Personally leadership analysis
Johns Hopkins All Children's Foundation
Miatta Teasley
Capella University
MHA-FPX5012
Organizational Leadership and Governance
Professor Chad Moretz
April 30,2023
Johns Hopkins All Children's Foundation
Introduction
Competition is encouraged in organizations all over the world to encourage provision of quality care in healthcare organizations. With enough competition from competitors, healthcare organizations will be able to enhance their competitive advantage by providing customized treatment experience. Organizations therefore have to conduct organizational analysis to identify some of the prevailing issues, problems, challenges and areas that need improvement to up their service delivery to patients. The current analysis analyzes the Johns Hopkins All Children's Foundation business environment to identify problems that may be affecting the organization.
Part 1: Environmental Analysis (SWOT Analysis)
|
Strengths |
Weaknesses |
|
· Availability of funds to conduct research · High level of health care technology · High level of local funding · Availability of up to date programs and data · Has favorable ranking · Affiliated with highly reputed brand |
· Low wages and poor recruitment methods · Lock of effective communication in the organization · No employee recognition programs · Little activities involving recruitment of doctors · High prevalence of medical errors |
|
Opportunities |
Threats |
|
· Increase the scope of services · Encourage a culture of improvement in the hospital · Conduct community outreach John Hopkins All Children · Partner with other community based organizations · Develop online medical services |
· High level of aging workforce and population · Rising number of infectious illnesses · High prevalence of lifestyle illnesses · Limitations of practices from government regulations · Language barriers limiting communication · High level of competition |
The hospital enjoys a number of strengths, which have given the organization its current competitive advantage. In regards to the strengths, the hospital is affiliated to one of the best hospitals in the world. There is availability of funds to conduct research and high level of health care technology (John Hopkins, 2018). The hospital enjoy high level of local funding and it has several healthcare programs that provide required data for treatment. Weaknesses at the organization include low wages and poor recruitment methods and lack of effective communication among the staff. The hospital has no employee recognition programs and it does not recruit doctors and nurses regularly.
Despite the prevailing weaknesses in the organization, it is presented with different opportunities to leverage on and overcome the weaknesses. The opportunities include, increase the scope of services, encourage a culture of improvement in the hospital and conduct community outreach John Hopkins All Children. Others include partner with other community-based organizations and develop online medical services (Cunningham, 2015). The company is also faced with threats and they include high level of aging workforce and population, rising number of infectious illnesses and high prevalence of lifestyle illnesses. Others include limitations of practices from government regulations, language barriers limiting communication and high level of competition.
Part 2: Organizational Assessment and Scorecard
Values, Mission, Vision
The healthcare organizations mission, vision, and values are held by the organizations with high regards. They are aimed at ensuring that any patient that walk through their door is served as expected with high level of precision. They use mission, values, and vison statements as tenets to care, conduct research, and provide medical education and as a foundation for strategy development. The vison of the organization is to “Create a healthy tomorrow… for one child, for All Children” (John Hopkins, 2018). The mission of the organization is to provide leadership in child health through treatment, advocacy, and research. The values of the foundation includes value for patients and customers by John Hopkins All Children and their employees to stay true to their organizational values in all that they do. They value to have: honesty, integrity, be inspirational, have hope, collaborate, have teamwork, inquire and innovate. To be compassionate, have respect, and to be responsible and safe. The value statement or the organization is "There is only one child in the entire world, and that child's name is All Children" (John Hopkins, 2018).
Organizational Scorecard Table
|
|
Objectives |
Measures |
Targets |
Initiatives |
|
Financial |
Demonstrate |
-Alternative level of |
-Less than 25% |
Improve systems |
|
To sustain our mission |
accountability and |
patient care |
-Goal of 90% |
by researching |
|
financially, what should our |
efficiency |
-Nursing worked hours |
|
other hospitals |
|
Focus be. |
|
|
|
Practices. |
|
Customer |
Overall patient |
-Overall rating of care |
-65% |
Staff leadership |
|
To John Hopkins All Children eve our vision, how |
satisfaction |
-Employee and |
improvement |
|
|
should be appear to our |
|
physician engagement |
-Greater than |
|
|
Customers? |
|
-Family physician |
50%, per |
|
|
|
|
receive discharge |
survey |
|
|
|
|
summaries |
-90% given |
|
|
Internal Business Process |
Focus on patient- |
-Rate of inpatient falls |
-Less than 5% |
-Revamp |
|
What must we excel at to |
centered care |
-Surgery safety |
-88% |
reporting process |
|
Satisfy our stakeholders? |
|
compliance checklist |
completed |
-Report from |
|
|
|
-Compliance with |
-75% compliant |
review groups |
|
|
|
hand-hygiene policy |
|
|
|
Learning and Growth |
Enhance and |
-Complete |
-80% by end of |
Hire a new |
|
How should we better |
maintain a healthy |
performance |
John Hopkins All Children quarter |
human resources |
|
develop out systems to |
Work environment. |
development plans |
-100% |
lead |
|
Serve our patients? |
|
-Leader learning |
completion rate |
|
|
|
|
development |
|
|
Part 3: Gap Identification
|
Objective |
Current state |
Desired State |
Gap |
|
Decrease the number of |
Currently there is an |
To have fewer medical |
Increasing medical |
|
Medical errors. |
increase in medical errors |
Errors in any given year. |
Errors. |
|
Demonstrate |
and investigations regarding |
To receive full payback |
Decreased payback |
|
accountability and |
Past medical errors. |
from insurances with proper |
Due to medical errors. |
|
Efficiency financially. |
-Medical errors have |
Performance on procedures. |
Unreported errors |
|
Focus on patient |
required John Hopkins All Children to spend more |
Patients should be the |
showing their values |
|
centered care to satisfy |
money to not only fix the |
priority at any given time |
have been lost and |
|
Stakeholders. Maintain a healthy work environment to allow for employee growth. |
Errors, but to pay off families for their harm. -Patients are not currently the center, and errors have been unreported. -Employees unhappy and relocating due to the publicity and errors. |
In addition, any accidental error reported immediately. Decrease the negative publicity and treat employees as they should be treated to keep them long-term. |
Patient is not first. Employees negativity affected due to the publicity and questioning about errors and harm. |
As for the internal environment, John Hopkins All Children works very hard to make sure they keep up with current practices for nurses, keep their nurses’ education up to date, and work to hire more nurses quarterly to accommodate staffing changes. John Hopkins All Children has worked with its nurses to come up with a model that allows the nurses to have a say in what is being done in the organization and accommodate their wants and desires. John Hopkins All Children has increased their specialty certification by providing resources and review courses for their clinical nursing staff to allow them to feel comfortable and competent with current practices. They have also collaborated with local nursing collages to offer on-site RN to BSN programs for their nurses who would like to earn their John Hopkins All Children for degree or higher (John Hopkins, 2018). This allows John Hopkins All Children to push for their goal of eighty percent of their nurses to be John Hopkins All Children for or higher degree nurses. This also helps them to outrank other hospitals in the area that may not be able to say that they have as many john Hopkins All Children for nurses.
Part 4: Leadership Recommendations
While stakeholders are currently concerned by the increase in medical errors and negative publicity John Hopkins All Children has been receiving in the last two years, they are still standing strong with the organization and pushing them to remain highly ranked. Stakeholders are currently working with the leaders of The John Hopkins All Children organization to come up with ways to not only fix the errors that have occurred, but to prevent any further errors from occurring. The stakeholders have agreed that in John Hopkins All Children ’s current state it is most important to not only make changes to their current mission and Values, but to more importantly to evaluate their staff and do what is necessary to decrease their number of medical errors.
When John Hopkins All Children created their mission, vision, and values, they were aiming to care for All Children, hold true to these values, but as time went on, and errors occurred, they have seemed to lose sight of these values. By not reporting their medical errors, they have stopped appropriately advocating for their patients. Since they are not holding true to their values, it may be necessary to make changes to their vision and mission. It is also necessary to evaluate every staff member and determine the number of errors John Hopkins All Children of them has committed. Those with high numbers of errors will need to be evaluated, reeducated, and if necessary, let go to improve the organizations function and patient outcomes. John Hopkins All Children needs to go back to being advocates for their patients and always putting their patients first (US Department, 2017).
Part 5: Leadership Implications
Based on what was discussed above with the changes that are necessary to close the gaps in the ACH organization is will be necessary for the organizational leaders to determine when and where these changes are necessary and make sure they are implementing the changes in all cases. It will be their responsibility to be stern with these changes and if at any point a team member is not holding up to the ACH standards after being given the opportunity to change their ways then it is pertinent that the organizational leaders make the decision to let that team member go.
In the same sense, the organizational leaders must hold true to the mission, vision, and values as well and hold each other accountable to make sure everyone in the organization is functioning appropriately and how they should be. The leaders will be responsible for implementing changes, making sure they keep up with the changes themselves, be open to what their team members have to say, and make sure all their team members make the necessary changes and care for their patients appropriately. The top priority for the organizational leaders is to make their teams feel as if they can come to them, talk with them, and show them that they have a say (Creative Leadership, 2018).
References
Appleseed. (2015, May). Economic Impact of All Children's Hospital. Retrieved July 7, 2018, from http://web.jhu.edu/administration/gca/_gca-2017/projects/publications-and- reports/economic-impact-report/EIR Documents/EIR 2014/ACH Report.pdf
Center for Creative Leadership. (2018). Why Communication is So Important for Leaders. Retrieved January 4, 2019, from https://www.ccl.org/articles/leading-effectively- articles/communication-1-idea-3-facts-5-tips/
Cunningham, P., Garfield, R., & Rudowitz, R. (2015, April 30). How Are Hospitals Faring Under the Affordable Care Act? Early Experiences from Ascension Health. Retrieved July 11, 2018, from https://www.kff.org/health-reform/issue-brief/how-are-hospitals-John
Hopkins Medicine. (2018). About Us. Retrieved July 7, 2018, from https://www.hopkinsallchildrens.org/About-Us
John Hopkins Medicine. (2018). Nursing. Retrieved July 11, 2018, from https://www.hopkinsallchildrens.org/Health-Professionals/Nursing
US Department of Health. (2017, May 12). Twenty Tips to Help Prevent Medical Errors: Patient Fact Sheet. Retrieved January 4, 2019, from https://www.ahrq.gov/patients- consumers/care-planning/errors/20 tips/index.htmlReferences