Health Care Management
"Culture eats strategy."
The Business Case for Evidence-Based Management
Management literature across all disciplines points to the critical importance of quality decision-making. A fundamental practice problem for decision makers is that the information that is readily available or accessible may be incomplete, outdated, and/or not based on evidence. Quality decision-making is dependent on access to and use of quality information. That is to say that, the old adage used by the early computer scientists -- "garbage in, garbage out" -- is applicable to management decision-making. This tenet is pivotal to management in healthcare for reasons that span the high stakes patient care decisions to the survival of medical institutions in a punishing fiscal environment.
In the service-oriented organizations of healthcare, decisions are part of an interwoven network -- a fabric that encompasses the administrative, operational, and patient care aspects as a unified entity. Poor decisions made in any single business or care unit in a healthcare facility can create waves of repercussions that are felt throughout the institution.
In their review of the Shewhart Plan-Do-Study-Act cycle and the generic eight-step decision-making model, Kovner and Rundall (2006) argue that important considerations are missing from both. The treatment of data gathering and fact finding lacks depth. Decision-making is strengthened when it is derived from a well-rounded and in-depth gathering process that includes data and information from local sources, from current evidence-based best practices, from clinical experience, and is informed by benchmarking to other comparable institutions. Additionally, Kovner and Rundall (2006) would like to see decision-making models...
RCA) is to simplify the problems at hand it is a systematic approach that can lead, like a trail of clues, investigators to objective truths or at least well assumed ones. The U.S. Department of Health and Human Services endorsed this method as a practical approach as presented in their agency on research quality. The group acknowledged that "root cause analysis (RCA) is a structured method used to analyze
Business Problem-Solving: Root-Cause Analysis The Root Cause Approach Root cause analysis is a popular problem-solving technique that seeks to bring out, and respond to, the deeper causes of a problem as opposed to only those that are visible on the surface (Okes, 2009). It allows one to look deeper into a problem so as to determine what the underlying causes are, and fix these before the problem escalates to an even bigger
General Motor Root cause analysis When the root cause analysis (RCA) was carried out of General Motors the main problems that were identified were lack of efficiency due to communication and listening problems, the ever rising competition especially from Toyota with their Hybrid series, the redundancy in the design of their cars, the issue of environmental concern among the environmentalists and the whole issue of reliability of their brand. Due to these
Explain why a root cause analysis was appropriate for this situation A root cause analysis was appropriate for this particular situation in order to realize particularly what went wrong and the suitable way of fixing it. Imperatively, root cause analyses are utilized when sentry or adverse occurrences take place in the healthcare sector, post event. Basically, an assessment team is sent off, through the use of a toolbox approach with numerous
Causes of Domestic Terrorism Advocates for political change and social concern are at the forefront of domestic terrorism in the United States. Domestic terrorism references groups and individuals based in and operate within the United States. Terrorism is noted as the oldest form of solving human conflict and was historically to declare war. The Federal Code of Regulations defines terrorism, a relevant term, as "...the unlawful use of force and violence against
Causes of Juvenile Delinquency Criminal Justice The problem of juvenile delinquency is becoming more complicated and universal, and crime prevention programs are either unequipped to deal with the present realities or do not exist. Many developing countries have done little or nothing to deal with these problems, and international programs are obviously insufficient. Developed countries are engaged in activities aimed at juvenile crime prevention, but the overall effect of these programs is
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