week 2 peer response

HMGT 320 Week #2 Response. Need a response to each post (Discussion). There are 4 post total. I have also attached my origanal post that requires a reponse back to my instructor. My original post will be first, with the question my teacher proposed. The postings that require my peer response are listed next. An example of what a “response” is and or how long it should be. These post are very lengthy, I apologize. You may put you response on a different sheet of paper but please ensure you put the “name” of the person’s discussions you are responding to

Response due back to my instructor from my original post:

By Jerome Bozek

Deidra,

Art. 1....Question, for Deidra and any other class member...can you further explain "flexible control structure" vs. "rigid management structure"....what do these look like?

 You raise an interesting point, Deidra.  Sometimes organizations get wrapped up in the "process", vs. developing a functional "plan".  I have personally been in organizations who spend $50-$100 K for outside planning consultants, yet the finished product  ends up on the shelf, because the plan is not a living and breathing document, which is not part of the fabric of the organization's management.

Art. 4...Question....the concept of "process improvement" has been raised here as part of team- based care...are any of your familiar/have worked with processes as six-sigma, LEAN, or Demming? Comments and feedback for the class?

JB  

Peer responses needed  (as if you were me)

· Week 2 Discussion Gursanam Gill posted Jan 20, 2016 11:20 PM

-Strategic Imperative 

In the first article for this week's reading, we read about how strategic imperative is essential in preventing and correcting the greatest challenge facing provider-based organizations. According to the article, the execution of strategic plans is the greatest challenge which provider-based organizations face today. Less than 10% of strategic plans are realized, which prevents organizations from being high-performing in both the short and long term. This means that, without that strong foundation, in this case the strategic plan, the organization will not run like the well-oiled machine that executives and higher-ups want, and that patients look for. 

If I were given the opportunity, I would suggest that the organization be restructured. This can be done through creating a new and achievable strategic plan, creating an organization control structure, giving responsibilities to management, and creating physician leadership.  

Source: The Strategic Imperative of Adapting the Hospital’s Management Structure. (2006). Retrieved January 19, 2016, from http://www.healthleadersmedia.com/content/86219.pdf

-Strategic Planning

Strategic planning is "the systematic and organized process whereby an organization creates a document indicating the way it plans to progress from its current situation to the desired future situation; the set of decision -making criteria and the decisions taken and implemented by an organization to definitively and permanently guide its activities and structure." Strategic planning aims to bring the future closer to the organization, and allows the organization to study and conduct simulations of the future. Strategic planning also aims to reveal opportunities which were previously hidden, or to reveal threats, which gives the organization to act on them earlier.

As a consultant, I would recommend an organization not proceed with the development of a strategic plan when the cost of outweighs the benefits which are predicted in the strategic plan, as well as if there is a new management team/head being introduced in the organization who want to start from scratch and create a new strategic plan. 

Source: Strategic Planning in Healthcare Organizations. (n.d.). Retrieved January 19, 2016, from http://www.revespcardiol.org/en/strategic-planning-in-healthcare-organizations/articulo/90147901/

-Team-Based Care

As a manager, I would address a few key issues which pertain to team-based care. First off, ensuring that the patient and the family are that the center of the team requires careful planning and execution. In order to maximize value, matching resources to patient and family needs is essential. It is also important, in terms of efficiency, to build bridges to ongoing activities related to team-based care. Lastly, in order to achieve continuously improving and high value team-based health care, it is important to define a coordinated research agenda for team-based care. 

Source: Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb, C. E., . . . Von Kohorn, I. (2012, October). Core Principles & Values of Effective Team-Based Health Care. Retrieved January 19, 2016, from https://www.nationalahec.org/pdfs/VSRT-Team-Based-Care-Principles-values.pdf

Respond to Gursanam Gill here please:

Week 2 Created by Miguel Wolfe on Jan 20, 2016 10:13 PM

Article 1. Strategic Imperative:

A.)   One of the biggest challenges facing provider based organizations such as hospitals is strategic planning. Because there is a lack of strategic planning, these organization struggle to make decisions that could better benefit the hospital. Strategic planning allows health organizations to plan their future by being relevant and competitive with other health organizations. It also allows them to create distinctive service lines in order to expand their clientele.

The Strategic Imperative of Adapting the Hospital’s Management Structure http://www.healthleadersmedia.com/content/86219.pdf

B.)  If given the opportunity to recommend changes to my organizations, I would first  make sure that everyone within the organization is aware of the changes that would be occurring and would hope as a team, that we could come up with ideas to solve repetitive issues.  Secondly i would work on branching off certain sections of healthcare so those physicians can give those particular patients the correct attention need.   I would also  hire a group of people that monitors, and could find ways of keeping the hospital innovative.

2.) Article 2. Strategic Planning:

Strategic Planning  is a process used by various organizations to guide them from one current situation, to a desired situation in the future.  In order to determine what strategy best fits the organization, they undergo a dynamic use of specific selected external opportunities that engage and develop internal competencies in order to fulfill the organization's mission and creating value for its stakeholders. As a consultant i would not recommend an organization proceed with development of a strategic plan if this company is already in a financial crisis as strategic planning is expensive. That company may want to focus on financial issues before doing  a strategic plan.

strategic Planning in Health Care Organizations http://www.revespcardiol.org/en/strategic-planning-in-healthcare-organizations/articulo/90147901/

3.) Article 4. Team Based Care:

In order to implement a team base care system within the organization; communication will be an important factor in ensuring that these team member understand their roles within the team.  These team members will need to know why it will be beneficial working as a team. Working as team in a health care organization ultimately offers the patients a better experience while in a health care facility. Work loads are not place on just one individual which allows this team member to focus on each patient.  I would address the importance of the team communicating amongst each other to ensure that error is decreased.  These team members must understand the goals of the organization which would be offering the patient optimum service while finding new ways of improving the organization. 

Principles and values of team based health care https://www.nationalahec.org/pdfs/VSRT-Team-Based-Care-Principles-values.pdf

Respond to Miguel Wolfe here please:

Week 2 – Urusha Created by Urusha Honesty on Jan 18, 2016 6:57 PM

1. Article 1, Strategic Imperative: 

Article 1 describes the biggest challenge facing provider-based organizations as the lack of or an inefficient strategic plan and organizational structure. When strategies do change, the structure and responsibilities must change to effectively and efficiently execute said strategies.  Importance should be placed on bridging multiple departments for a quality patient experience and shifting the service line’s focus’ to reflect the new strategy while maintaining accountability between the heads of the departments and the department managers. 

I would address such issues with a realignment of the organizational structure to match the goals and culture of the organization.  The strategic plan would be clear, concise and obtainable based on economic, physical and technical constraints.  I would realign the management structure to ensure accountability while making sure the right tools and controls are available for leadership to meet the new goals.  I would say it is vital to ensure that management has a focus on transitions that may take place in the future as well as the current changes, in other words, have insight on the future of the organization and the skillset to be successful in strategic changes and leadership changes.

ECG Management Consultants (Ed.) (2007). The Strategic Imperative of Adapting the Hospital’s Management Structure. Insight (Winter).

Article 2, Strategic Planning

Strategic planning is the creation of a document of plans and outlines operational characteristics that are to take place or change to secure the future or progressive goals of an organization. The strategic plan (SP) includes decisions, decision-making criteria, structural and leadership criteria that the organization follows.

I would not recommend an SP in the case of an organization not having the economic resources to create and execute such plan.  I would not suggest such a plan when there is a lack of cohesion amongst departments, leadership and staff. Uncovering of difficulties due to conflicts and other issues should be addressed prior to planning and execution of the SP. Goals should be aligned between different departments, despite each department may need a separate plan. The professionals within the organization should be prepared to quantify and evolve to meet future goals.  

Rodríguez Perera, F., & Peiro, M. (2012). Strategic Planning in Healthcare Organizations. Revista Española De Cardiologia, 65(08), 749-754. Retrieved from http://www.revespcardiol.org/en/strategic-planning-in-healthcare-organizations/articulo/90147901/

Article 3, Team-Based Care

 First I would need to evaluate and address the values of the team members. Values such as honesty, discipline, creativity, humility and curiosity would be required. We would discuss and define the many goals of patient care and set an understanding that each patient may require different care according to the patient goals.  The understanding that such goals would need to be shared goals of the team and the patient, and possibly the patient’s family has to be established and accepted. The patient would need to be key in the goal setting.  There should be a clear understanding of the goals of care and how the team will address such goals.  The goals are to be shared goals meaning the team would establish mutual or shared goals that are clear, concise, understood and that represent the patient and family needs. These steps would be the initial part of setting the foundation. 

To prepare my team as well as other departments, I would create space to understand the resources available to meet patient and family needs.  I would also develop protocols and ensure each team member would be aware of the functions and responsibilities of each person or group in said team and that each individual is accountable for their said function. They would have clear roles. We would address departmentalizing while defining clear responsibilities without duplicating efforts while maintaining a high level of efficiency. We would have to create a level of trust and reciprocity for shared success across the entire team and with other departments. All team members in all settings should have consistent, effective and candid communications both internally and across all departments. Communication and briefings on what is working and what is not should be done on a consistent basis.  We will discuss how goals are being achieved, what processes are effective and when they are not, why in order to improve and refine processes immediately. We will track performance and ensure accountability to responsibilities on a weekly basis with each patient. These expectations will be clearly discussed, understood and agreed upon within the first 30 days to give space for team members to engage in developing protocols, engage in evaluations of processes, building bridges to facilitate efficiency and future improvements as needed.

Mitchell, P., Okun, S., Wynia, M., Webb, C., Golden, R., Rohrbach, V., Von Kohorn, I. (2012, October 1). Core Principles & Values of Effective Team-Based Health Care. Lecture presented at Discussion Paper in Participants drawn from the Best Practices Innovation Collaborative of the IOM Roundtable on Value & Science-Driven Health Care

Example of a response:

Urusha,

I agree that values of team members are very important.  Without the proper values in place it would be difficult to work well in a team environment. I have worked within a team where some members lacked essential values, this made the environment very tense and stressful.  It also had a negative affect on patient care.

After doing so addition research I found that interdisciplinary teams consist of a group of health care professionals from different fields who work together toward a common goal for the patient. Each member of the interdisciplinary team possesses knowledge and resources that combined with other members will benefit the patient by ensuring that they receive the best quality of care. These interdisciplinary teams can lead to improvements in the organization by providing patient focused services which will improve the quality of care. By working together member are able to clearly understand what needs the patients has and are able to address the needs in a way in which the patient will receive the best outcome. By working together there is less room for error in diagnosing the patient as well as over medicating the patient. The need for interdisciplinary teams is increasing due to a large aging population, the need to more comprehensive care for patients, and an increasing specialization within health professions.

Reference: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662612/