Deliverable 7 - Scholarly Research Paper

1

Deliverable 7 - Scholarly Research Paper

Attempt 1.

Jamie Raines

Rasmussen College

HSA5000CBE Section 01CBE Scholarly Research and Writing

Caroline Gulbrandsen

9/1/2022

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Introduction

The level of success that a company achieves in its operations is among the most

significant features of that company. The primary reason for this is that the way things are done

directly affects the results obtained from doing those things. A lackluster performance might lead

to disheartening results, yet the flawless completion of one's responsibilities can propel a company

to new heights of commercial success. Since healthcare is an essential component of any economy,

it stands to reason that it requires well-designed processes to get the highest quality results. A

reliable performance management system is essential to guarantee that work is completed

following the requirements and standards set out (Sastradinata, 2021). Despite this, the majority of

hospitals have difficulty monitoring the progression of their patients due to the absence of a

dependable performance tracking system.

In addition, this issue is caused by the fact that some hospitals still employ systems based

on paper, which limits both the staff's ability to get things done and the HR department's ability to

keep an eye on everything that is going on. For instance, the number of daily evaluations that are

done could be impacted by a manual and paper-based strategy. As a consequence of this, the

hospital administration is unable to achieve the performance targets it has set, which has a

detrimental effect on the hospital's reputation in the community. Another problem that exists

within the healthcare system is inadequate job descriptions and evaluation tools (Sastradinata,

2021). The majority of hospitals make use of ineffective, disjointed systems that are supported by

obsolete technology. This indicates that the majority of activities concerning health are not

connected at all. Not only are such systems inefficient, but they also waste time on things that do

not need to be done in the first place, and that might be automated with a well-designed system that

prioritizes the need to monitor performance effectively. This wastes time, which can be avoided by

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designing the system to prioritize the need to monitor performance effectively. This proposal is

based on the premise that efficient performance management systems are essential to establishing

high standards of efficiency and effectiveness throughout the healthcare industry, particularly in

hospitals. This presumption underpins the idea that this proposal should be accepted. To

investigate this, we will look at the data that hospitals have provided regarding their perspectives

on performance management. In particular, we will focus on the systems that hospitals employ, as

well as the benefits and drawbacks of such systems concerning the accomplishment of the

hospitals' goals (Moradipour et al., 2021). We will conduct interviews with managers and staff

members from several hospitals so that we can have a clear picture of how the existing

performance management system affects the sector.

Methodology

Data will be collected on healthcare performance at the national, state, and hospital levels,

as well as the impact of performance management systems, using primary and secondary data

collection methods. The investigation will make use of both primary and secondary sources to

compile its findings. A qualitative research study is used, and also a review of the literature from

the database and data is compiled to get significant findings (Williams et al., 2022). As the principal

tactic, a wide variety of persons will be questioned across the board regarding the matter at hand.

Administrators of human resources departments from a variety of hospitals will be questioned. To

shed light on the procedures that are utilized in performance management at these firms, the

interviewees' comments will be of the utmost importance. This information will be used by the

survey to enquire into the outcomes as well as the obstacles of managing hospitals with the tools

that are now available.

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Conducting interviews with HR managers in healthcare facilities will help shed light on the

situation because the difficulties emanating from these concerns primarily affect the human

resources department. Since the compilation of an academic anthology of viewpoints on the issue

is the target, we will also be consulting relevant sources such as books, journals, and the internet to

achieve this goal. Because of this, it will be easy to assess the opinions and findings of many

different authors. In the process of compiling these books, only credible sources from the modern

age will be considered for inclusion. This is done to ensure that the hospital performance

management systems can collect reliable data. The majority of these resources will be obtained

through interlibrary loans from various academic and public libraries. In addition to this, we will

take into consideration the material that is located on reputable websites and in online libraries.

Primary Data Collection

In contrast to the limited information that can be obtained from a semi-structured interview,

which is comprised of nothing more than a set of questions that are open-ended facilitating the

collection of detailed data that is critical in bringing a significant change in healthcare and the

social setting. The effectiveness of the semi-structured interview may be inferred from the fact that

it features a degree of adaptability, as evidenced by the fact that it enables the expansion of the

topics that are emphasized in the interview guide. The researcher in charge of conducting the

interviews will be provided with a guide outlining the subjects that require additional examination

(Williams et al., 2022). Because the information supplied in the interview guidelines is organized

topically, the person conducting the interview will be able to ask unique questions of each

respondent. Researchers benefit from using guides for conducting interviews because they relieve

them of the tedious task of organizing interview questions into a structure that applies to everyone.

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As a result, interviewers can tailor their inquiries to the particulars of each interview and

the respondents they are speaking with. We will uncover specifics about how the mystery group

aids people who are undergoing radiation therapy through the use of an interview that is only semi-

structured. The semi-structured interview will serve some purposes, one of the most important of

which is to motivate and urge the interviewee to take part in the study by developing engaging

interview questions and, where appropriate, providing visual help to facilitate clarification. The

semi-structured interview will also serve to gather information about the interviewee's experiences

and perspectives. In particular, we will be looking for respondents' subjective evaluations, which,

up until the time that the findings are presented, will be kept strictly confidential. The candidate

will be given ample time to offer considered responses to each question as the interview will be set

at a time that allows for this.

Sample Selection

The primary objective of the research is to understand healthcare organizations'

perspectives about the performance of healthcare providers, especially when handling patients in

different scenarios, including conducting radiotherapy. 10 participants from 5 different healthcare

organizations will play a critical role in eliminating possible bias. Because of the limited size of the

sample, a combination of the quota sampling approach and the random sampling strategy will be

utilized in the process of collecting samples. In quota sampling, the researcher chooses to examine

only a certain proportion of the available total variables. It is possible to categorize people

differently according to their gender, age, how they live their lives, or even their race. The

researcher can then select what percentage of each category to use by utilizing the ease of access to

the features of the study (Williams et al., 2022). Based on their age and position inside the mysterious

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organization, participants in this study will be given a random assignment to either the high-level

management group or the entry-level staff group. When we look at people who fall into this

category, we find a diverse group of individuals in the healthcare organization to get detailed

information about their performance system effectiveness.

Literature Review

The healthcare industry's adoption of distinct performance criteria and indicators

necessitated the development of multidimensional performance assessment frameworks at the

government's international, national, and regional levels (Moradipour et al., 2021). Over the past four

decades, performance management systems (PMSs) in healthcare have been applied and

implemented, resulting in several improvements due to unanticipated effects and new ideas about

success in healthcare. The development of performance management in the healthcare industry is

intrinsically tied to the conception of "performance in health." The growth of performance

management in healthcare is a direct outcome of NPM reforms, which pushed for the widespread

adoption of private-sector methods in the West (Trinh, 2021). At the time, the healthcare industry

was only beginning to use performance management systems to increase both revenue and the

number of services provided to patients. Each medical center competes with its peers to provide

the finest care possible through superior resources, service, and technology (Arora & Ikbal, 2021).

The administrators of a hospital have to decide how to split up a limited supply of resources among

competing patients to maximize efficiency in light of strategic goals.

Targeted outcomes and responsibilities within the context of the organization. Throughout

the first two decades of performance measurement applications, more and more nations and

umbrella organizations emphasized the need to assess performance across various dimensions.

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After the year 2000, a new generation of performance management systems emerged, with the

stated goal of improving the complexity of the metrics to encourage inter-organizational

effectiveness as well as joint activities across different units within the same organization (Kludacz-

Alessandri, 2020). Some researchers have also brought attention to the persistent problems with

healthcare quality assessment tools. Due to the complex nature of healthcare systems and the

unpredictability of care results, the issue of sub-optimization (i.e., focusing on improving one

component of healthcare without realizing the influence on other aspects of the system) is of

particular importance.

Institutions like hospitals, family doctors, disease prevention offices, and so on. For this

reason, healthcare providers must adopt a philosophy of success that looks beyond the results of

individual entities or units and embrace new technologies to align their priorities better, share

information, and work together. The population medicine approach is generally recognized as a

game-changing innovation for healthcare delivery systems. Another critical change in performance

management is the emergence of the concept of success tied to meaning (Sastradinata, 2021). Last

but not least, recent disasters have shown how crucial it is to factor in sustainability and resilience

as a result. Unpredictable incidents like this have caused some to question the efficacy of federal-

state collaboration, particularly in decentralized healthcare systems.

Results

A wide variety of results might be expected to emerge from the data that was collected

utilizing the methods mentioned above. We predict that the conclusions will center on the existing

performance management system and its deficiencies in the day-to-day management of hospitals

and the healthcare system as a whole. The most important findings will focus on how this system

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impedes progress and achievement. To gain a better understanding of the situation, the gathered

data will need to be evaluated utilizing statistical methods of data presentation and analysis. For

instance, the utilization of charts and tables will be required to identify patterns among the various

healthcare facilities. In addition, equipment such as electronic calculators will be essential for the

process of data calculation.

Discussion

The current system's deplorable status and its detrimental effect on the efficiency of

impacted hospitals will become clear from the results, which will be collected through surveys and

other techniques. Any hospital's capacity to keep tabs on the quality of care it's giving its patients

can be hampered by a lack of effective performance management tools. Manual methods prevent

us from determining the speed at which services are provided or from comparing other sections of

the institution. Employee efforts are also undermined by ineffective performance management

systems when job descriptions and evaluation tools are not geared toward the hospital's goals in

terms of patient care. As a result, keeping an accurate performance record for each employee to

recognize their superior work properly is impossible. Their motivation to perform at their best

could be severely hampered due to this.

Limitations and Ethics

The limitation of this research is that not all the professionals are involved in the process,

making it difficult to give an exclusive representation of the population. The other limitation is that

different healthcare organization experience healthcare systems differently, and others might

appreciate small progress making it difficult to make inferences.

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Numerous moral and legal concerns will arise as a result of this endeavor. The first rule of

interviewing is that no confidential inquiries of any kind should be asked. The vast majority of

people would prefer to keep their opinions to themselves. Some legal and ethical considerations

include: According to the principle of informed consent, no correspondent will be compelled to

participate in the research. To do this, we need only recruit participants who are interested in taking

part and who are eager to work together. Participants' anonymity must be protected, and all

research projects must adhere to strict standards of confidentiality (Williams & Pigeot, 2016). There

will be no sharing of the data gathered under any circumstances. Respondents will not be asked for

their names or any other identifying information by the interviewers either. What could go wrong

or suitable as a result of the research being conducted; one of the ethical requirements of research

is that the researcher must not place the responder in a precarious position due to his participation

in the project. Each person who takes part in the study will be treated fairly and given a full

explanation of why they are being asked to participate.

References

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Arora, L., & Ikbal, F. (2021). Experiences of implementing hospital management information

system (HMIS) at a tertiary care hospital, India. Vilakshan - XIMB Journal Of

Management. https://doi.org/10.1108/xjm-09-2020-0111

Kludacz-Alessandri, M. (2020). The Relationship between Cost System Functionality,

Management Accounting Practices, and Hospital Performance. Foundations Of

Management, 12(1), 223-236. https://doi.org/10.2478/fman-2020-0017

Moradipour, M., Javidi, M., & Sadeghi, T. (2021). Effects of Hospital Information System on the

Performance of Management Units in Public Hospitals Analysis in Southwestern

Iran. Jundishapur Journal Of Health Sciences, 14(1). https://doi.org/10.5812/jjhs.119762

Sastradinata, I. (2021). Balanced Scorecard as a Method of Assessing the Performance of a

Hospital Management System. Open Access Indonesia Journal Of Social Sciences, 4(2),

143-147. https://doi.org/10.37275/oaijss.v4i1.34

Trinh, H. (2021). Service Duplication and Local Hospital System Membership. Academy Of

Management Proceedings, 2021(1), 11684.

https://doi.org/10.5465/ambpp.2021.11684abstract

Williams, G., & Pigeot, I. (2016). Consent and confidentiality in the light of recent demands for

data sharing. Biometrical Journal, 59(2), 240-250. https://doi.org/10.1002/bimj.201500044

Williams, T., Wiles, J., Smith, M., & Ward, K. (2022). Combining action research and grounded

theory in health research: A structured narrative review. SSM - Qualitative Research In

Health, 2, 100093. https://doi.org/10.1016/j.ssmqr.2022.100093

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