Inequalities In The Clinic Environment

Summary of Problem and Legislation One of the health care issues in today's health care system is inequities. Starfield (2011) wrote that there are two types of inequities: horizontal and vertical. Horizontal inequity indicates that people with the same needs are unable to access the same resources (Starfield, 2011). On the other hand, vertical inequity exists when “people with greater needs are not provided with greater resources” (Starfield, 2011). Eliminating inequities is the fundamental challenge in achieving the best of care given to patients.

Although suppliers and hospital management are thought to focus on the cost savings and efficiency aspects of standardization, they actually strive to promote patient safety, along with clinicians (International Organization for Standardization 2013). Patients have difficulty seeing the effects of standardization on their care, but find it beneficial for both themselves and their clinicians. The process of standardization is important to consider when implementing an initiative. Buy-in from key stakeholders in the generation phase is necessary to achieve success. Suppliers find that clinician support provides input legitimacy and lends credibility to their initiative.

The high level of professionals and experts in various fields however sometimes accounts for a break away from the norm that projects achievements in the organization. The more professionals in different inter related fields meet to work , the more there exist the problem of acceptance of views from other players on common grounds. People perceive things differently everywhere and especially in the health care organizations where departments are linked and reliant on the provision of services, there is a high tendency of this behavior. Departments may call for what management thinks is not convenient due to time, resources and other factors. This could generate into a disconnected organization as a particular department may not act on the need of another department.

“I think if there were instructions about accountability, managers feel more responsibility”( a micro level manager) Based on participants, objection to decisions has generally two main causes: first, authorities don’t have enough information about main reasons of decisions and second, there is conflict of interests among various decision makers. While public don't have enough understanding and sufficient power for objection to healthcare organizations, some supervisor institutions such as the Supreme

Other than that,there are too much internal focus. The criticism on balance scorecard including the encourages towards an internal focus. Then, the measures missing in balanced scorecard have attention in national and having it critical in the management of health care. As example,on patient safety like related infections on care,daily hygiene and also prevention programs .As it was not the part of balanced scorecard system,it indicates the validity by balanced scorecard may be questioned.

The process of ongoing learning can support health organization including AUBMC in order to promote the acquisition and implement perfect knowledge as a basic foremost strategy in order to manage the changes required for AUBMC and will support the organization in identifying major critical requirements to empower workforces to achieve and participate in continuous healthcare improvement. To implement culture of accountability, Sayegh will have to tackle knowledge and learning, this will ultimately result in development of a culture that supports continuous improvement and learning. The culture of accountability in order to work successfully will require committed leadership; the culture will result in performance feedback to motivate employees, as Sayegh faced with unmotivated staff. (Frost et al.

Hypereffective managers thrive on structure and stability which can be especially detrimental in the healthcare field. It is unrealistic to think that an excessive amount of structure is beneficial in any sector, especially in healthcare as it is constantly changing. As suggested by the CVF, there must be a high level of flexibility as managers struggle to respond to competing tensions on a daily basis. It is necessary for managers to lead by example as hypereffectiveness cannot be sustained in the long run and should not be encouraged as it is detrimental to the organization as a whole. It can be beneficial for the head of your department to complete the CVF survey while you do so as well.

(2014). Wallis (2012) makes implication that the prime objective of EBP is to provide approaches that can be applied effectively to prevent, detect and provide care of health disorders. Thus, obtaining a magnet status and evidence-based projects and should integrate current best evidence from research with clinical policy and practice to improve healthcare

Medication errors have a huge impact on health care system, patients and payers alike. It compromises the confidence of patients on health care system. Incidents and mistakes that occur during the period of administering medication goes on to be a big safety issue for patients in health institutions and hospitals globally. Interruptions to the administering of medication process have been noted as a major influence on medication error. Research reveals that some interruptions cannot be avoided; hence, to reduce errors, it is important to recognize how undergraduate nurses or health practitioners learn to control interruptions to how medication is administered to patients.

Another barrier to quality improvement is a lack of leadership and training. There is a nursing shortage especially a gerontology nursing shortage which makes it much more difficult to get all of the staff on board and no time to get quality improvement done correctly if the staff is already spread so thin. By creating more time in nursing school for geriatric training there will be more staff on hand to take care of the patients and do the best quality improvements possible for the patients. The staff also needs to be recognized more for all of their

This will help you to determine what individuals are capable of leading specific ICD-10 projects, and also identify a leader who will be responsible for managing and coordinating all ICD-10 related projects. While it may seem overwhelming, it is possible to smoothly make the transition. I have put together a few steps that I think would help prepare you for a successful transition. Understand ICD-10. Review the major differences between ICD-9 and ICD-10 and how the differences between the two will affect the physician’s specialty as well as your organization.

Peer reviewed articles and studies will be challenged on the many positive outcomes of discharge teaching in patients with CHF. Key components required for patient with CHF self-management include following diet, activity, medication management, weight monitoring, signs and symptoms recognition for a worsening problem and follow up care. These self-management key components if managed appropriately by patients with CHF will improve clinical outcomes, reduce admissions and save hospitals costs (Todd M. Koelling,

ACOs is consider to be groups of doctors, hospitals and insurance companies that connection together to offer a higher-quality of patient care. By improving the quality of care and making more cost-efficient health care decisions. There are ACO core standards in place to ensure that health providers receive the appropriate incentives across the board. ACO’s also have to establish a system wide approach to continuous improvement, and communication, and education to ensure that the quality of care is cost effective. ACO 's Strategic Plan ACO’s require to meet certain benchmarks for keeping patients healthy without requiring a hospital stay.

“What actions will you take to evolve the sectors of technology and science once you graduate?” Improvement in the subject of technology and science has advanced the lives of people than ever before. The area of technology and science positively affects people’s way of living on one hand and it negatively affects people’s health on the other hand. Per the CDC Health Disparities & Inequalities Report – United States, 2013, Vol.62, Supplement No. 3, pages 1-187, published in Morbidity & Mortality Weekly Report (MMWR) Supplement on November 22, 2013: • Non- Asian racial/ ethnic minorities continue to experience higher rates of human immunodeficiency virus (HIV) diagnoses than whites.

Health disparities are the different kinds of illness that occur among different population groups. Over the years, technology has advanced as well as education but they have only helped out certain groups dealing with health disparities as there still are problems involving health disparities. One reason health disparities still exist is due to race and ethnicity. Depending on your racial and ethnical background plays a huge factor in health disparities.