and ensure health system governance and leadership. Quality health care organization who follow standards give safety to the patients; the one following regulations are considered as the quality care providers. Quality may be explained as an optimal balance between observation and specify values. The quality of care is a multidimensional concept; it is a system that must certificate each patient the fusion of therapeutic and symptomatic act which provides the perfect outcomes regarding of health at the lowest cost and for his greatest satisfaction regarding of procedures, result in the health care system (Brand & L. Barker, 2012).

Good organizational design and structure avoid confusion chaos of conflict: distraction from work, an absence of arrangement among jobs, collapsing to share ideas, and moderate decision-making brings supervisors unnecessary intricacy, stress, and clash. Healthcare structure includes organizational resources, practice conditions, qualifications of professionals. Hospitals composed and aligned with a graded and divisional organization. Graded structure means the different level of faculty from higher to lower post is responsible for others within their corresponding distribution. Structure measure checks out the framework of healthcare ambiances like hospitals or doctor offices and figures out whether the healthcare environment is capable of delivering appropriate and proper care to the patient. The above measure accommodates staffing of facilities and the efficiency of the staff, the policy surrounding in which care has given and required resources within an institution. Their general features include nurse staffing, great technology, space, experienced expertize, urban/rural area, learning hospital status.

Example of structural measures

The Organizational arrangement is an official, supervised system for linking the person, knowledge, technology of a management and delivers as a particular structural component which allows association of maximizes value by coordinating their collective layout to overall scenario.

There are several different seats within a hospital’s management to compose the facility to work accurately. The graded arrangement operates great for accountability function, but it can usually generate several mangled lines intercommunication within the organization (Owusu Kwateng, Vivian Osei & EkowAbban, 2014).

There is a diagnosis care consultant in the ICU or the intensive care unit at all times?

An ICU is particular unit of a healthcare which delivers regular and complete care to the patients who suffer from serious disease and need exclusive treatment.  In ICU, patient need life support system for breathing and oxygen demand. To fulfill above need, these patients are continuously attend and scanned by specific team members who includes doctors, nurses, occupational therapists, dieticians (Frankel & Moss, 2015). In Australia, there is one nurse over two patients to take care regular responsibility of them. For example-

1. For giving medication and liquids to the patients recommended by the physicians
2. Measuring the breathing rate, blood pressure level, heart rate

In hospitals introduction of the bonus-base incentive system that can be shared by all health system personnel when collective quality aims are achieved. These financial encouragements could then be accomplished by contributing to clinical service manager and leading authority for meeting quality targets. The use of monetary incentives to award consistent achievement has attained new passionate reinforcement. Outstanding business has grown management and organizational framework that leads to corporate-level goals. At the same time, it reinforces the efficiency of personnel business units to address their regional opposing surroundings.

A strong-working health system establishes proper access to necessary medical products, vaccines and automation of guaranteed quality, security, adequacy and cost-effective use. There should be the collaboration of clinicians in total quality management when the prospective alteration in organizational structure occurs regarding the physician’s roles in quality management at service level along with straight announcement to the chief executive officer of the hospital (Shojania, 2011).

There are five primary focus elements of a framework that presents a practical explanation of design: decision-making administration, organizational structure, incentive design, culture, knowledge network and telecommunication (Mohanty & Rath, 2013).

Decision-making administration- it includes senior responsibility and huge responsibility.   It educates boards regarding quality. It decided on regarding commercial financing in quality and staff salary.

Organizational structure- Organizational design is a general, manage task for associating person, technology, knowledge of a healthcare which delivers as a main basic aspect that permits the collaborations of the maximum by pairing their corporate layout to total strategy.

Planning of organization to meet quality care

Incentive design- It improve the quality of care in the hospital, incentive plays a dominant role. The use of economic incentive to praise the outstanding performance of staff has gained motivation to serve the good qualities to the patient.

Culture- This quality plays a dominant role in overall organization quality. The culture of healthcare should consider as the leading aspect of the total strategy of a firm in forming quality raised steps. Culture allows adapting in the differing surrounding. The civilization effects a staff leadership trait culture of quality. It has been at some of the healthcare and these results in improvement in quality management in those healthcare.

Telecommunication- telecommunication is critical to raised quality. It needs high-investing cost. If the knowledge process should not have collected correctively then the quality of outcome will suffer. By maintain proper knowledge about patient aspect, quality within health care can be improved (Thien, 2016).

Clinical or regulatory working possesses elements of association and care coordination, the volume of patients, human resource management practices, inter-professional communication.

Occasionally management defined as the system composed of social and scientific services and activities occurring within organizations for the function to achieve proposed target through people and other resources (Steuten & Buxton, 2010).

Process measures are used to check the specific services which are given to the patients by staff are matchable with the suggested protocol for care or not. These areas are occasionally related to treatment or methods that are well-known to upgrade health status or avoid prospective complexity or health status.

Process measure often reflects professional regulation of care. A good process measure should always possess proof that can actually relate a procedure with increased efficiency. Current process measure is widely aimed at the field of chronic disease management and its prohibition.

It has the limitation that it does not produce regularly assume results and the user should be alert by this drawback. Process measure has inadequacy in the important field of care which can also contribute to results for example care systematization and technology (Speziale, 2015). Process measure which is grown in future should aim at these broad fields.

Nurse practitioners are regularly scanning the feet of diabetes patients for examining wounds-The person who is suffering from diabetes has higher chances of neuropathy, peripheral arterial disorder and low capability of eliminating infections. Thus diabetic patient often suffer from foot problem, and at higher risk of gaining amputation, infection. To avoid the foot from amputation, nurses regularly check the wounds presence on diabetic patient feet.

Process and Patient care

Outcome measure checks patient’s health as an outcome of the care they have perceived. More characteristically outcome measures evaluate at the property of the care which effects on patient health, health status given either intended or unintended. These measures also determine whether the objective of care achieved or not.

Outcome measure commonly includes the conventional measure of survival, the prevalence of disease and health related trait of life aspects (Sim & Mackie, 2013).

These measures check the patient report information whether patients are happy with the health care which they have got or not. But these measures do not determine the overall aspect of the patient struggle.

Outcome measures reflect the prospective outcome of the patients, so these measures are developed with patient requirement, standards and choices in mind.

It is necessary to understand the future impact of health along with demanding variability in patient populations when outcome measures are used and evaluate.

• Outcome measures can be especially profitable for patients when they are selecting workers or health care services in the context of knowledge on cost.

Example of outcome measures include: a patient who is suffering from diabetes, what was his amputation rate?

Role of clinical data in relation to quality and safety-

As mentioned above, in process and outcome measure, a diabetic patient example has given. On doing process and outcome measure following data are collected-

• By lab result, it has obtained that the patient A1C comes between 7-8
• By pharmacy data, it is estimated that 50 units of insulin should be administer in patient.
• From the history of patient, it has found that rate of hypertension has 140 over 110

These clinical data are used by healthcares in maintaining quality and safety as-

• Process and outcome data gives an assurance that patient is getting improved or not.
• By obtaining process and outcome data, it can be assessed that patient is getting the right care or not
• Process and outcome data provides a powerful image of a patient that what is happening with him, and what healthcare services are provided to him by the practitioners, nurses and other staff members.

In health organization, quality of care is determined by a major aspect which includes nursing and outcome of patients (Gagnon, Gagnon & Fortin, 2015).

Nurses play a vital part in the delivery of high quality and well-regulated care. The people think that responsibility of nurses is emotional and physical task, while this is a misunderstanding as nurse’s work includes delivering care to the patient and their families by providing the emotional, physical and stress-free environment. The shortage of nursing staff in the hospital will lead to heavy workloads on the staffing level in hospitals (Gardner, Gardner & O’Connel, 2013).

The quality of nursing care describes the desired execution of judgement and drugs planned to develop patient results and avoid the adverse event. Such as the duration to which nurses determine the danger for decline in hospital patient upon entry, implement information based low-avoidance protocols. Attention to safety issue also includes the quality of nursing care (Glintborg, Andersen & Poulsen, 2010). For example, the efficiency of medicine intake. 

Protected responsibility involves frequent observation to patients’ status to ensure pre identification of patient degradation and if the complications are recognized, then by making adequate interdisciplinary team resolves this problem rapidly.

Nurses can also upgrade safe care by playing as an efficient team leader (Manning & Coad, 2015). The services of nursing care are usually a team coordination in which registered nurses direct non-registered nurses. The kind of responsibility that nurses are conveyed is affected by particular nurse characteristics such as experience and knowledge along with human aspects like lethargy.

The essence of responsibility is further measured by the regularity where nurses are working. It  involves not only personal level but also includes the needs of all the patients which are fulfilled by nurse or nursing staff and the presence of other faculty and support service of organization, environment and culture maintained by the leader in that framework (Sargent, Forrest & Parker, 2012).

In different work surrounding under irregular staffing condition, the individual nurse may distribute care of altered quality to patients for identical requirements.

Safety results incorporate rates of mistake in care along with possible avoidable problems in at risk patients.

That safety practices which involves fewer mistakes and measureable problems of care considered as a high-quality delivering care but it is often considered as only one aspect of quality.

Serious mistakes or problems considered as poor clinical results (Råholm, 2010).

The main tasks done by nurses are-

• Monitoring patient’s condition by analyzing risk or complications
• Delivering optimum care by coordinating with providers
• Acknowledgement of patients’ individuality
• Provision of individualized care
• Development of social relationship with patient
• Anticipation of need and willingness to help
• Knowledge of patient as a person
• Expression of involvement, affection, consciousness towards patient
• Presence of adequate staff and convenience for the patients.
• Educating patients and family members about treatment and precautions which can minimize the risk of post hospital complication and readmission

Rules and laws can also upgrade safe care of patients. Nurses are obligated to pursue the rules and laws of licensing authority and ethics of profession which is provided by the differing nursing association. These regulation, standard and rules incorporate educational qualification, maintaining proficiency in practice and avoiding to include in any acts of the profession. For example, misbehavior with patient, incomplete practice, acknowledging identifiable information of a patient to a wrong person.  It is a nurse’s professional responsibility to keep her safe efficient by learning things for life-long.

Conclusion-

Health organization required to organize their task process to increase quality and public centeredness to raise the ability of care services. All the nurses and field faculty act an important role in maintaining quality and safety in healthcare. To achieve appropriate advantages from the contribution of these staff members, the hospital should acknowledge their potential role.

For making nurses and other faculty actively involved in the organization for raised quality and enhancing productivity in the hospital, there should be active participation of both within the institution and by those who calculate their capability and pay for their duties.

Safety can be maintained by decreasing the harm which occasionally occurs in span of delivery of care by supporting the most efficient cure for the dominant root of mortality, by increasing the useful intercommunication and coordination of responsibility, satisfying all patients and their families about delivery of care, engaging with communities to support healthy living, generating quality care more approachable for patients, their families, government by manufacturing and enhancing the use of modern healthcare service model. By providing all the requirements for equipments, knowledgeable staff, specified layout, cost-effective, quality of care and safety can be maintained in the hospital

References:

Bartunek, J. (2011). Intergroup relationships and quality improvement in healthcare. BMJ Quality & Safety, 20(Suppl 1), i62-i66.

Clarke, Donaldson, S. (2017). Patient Safety and Quality: An Evidence-Based Handbook for Nurses:, Vol. 2.

Frankel, S., & Moss, M. (2015). The Effect of Organizational Structure and Processes of Care on ICU Mortality as Revealed by the USCIITG-Critical Illness Outcomes Study. Crit Care Med, 42(2), 463-464.

Gagnon, M., Gagnon, J., & Fortin, J. (2015). A learning organization in the service of knowledge management among nurses: A case study. International Journal Of Information Management, 35(5), 636-642

Gardner,, G., Gardner, A., & O’Connel, J. (2013). Using the Donabedian framework to examine the quality and safety of nursing service innovation. Journal Of Clinical Nursing, (23), 145-155.

Glintborg, B., Andersen, S., & Poulsen, H. (2010). Prescription data improve the medication history in primary care. Quality And Safety In Health Care, 19(3), 164-168.

Manning, J., & Coad, J. (2015). G217?Transforming children’s nursing within a healthcare organisation through an innovative leadership approach. Archives Of Disease In Childhood, 100(Suppl 3), A92.2-A92.

Mohanty, J., & Rath, B. (2013). Organisation culture as indicators of citizenship behaviours within organisations: a multi sector analysis. International Journal Of Business Performance Management, 14(3), 245.

Owusu Kwateng, K., Vivian Osei, H., & EkowAbban, E. (2014). Organizational Communication in Public Health Institutions. International Journal Of Business And Management, 9(11).

Råholm, M. (2010). Abductive reasoning and the formation of scientific knowledge within nursing research. Nursing Philosophy, 11(4), 260-270.

Sargent, G., Forrest, L., & Parker, R. (2012). Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: a systematic review. Obesity Review. BRAND, C., & L. BARKER1, A. (2012). A review of hospital characteristics associated with improved performance. International Journal For Quality In Health Care, 24(5), 483-494.

Sim, F., & Mackie, P. (2013). Public health: passing interest or core business?. Public Health, 127(5), 401-402.

Shojania, K. (2011). BMJ Quality & Safety: new opportunities for better, safer healthcare. BMJ Quality & Safety, 20(4), 291-292.

Speziale, G. (2015). Strategic management of a healthcare organization: engagement, behavioural indicators, and clinical performance. European Heart Journal Supplements, (17 (Supplement A), A3-A7.

Steuten, L., & Buxton, M. (2010). Economic evaluation of healthcare safety: which attributes of safety do healthcare professionals consider most important in resource allocation decisions?. BMJ Quality & Safety, 19(5), e6-e6.

Thien, G. (2016). CSR and indirect impacts of core business products/services of financial services institutions. International Journal Of Corporate Strategy And Social Responsibility, 1(1), 86.