Systems Thinking

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USW1.6203.202310 - DDHA-8900-1/PBHL-8911-1-HEALTHCARE QUALITY MANAGEMENT-2022-FALL-QTR-TERM-WKS-1-THRU-11-(08/29/2022-11/13/2022)-PT27

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Hope Clinic

System thinking offers a comprehensive understanding of the performances of health care services. Health care providers must discern the workings of health care centers' 1 STRUCTURES, PROCESSES, AND OUTCOMES TO DELIVER QUALITY PATIENT CARE (EVERETT ET AL., 2020). ADDITIONALLY, THERE ARE EXTERNAL FACTORS THAT IMPACT THE HEALTHCARE SYSTEM. Hope clinic is an example of a healthcare facility with a structure that abides by the elements of systems in healthcare. 2 HOPE CLINIC OFFERS SEVERAL MINORITY HEALTH AND WELLNESS PROGRAMS. THESE PROGRAMS INCLUDE COMMUNITY OUTREACH, BRAIN AGING WELLNESS, AND CANCER PREVENTION. THE CLINIC ALSO SUPPORTS DIVERSITY. HOPE CLINIC PROVIDES ROUGHLY 200,000 AFRICAN-AMERICANS IN NORTHEAST FLORIDA WITH A CANCER PREVENTION PROGRAM CALLED "LIVE WELL. BE WELL." THE PROGRAM’S PURPOSE IS TO TEACH AFRICAN-AMERICANS ABOUT CANCER. THIS CANCER PREVENTION PROGRAM ALSO INTENDS TO TEACH THESE COMMUNITIES ABOUT THE SIGNIFICANCE OF LEADING A HEALTHY LIFESTYLE. THESE OUTREACH PROGRAMS AIM TO PREVENT, DETECT AND TREAT CANCER AMONG AFRICAN-AMERICANS.

SOMALI WOMEN ARE ALSO PROVIDED WITH A SAFE, COMFORTABLE, AND NON- MEDICATED DELIVERY EXPERIENCE. However, the center follows all the essential health standards. 2

THE TEAM IN THIS FACILITY CONSISTS OF DOCTORS, MIDWIVES, AND NURSE EDUCATORS THAT PROVIDE INTERACTIVE CLASSES USING ROLE-PLAY. IN ADDITION, THIS TEAM USES

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CULTURALLY SUITABLE PRACTICES TO EDUCATE WOMEN ABOUT PRENATAL CARE. THE CENTER VARIES FROM THE HOSPITAL BY PROVIDING IMPROVED HEALTH LITERACY AND GUARANTEEING HEALTHY BABIES AND MOTHERS. The program’s aim is to enable pregnant women to control their bodies during birth. 1 THE PATIENTS LEARN WHAT TO DO DURING LABOR, SUCH AS EATING, MOVING, AND STAYING IN POSITIONS THAT FEEL MOST COMFORTABLE AS LONG AS IT IS APPROVED TO BE SAFE BY THE HEALTH CARE PROVIDERS AT THE CLINIC.

2 HOPE CLINIC FAILS TO OFFER CARE DURING DELIVERY AND POSTPARTUM. Therefore, these services refer expectant mothers to other health care organizations. 2 THE CENTER ALSO PROVIDES COMMUNITY, CORPORATE, PROFESSIONAL, AND HEALTH OUTREACH PROGRAMS. THESE PROGRAMS ASSIST IN CREATING AWARENESS OF CHRONIC AILMENTS THAT DISPROPORTIONATELY AFFECT MINORITY COMMUNITIES. THE TARGET GROUPS OF THESE PROGRAMS INCLUDE ASIAN-AMERICAN, HISPANIC, LATINX, OR AFRICAN- AMERICAN EMPLOYEES.

The System

The organization of Hope clinic has numerous inputs, outputs, and feedback. The facility has thirteen staff; 2

FIVE MEDICAL ONCOLOGISTS, TWO SURGICAL ONCOLOGISTS, ONE RADIATION ONCOLOGIST, FIVE TRAINED NURSES, AND A PUBLIC RELATIONS OFFICER. 1 THE STAFF AT THE CENTER ARE THE INPUTS TO THE SYSTEMS PROCESS. 2 THE PUBLIC RELATIONS OFFICER IDENTIFIES AND REGISTERS TARGET GROUPS SUCH AS SOMALI WOMEN, AFRICAN-AMERICAN, AND HISPANICS. THE CENTER NEEDS THESE GROUPS TO BE REGISTERED BEFORE THE START OF A TRAINING PROGRAM. THEREFORE, THE NURSES AND ONCOLOGISTS START A VIGOROUS OUTREACH EXERCISE TO REACH THESE MINORITY GROUPS. DURING THE TRAINING APPOINTMENT AND CLASSES, THE MINORITY GROUPS LIKE SOMALI WOMEN ARE EDUCATED ON THE CHILDBIRTH EXPERIENCE AND POSTPARTUM CARE.

THE CANCER PATIENTS SELECT THE PAYMENT PLANS AND ARE ASSIGNED ONCOLOGISTS FOR MONITORING. THE OUTCOME INCLUDES A MENTALLY AND FINANCIALLY PREPARED CANCER AND PREGNANT PATIENT. 1 THE NURSES MAINTAIN TRACK OF ALL THE PATIENT RECORDS AND HISTORY. THE RECEPTIONIST’S WORK IS TO FILE CLAIMS WITH THE INSURANCE COMPANIES AS THEY INPUT FOR THE PAYMENT PROCESS. THE INSURANCE COMPANY GIVES FEEDBACK TO THE CLINIC BY APPROVING THE CLAIM. Somali mothers or cancer patients are allocated a room once they check into the center. 2 THE CANCER RADIATION PROCESS NEEDS A MEDICAL ONCOLOGIST, SURGICAL ONCOLOGIST, RADIATION ONCOLOGIST, AND TRAINED NURSE INPUT. THE EXPECTED OUTCOME OF THIS PROCESS

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IS AN EFFECTIVE AND HIGH-QUALITY CANCER TREATMENT.

The surgical oncologist monitors the cancer patient during treatment. In an emergency, the radiation oncologist consults with the surgical oncologist and medical oncologist. 1 THE THROUGHPUT FOR THE CLINIC IS A MAXIMUM OF FIVE PATIENTS A DAY. THE THROUGHPUT OF THE HOSPITAL ENSURES REDUCED TIME WASTAGE AND QUALITY HEALTHCARE FOR THE PATIENTS. IN SUMMARY, HOPE CLINIC HAS THREE MAIN PROCESSES; OUTREACH, REGISTRATION, AND PAYMENT. THE REGISTRATION PROCESS NEEDS INPUT DETAILS FROM THE PATIENT AND IS DONE BY THE RECEPTIONIST. THE OUTCOME OF THIS PROCESS IS THE PATIENT RECORDS. The health care professionals at the center execute the outreach center. 2 THE OUTCOME OF THIS PROCESS IS INCREASED AWARENESS. Finally, the receptionist enables the payment at the clinic. 1 ON THE OTHER HAND, THE RECEPTIONIST FILES CLAIMS WITH THE INSURANCE COMPANY FROM THE REGISTRATION DETAILS.

Start

Diagram

Stop

Patient Details

Registration

Insurance Claim

Delivery

Patient Records

Safe delivery

Approved Claim

Monitoring

Payment

2 IMPORTANCE OF UNDERSTANDING SYSTEMS

1 UNDERSTANDING THE HEALTHCARE SYSTEM PROFITS THE FACILITY, PROVIDERS, AND PATIENTS. Understanding the system enables healthcare providers to provide adequate care and services. 2

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ACCORDING TO PFANNSTIEL ET AL. (2019), understanding this system allows health care providers to understand their roles and responsibilities and promotes accountability. 1 ADDITIONALLY, THE HEALTH CARE PROVIDERS CAN IDENTIFY THEIR TEAM AND KNOW WHO TO CONSULT IN CASE OF EMERGING ISSUES. UNDERSTANDING THE HEALTH CARE SYSTEM IN A FACILITY ALSO HELPS A HEALTH PROVIDER TO DETERMINE WHERE TO OBTAIN PATIENT RECORDS WHEN A PATIENT IS ADMITTED. CARING FOR A PATIENT ENTAILS THE COLLABORATION OF VARIOUS HEALTH CARE PROVIDERS WHO CONTRIBUTE TO THE PATIENT'S RECORDS. THEREFORE, THE HEALTHCARE SYSTEM CAN MERGE PATIENT REPORTS FROM DIFFERENT HEALTHCARE PROVIDERS INTO ONE RECORD. Additionally, understanding systems and their dependability enable healthcare providers to be team players.

1 UNDERSTANDING SYSTEMS IN HEALTHCARE ORGANIZATIONS ALSO HELP THE SERVICE PROVIDERS TO OFFER EFFECTIVE PATIENT CARE AND PROTECTION. Learning about this system helps service providers to understand the organizational system and deliver appropriate and customized care to the patients following the system. 1 ADDITIONALLY, UNDERSTANDING THIS SYSTEM ENABLES THE ADMINISTRATION TO EQUIP THE HEALTH CARE PROVIDERS WITH THE REQUIRED TOOLS TO PROTECT THEIR PATIENTS. For example, a health care provider learns how to assist an uninsured or undocumented patient. Akmal et al. 1 (2020) FOUND THAT UNDERSTANDING THE SYSTEM HELPS A SERVICE PROVIDER TO PROTECT THE PATIENT'S RIGHTS LIKE PRIVACY. LASTLY, UNDERSTANDING THE SYSTEMS THINKING IN HEALTHCARE CENTERS FACILITATES EFFICIENT CARE TO PATIENTS.

References

2 AKMAL, A., GREATBANKS, R., & FOOTE, J. (2020). 2 LEAN THINKING IN HEALTHCARE– FINDINGS FROM A SYSTEMATIC LITERATURE NETWORK AND BIBLIOMETRIC ANALYSIS. HEALTH POLICY, 124(6), 615- 627.HTTPS://WWW.SCIENCEDIRECT.COM/SCIENCE/ARTICLE/PII/S0168851020300932

Everett, C. 2 M., JACKSON, G. L., & MORGAN, P. (2020). 2 WHY THE SCIENCE OF HEALTHCARE DELIVERY MATTERS TO PRACTICING PAS. JOURNAL OF THE AMERICAN ACADEMY OF PAS, 33(3), 51- 53.HTTPS://JOURNALS.LWW.COM/JAAPA/FULLTEXT/2020/03000/WHY_THE_SCIENCE_O F_HEALTHCARE_DELIVERY_MATTERS_TO.10.ASPX

Pfannstiel, M. 2 A., & RASCHE, C. (2019). 2 SERVICE DESIGN AND SERVICE THINKING IN HEALTHCARE AND HOSPITAL MANAGEMENT. SPRINGER INTERNATIONAL PUBLISHING.HTTPS://LINK.SPRINGER.COM/CONTENT/PDF/10.1007/978-3-030-00749-

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STRUCTURES, PROCESSES, AND OUTCOMES TO DELIVER QUALITY PATIENT CARE (EVERETT ET AL., 2020)

Source - Another student's paper Health care providers need to know the workings of the structures, processes, and outcomes of health care facilities to provide quality care to the patients (Everett et al., 2020)

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ADDITIONALLY, THERE ARE EXTERNAL FACTORS THAT IMPACT THE HEALTHCARE SYSTEM

Source - Another student's paper Additionally, there are external factors that influence the systems in healthcare

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THE PATIENTS LEARN WHAT TO DO DURING LABOR, SUCH AS EATING, MOVING, AND STAYING IN POSITIONS THAT FEEL MOST COMFORTABLE AS LONG AS IT IS APPROVED TO BE SAFE BY THE HEALTH CARE PROVIDERS AT THE CLINIC

Source - Another student's paper The patients are at liberty to decide what to do during labor, such as eating, moving, and staying in positions that feel most comfortable as long as it is approved to be safe by the health care providers at the facility

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THE STAFF AT THE CENTER ARE THE INPUTS TO THE SYSTEMS PROCESS

Source - Another student's paper The staff at the facility are the inputs to the systems process

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THE NURSES MAINTAIN TRACK OF ALL THE PATIENT RECORDS AND HISTORY

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THE RECEPTIONIST’S WORK IS TO FILE CLAIMS WITH THE INSURANCE COMPANIES AS THEY INPUT FOR THE PAYMENT PROCESS

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THE INSURANCE COMPANY GIVES FEEDBACK TO THE CLINIC BY APPROVING THE CLAIM

Source - Another student's paper The insurance company provides feedback to the birth center by approving the claim

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THE THROUGHPUT FOR THE CLINIC IS A MAXIMUM OF FIVE PATIENTS A DAY

Source - Another student's paper The throughput for the birthing center is a maximum of five patients a day

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THE THROUGHPUT OF THE HOSPITAL ENSURES REDUCED TIME WASTAGE AND QUALITY HEALTHCARE FOR THE PATIENTS

Source - Another student's paper The throughput of the hospital ensures reduced time wastage and quality healthcare for the patients

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IN SUMMARY, HOPE CLINIC HAS THREE MAIN PROCESSES

Source - Another student's paper In summary, the birth facility has three main processes

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OUTREACH, REGISTRATION, AND PAYMENT

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THE REGISTRATION PROCESS NEEDS INPUT DETAILS FROM THE PATIENT AND IS DONE BY THE RECEPTIONIST

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THE OUTCOME OF THIS PROCESS IS THE PATIENT RECORDS

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ON THE OTHER HAND, THE RECEPTIONIST FILES CLAIMS WITH THE INSURANCE COMPANY FROM THE REGISTRATION DETAILS

Source - Another student's paper Finally, the receptionist facilitates the payment at the hospital—the receptionist files for claims with the insurance company from the registration details

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UNDERSTANDING THE HEALTHCARE SYSTEM PROFITS THE FACILITY, PROVIDERS, AND PATIENTS

Source - Another student's paper Understanding the healthcare system benefits the organization, providers, and patients

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ADDITIONALLY, THE HEALTH CARE PROVIDERS CAN IDENTIFY THEIR TEAM AND KNOW WHO TO CONSULT IN CASE OF EMERGING ISSUES

Source - Another student's paper Additionally, the health care providers can identify their team and know who to consult in case of emerging issues

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UNDERSTANDING THE HEALTH CARE SYSTEM IN A FACILITY ALSO HELPS A HEALTH PROVIDER TO DETERMINE WHERE TO OBTAIN PATIENT RECORDS WHEN A PATIENT IS ADMITTED

Source - Another student's paper For example, understanding the health care system in a hospital, a health provider can identify where to obtain patient records when a patient is admitted

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CARING FOR A PATIENT ENTAILS THE COLLABORATION OF VARIOUS HEALTH CARE PROVIDERS WHO CONTRIBUTE TO THE PATIENT'S RECORDS

Source - Another student's paper Caring for a patient requires the cooperation of different health care providers who contribute to the patients&apos

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THEREFORE, THE HEALTHCARE SYSTEM CAN MERGE PATIENT

Source - Another student's paper Therefore, the healthcare system can combine reports about a patient from various health care providers into one record

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REPORTS FROM DIFFERENT HEALTHCARE PROVIDERS INTO ONE RECORD

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UNDERSTANDING SYSTEMS IN HEALTHCARE ORGANIZATIONS ALSO HELP THE SERVICE PROVIDERS TO OFFER EFFECTIVE PATIENT CARE AND PROTECTION

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ADDITIONALLY, UNDERSTANDING THIS SYSTEM ENABLES THE ADMINISTRATION TO EQUIP THE HEALTH CARE PROVIDERS WITH THE REQUIRED TOOLS TO PROTECT THEIR PATIENTS

Source - Another student's paper Additionally, health care providers are equipped with the necessary tools to protect their patients

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(2020) FOUND THAT UNDERSTANDING THE SYSTEM HELPS A SERVICE PROVIDER TO PROTECT THE PATIENT'S RIGHTS LIKE PRIVACY

Source - Another student's paper Understanding the system in a health care organization helps a health care provider protect his patient's rights such as privacy

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LASTLY, UNDERSTANDING THE SYSTEMS THINKING IN HEALTHCARE CENTERS FACILITATES EFFICIENT CARE TO PATIENTS

Source - Another student's paper In conclusion, understanding the systems thinking in healthcare organizations enables efficient care to patients

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HOPE CLINIC OFFERS SEVERAL MINORITY HEALTH AND WELLNESS PROGRAMS

Source - Another student's paper Mayo Clinic provides numerous minority health and wellness programs

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THESE PROGRAMS INCLUDE COMMUNITY OUTREACH, BRAIN AGING WELLNESS, AND CANCER PREVENTION

Source - Another student's paper These programs include community outreach, brain aging wellness and cancer prevention

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THE CLINIC ALSO SUPPORTS DIVERSITY

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HOPE CLINIC PROVIDES ROUGHLY 200,000 AFRICAN-AMERICANS IN NORTHEAST FLORIDA WITH A CANCER PREVENTION PROGRAM CALLED "LIVE WELL

Source - Another student's paper Mayo clinic offers over 150,000 African Americans in northeast Florida a cancer prevention program known as "Live Well

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BE WELL."

Source - Another student's paper Be Well."

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THE PROGRAM’S PURPOSE IS TO TEACH AFRICAN-AMERICANS ABOUT CANCER

Source - Another student's paper The program’s purpose is to teach African Americans about cancer

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THIS CANCER PREVENTION PROGRAM ALSO INTENDS TO TEACH THESE COMMUNITIES ABOUT THE SIGNIFICANCE OF LEADING A HEALTHY LIFESTYLE

Source - Another student's paper This cancer prevention program also aims to teach these communities about the significance of leading a healthy lifestyle

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THESE OUTREACH PROGRAMS AIM TO PREVENT, DETECT AND TREAT CANCER AMONG AFRICAN-AMERICANS

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SOMALI WOMEN ARE ALSO PROVIDED WITH A SAFE, COMFORTABLE, AND NON-MEDICATED DELIVERY EXPERIENCE

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THE TEAM IN THIS FACILITY CONSISTS OF DOCTORS, MIDWIVES, AND NURSE EDUCATORS THAT PROVIDE INTERACTIVE CLASSES USING ROLE-PLAY

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IN ADDITION, THIS TEAM USES CULTURALLY SUITABLE PRACTICES TO EDUCATE WOMEN ABOUT PRENATAL CARE

Source - Another student's paper In addition, this team uses culturally appropriate techniques to educate women about prenatal care

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THE CENTER VARIES FROM THE HOSPITAL BY PROVIDING IMPROVED HEALTH LITERACY AND GUARANTEEING HEALTHY BABIES AND MOTHERS

Source - Another student's paper The facility differs from the hospital by providing improved health literacy and ensuring healthy babies and mothers

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HOPE CLINIC FAILS TO OFFER CARE DURING DELIVERY AND POSTPARTUM

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THE CENTER ALSO PROVIDES COMMUNITY, CORPORATE, PROFESSIONAL, AND HEALTH OUTREACH PROGRAMS

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THESE PROGRAMS ASSIST IN CREATING AWARENESS OF CHRONIC AILMENTS THAT DISPROPORTIONATELY AFFECT MINORITY COMMUNITIES

Source - Another student's paper These programs help create awareness of chronic ailments that disproportionately affect minority communities

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THE TARGET GROUPS OF THESE PROGRAMS INCLUDE ASIAN-

Source - Another student's paper The target groups of these programs include Asian-American, Hispanic, Latinx, or African American employees

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AMERICAN, HISPANIC, LATINX, OR AFRICAN-AMERICAN EMPLOYEES

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FIVE MEDICAL ONCOLOGISTS, TWO SURGICAL ONCOLOGISTS, ONE RADIATION ONCOLOGIST, FIVE TRAINED NURSES, AND A PUBLIC RELATIONS OFFICER

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THE PUBLIC RELATIONS OFFICER IDENTIFIES AND REGISTERS TARGET GROUPS SUCH AS SOMALI WOMEN, AFRICAN-AMERICAN, AND HISPANICS

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THE CENTER NEEDS THESE GROUPS TO BE REGISTERED BEFORE THE START OF A TRAINING PROGRAM

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THEREFORE, THE NURSES AND ONCOLOGISTS START A VIGOROUS OUTREACH EXERCISE TO REACH THESE MINORITY GROUPS

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DURING THE TRAINING APPOINTMENT AND CLASSES, THE MINORITY GROUPS LIKE SOMALI WOMEN ARE EDUCATED ON THE CHILDBIRTH EXPERIENCE AND POSTPARTUM CARE

Source - Another student's paper During the training appointment and classes, the minority groups, such as the Somali women, are educated on the childbirth experience and postpartum care

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THE CANCER PATIENTS SELECT THE PAYMENT PLANS AND ARE ASSIGNED ONCOLOGISTS FOR MONITORING

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THE OUTCOME INCLUDES A MENTALLY AND FINANCIALLY PREPARED CANCER AND PREGNANT PATIENT

Source - Another student's paper The outcome of this process has a mentally and financially prepared cancer patient

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THE CANCER RADIATION PROCESS NEEDS A MEDICAL ONCOLOGIST, SURGICAL ONCOLOGIST, RADIATION ONCOLOGIST, AND TRAINED NURSE INPUT

Source - Another student's paper The cancer radiation process requires a medical oncologist, surgical oncologist, radiation oncologist, and a trained nurse input

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THE EXPECTED OUTCOME OF THIS PROCESS IS AN EFFECTIVE AND HIGH-QUALITY CANCER TREATMENT

Source - Another student's paper The expected outcome of this process is an effective and high-quality cancer treatment

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THE OUTCOME OF THIS PROCESS IS INCREASED AWARENESS

Source - Another student's paper The outcome of this process is increased awareness

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IMPORTANCE OF UNDERSTANDING SYSTEMS

Source - Another student's paper Importance of Understanding Systems

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ACCORDING TO PFANNSTIEL ET AL

Source - Another student's paper According to Pfannstiel et al

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AKMAL, A., GREATBANKS, R., & FOOTE, J

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LEAN THINKING IN HEALTHCARE–FINDINGS FROM A SYSTEMATIC LITERATURE NETWORK AND BIBLIOMETRIC ANALYSIS

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HEALTH POLICY, 124(6), 615- 627.HTTPS://WWW.SCIENCEDIRECT.COM/SCIENCE/ARTICLE/PII/S0 168851020300932

Source - Another student's paper Health Policy, 124(6), 615- 627.https://www.sciencedirect.com/science/article/pii/S01688510203009 32

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M., JACKSON, G

Source - Another student's paper M., Jackson, G

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L., & MORGAN, P

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WHY THE SCIENCE OF HEALTHCARE DELIVERY MATTERS TO PRACTICING PAS

Source - Another student's paper Why the science of healthcare delivery matters to practicing Pas

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JOURNAL OF THE AMERICAN ACADEMY OF PAS, 33(3), 51- 53.HTTPS://JOURNALS.LWW.COM/JAAPA/FULLTEXT/2020/03000/W HY_THE_SCIENCE_OF_HEALTHCARE_DELIVERY_MATTERS_TO.10.A SPX

Source - Another student's paper Journal of the American Academy of Pas, 33(3), 51- 53.https://journals.lww.com/jaapa/fulltext/2020/03000/why_the_science_o f_healthcare_delivery_matters_to.10.aspx

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A., & RASCHE, C

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9/2/22, 12'02 PMSafeAssign Originality Report

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SERVICE DESIGN AND SERVICE THINKING IN HEALTHCARE AND HOSPITAL MANAGEMENT

Source - Another student's paper Service design and service thinking in healthcare and hospital management

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SPRINGER INTERNATIONAL PUBLISHING.HTTPS://LINK.SPRINGER.COM/CONTENT/PDF/10.1007 /978-3-030-00749-2.PDF

Source - Another student's paper Springer International Publishing.https://link.springer.com/content/pdf/10.1007/978-3-030- 00749-2.pdf