Management & Leadership in Health Care
Characteristics Which Distinguish "Leadership" From "Management
The main difference that exists between leaders and managers is that leaders have individuals who follow them, whereas managers have individuals who work for them. Getting individuals to understand and believe in your ideas in addition to working with you in order to achieve your goals is leadership, while managing is more of heading and ensuring daily activities run as usual (go2 Tourism H Society, 2015).
Management and leadership are both vital for good health care delivery services. While the two are alike in some aspects, they incorporate different behaviors, skills and outlook. Good managers should do their best to be better leaders, and good leaders require management techniques to be efficient. So as to realize a vision, leaders will have a vision of what is attainable and then communicate it with others and develop strategies to achieve it. Leaders inspire…...
mlaReferences
Al-Sawai, A. (2013). Leadership of Healthcare Professionals: Where Do We Stand? Oman Med J., 285-287.
Burke, R., & Barron, S. (2014). Project Management Leadership: Building Creative Teams. West Sussex: John Wiley & Sons.
Buttell, P., Hendler, R., & Daley, J. (2008). Quality in Healthcare: Concepts and Practice. In K. H. Cohn, & D. E. Hough, The Business of Healthcare (pp. 61-91). Westport, Conn: Praeger.
Department of Health and Human Services. (2011). National Strategy for Quality Improvement in Health Care. Department of Health and Human Services.
Ethical Analysis
Memo on a Ethical Analysis
____, Student
____ (due date)
e:
Decision making by a Healthcare Leader in case of an Ethical Dilemma
in an interview of my health care administrator of the long care health facility where I work, I asked, "How do you make a wise decision in a situation relating to an ethical dilemma?"
esponse:
Description of the Answer
It seemed like my question took the administrator by surprise perhaps he did not expect such a question when I requested for an interview. However, he looked composed and amused by my question. Confidently and leaning a little bit forward and supporting his hands on his desk, he responded. He first pointed out the numerous occasions when ethical dilemmas were evident in his health care administration career at the health facility. He said that he learnt over time through many experiences and a little consultation and research on how such issues have been handled in…...
mlaReferences
Forester-Miller, H., & Davis, T. (1996). A Practitioner's Guide to Ethical Decision Making. American Counseling Association, 1-5.
Pope, K.S., & Vasquez, M.J. (2010). Ethics in Psychotherapy and Counseling: A Practical Guide. New York: John Wiley & Sons.
personal philosophy of leadership. Address what role you feel a health care leader should play, what leadership theory they should follow, and why leaders should follow that theory.
My personal philosophy of leadership is that leaders need to remain strong and focused, decisive and relatively uninfluenced by their own or others' emotions. In healthcare, it is particularly important to apply evidence-based practice and rational thought to decisions, rather than rely on charismatic leaders to become figureheads in an organization or healthcare team. Increasingly, healthcare leaders rely on collaborative work environments where leadership philosophies that are collaborative and democratic prove most successful (Chriem, et al., 2013). Collaborative work environments occasionally rely on having a formal leader, but increasingly we are encountering shared power situations in which there is no one clear leader and in which each person's contributions are recognized as equal. This is true in some, but not all, healthcare…...
mlaReferences
Chriem, S., et al. (2013). Leadership as boundary work in healthcare teams. Leadership 9(2): 201-228.
Rus, V. (1980). Positive and negative power. Organization Studies 1(1): 3-19.
Zheng, X. et al. (2016). Curvilinear relationships between role clarity and supervisor satisfaction. Journal of Managerial Psychology 31(1): 110-126.
Conclusion
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
eferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
American…...
mlaReferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., Ray, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
Healthcare Tech
For most industries, the advancement and implementation of technology is moving at a fairly quick pace. However, healthcare has been and remains one of the exceptions and outliers to this trend. There is some debate as to why this is the case. However, there are also some clear clues and signs that indicate why precisely this has and continues to happen. The reasons for this lagging implementation and adoption of technology will be explained in this report. The reasons run the gamut from compliance hurdles to uneven adoption practices and change management miscues. While advancements in technology and the related practice is certainly the future for effective healthcare technology management, there are some kinks that need to be worked out to put it lightly.
Analysis
A major reason that technology adoption in the healthcare sector is slow is resistance from the personnel within that sector. Indeed, even when there is a…...
mlaReferences
England, I. (2017). Information technology adoption in health care: when organisations and technology collide. - PubMed - NCBI. Ncbi.nlm.nih.gov. Retrieved 29 April 2017, from https://www.ncbi.nlm.nih.gov/pubmed/11186051
Kandel, I. (2017). The Slow Pace of Technology Adoption in Healthcare Explained. HIPAA
Journal. Retrieved 29 April 2017, from http://www.hipaajournal.com/the-slow-pace-of-technology-adoption-in-healthcare-explained-8261/
Healthcare Organization Case Study
Health Care Organization Case Study
Banner Healthcare
Health Care Organization Case Study
Banner Healthcare represents a set of diverse healthcare related facilities that provide healthcare services to societies in USA and beyond. Banner seeks to establish a healthier life for communities through developing a healthy environment. Banner Healthcare is arguably the largest healthcare provider in the country. The organization spans seven states, including Arizona, California, Colorado, Nevada, Alaska, Nebraska and Wyoming. The organization operates 20 hospitals, including healthcare facilities. The organization offers such services as hospice care, home care and physician services. Banner Healthcare also provided $130 million as their contribution to charity. The organization is a healthcare leader in all the communities it offers its services. The agency has shown tremendous growth in the past years. They admit over 190 000 patients every year and have a workforce in excess of 29-000. The emergency departments linked to Banner healthcare…...
mlaReference:
Banner Health, (2008). Here Now: Making a Difference. Retrieved from on 18 May 2016http://www.bannerhealth.com/_communityupdate/Banner_Health_Community_Update.pdf
Harrington, C. & Estes, C. (2008). Health Policy: Crisis & Reform in the U.S. Health Care Delivery System, 5th Ed. Jones & Bartlett Publishers
Wolf, J., Hanson, H. & Moir, M. (Eds.) (2011). Organization Development in Health Care: High Impact Practices for a Complex and Changing Environment. IAP
Healthcare
The term health care refers to the inter-related system of care provided to persons during illness. In most of the cases, healthcare begins with the family doctor who refers patient to specialists if needed or directly order further diagnostic testing. Community health clinics perform the same procedure as a family doctor, but alongside with that, clinics also provide insight into patterns of health or illness seen within the community. Hospital just form one part of the healthcare community, as are mostly visited when a patient's condition is more acute and requires intervention by the hospitals high-end staff, since more can be done for him in a hospital rather than in a clinic where he is just an out-patient.
Clinics of various types provide very specific services, such as "pain management clinics" these clinics are targeted for towards people suffering from pain conditions. ehabilitation services also form a needed part of in-patient…...
mlaReferences
DDI (2006) Health Care Global Comparison: Leadership Forecast 2005|2006. DDI, Pennsylvania.
DDI (2007) Leading the Past: Preparing the Future. DDI, Pennsylvania.
Fischer (2007) Culture and cultural analysis as experimental systems. Cultural Anthropology. 21(1) 1-65.
Greenfield D (2007) The enactment of dynamic leadership. Leadership in Health Sciences. 20(3) 159-168.
In some respects, the challenges faced by leaders in health care organizations do not vary from those faced by leaders in other organizations. The balance between patient outcomes, the disparate groups of subject matter experts and the challenges presented by operating in a highly regulated and litigious industry, in addition to the life-and-death consequences of the organization's work highlight the need for unique leadership in health care. Resources are finite and fleeting, crises are manifold and constraints are many. The health care leader must have an acute sense of how to bring all of these different resources together -- this means having in-depth knowledge but also a feel for how all the pieces come together and how different changes will affect the organization's outcomes.
Leading people is a far different challenge compared with managing resources, because attention must be paid to the needs of the workforce. Yet, because the workforce is…...
mlaWorks Cited:
Annison, a. (1998). Trust matters: New directions in health care leadership. France: Artech House.
Plsek, P. & Wilson, T. (2001). Complexity, leadership and management in health care organizations. British Medical Journal. Vol. 323 (7315) 746-749.
Porter-O'Grady, T. & Malloch, K. (2007). Quantum leadership: A resource for health care innovation. Sudbury, MA: Jones and Barlett Publishers
Treasure, T. (2001). Redefining leadership in health care. British Medical Journal. Vol. 323 (7324) 1263.
Healthcare: Clinical Integration
Item Page
What is clinical integration
History of clinical integration
Goals of clinical integration
Importance of clinical integration
Health reform
New payment models
IT advancement
Barriers to clinical integration
Legal barriers
Lack of practitioner alignment
Lack of interoperability
How to achieve success in clinical integration
Incentive alignment
Knowledge alignment
Behavioral alignment
The future of health care systems
Physician acquisitions vs. clinical integration
HIEs -- solution to clinical integration?
Policy makers are beginning to appreciate the fact that only systemic change can effectively change, for the better, the manner of health care delivery in the U.S.; and that anything less would only alter the system's edges - with little or no substantial effect on cost-control, innovation-promotion, effectiveness of reward incentive schemes, coordination and coverage (AHA, 2010). Clinical integration has been found to be crucial to the change needed for the achievement of the aforementioned goals (AHA, 2010). Despite the challenges (legal and otherwise) clinical integration faces, it still is key to health sector reforms.
What is Clinical Integration?
Clinical integration…...
mlaReferences
AHA. Clinical Integration -- the Key to Real Reform. Trend Watch. Retrieved from [HIDDEN]
Athena Health. (2014). History of the Clinical Integration Model. Athena Health. Retrieved from https://www.athenahealth.com/knowledge-hub/clinical-integration/clinical-integration-model.php
eHealth Initiative. (2012). The Rise of the Private Health Information Exchange and Changing Role of Public Exchanges. eHealth Initiative. Retrieved from [HIDDEN]
Fridsma, D. (2013). Interoperability Vs Health Information Exchange: Setting the Record Straight. Health IT Buzz. Retrieved from http://www.healthit.gov/buzz-blog/meaningful-use/interoperability-health-information-exchange-setting-record-straight/
HEALTHCAE & INFOMATION TECHNOLOGY
The state of healthcare in the United States is very much influenced and improved through the increased use of technology solutions. Whether it be the use of tablets, laptops, electronic healthcare records and some others, the use of technology has become more and more pervasive as the years and decades roll on. However, not everyone is sold on technology being a saving grace and those same people often think that technology solutions being added to healthcare actually do not help or that they make things worse rather than make them better. However, there is a cacophony of evidence that suggests and proves that electronic healthcare records, electronic administration and the use of information technology in a strategic and adept fashion actually makes things better over the long haul. This is true for patients, administrators, healthcare professionals and the wider network of providers that are typically also using…...
mlaReferences
Bloomfield, G.S., Hogan, J.W., Keter, A., Holland, T.L., Sang, E., Kimaiyo, S., & Velazquez, E.J. (2014). Blood pressure level impacts risk of death among HIV
seropositive adults in Kenya: a retrospective analysis of electronic health records. BMC Infectious Diseases, 14(1), 1-20. doi:10.1186/1471-2334-14-284
Campbell, M. (2010). Technology in Healthcare: The Wave of the Future.
Ahdbonline.com. Retrieved 24 April 2015, from http://www.ahdbonline.com/issues/2008/may-2008-vol-1-no-4/350-article-350
Healthcare
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies that are…...
mlaReferences
Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87
Advisory Board Web site. (2004). Available at: http://www.advisory.com .
Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.
American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.
Health Care
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).
Identify the milestone you chose in the history of quality improvement in the first…...
mlaReferences:
1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81
2) Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.
3) Kelly, D.L. (2011). Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press
4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1
The experiences of seniors within the healthcare delivery system will alter how all Americans view healthcare. The healthcare delivery systems and overall organizational structure in the United States has been slow to adjust but that rest of the world is currently in flux that will migrate into our system. Technological advances in communication have made telehealth and telemedicine vialbel solutions to our outdated healthcare industry orgainzational structre. While these types of advances are only in their infancy, "...there seemed to be broad acceptance that telehealth and telemedicine had provided positive benefits to the worlds healthcare delivery system." (Telehealth Applications) Our technoloically challenged seniors have actually discovered the trend within the healthcare system and telehealth and telemedicine seems to be an advance that will find worldwide support so we as a nation will be reqquired to jump on the bandwagon.
In conclusion, this article review focused on new Healthcare Delivery Systems which…...
mlaReferences
Farnsworth, Chris. "The Truth About Fraud" Washington Monthly 01 May 1997.
Joshua-Amadi, Mabel. "Recommendations: A Study in Motivation: Recruitment and Retention in the NHS" Nursing Management. February (2003).
Soloye, Daniel J. "Privacy and Power: Computer Databases and Metaphors for Information Privacy" Stanford Law Review July (2001).
Telehealth Applications. (2004) "Current Telehealth Applications" Retrieved October 26, 2004, at http://www.startegis.com/epic/internet/inict-tic.nsf/PrintableE/it07545e.html
Healthcare Partnership in the Community
Discuss an example of healthcare partnership in your community and specifically cite examples that show how nurses, both individually and collectively, influenced the care provided. What obstacles were confronted and what strategies were employed in order to effectively overcome them.
One community healthcare partnership that is salient in my mind is Texas Department of State Health Services' program on tuberculosis or TB. This group of projects is specifically handled by the Office of Border Health, specifically because communicable diseases transmitted over the Texas-Mexico border will inadvertently affect the state of community health of both countries (i.e., the U.S. And Mexico). Under the program, two projects have been successful and known for its accomplishment in helping decrease TB prevalence in communities near the Texas-Mexico border: Proyecto Juntos and TBNet.
Proyecto Juntos specifically centers on "bilateral TB control," centering its efforts to curbing TB prevalence by monitoring the health of…...
mlaReferences
Texas Department of Health Services, Office of Border Health. Available at: http://www.dshs.state.tx.us/borderhealth/
Texas Organization of Nurse Executives. Available at: http://www.texasnurse.org/
ecause unions retain the exclusive right to negotiate on behalf of its members, the individual worker may have little recourse to easily address incompetent leadership.
The Disadvantages of Unionized Labor for Healthcare Employers:
The primary disadvantages of unionized labor for healthcare employers correspond to the relative loss of control over issues and workplace elements commonly transferred to workers (through their unions), which accounts for the traditional resistance with which many employers responded to unionization attempts. On the one hand, unionized workforces are able to secure better pay and benefits from employers than would have been available to workers without union representation; likewise, employers must cede control over many aspects of operational and personnel decisions traditionally within administrative control.
On the other hand, particularly in light of the beneficial effect that unionized nursing has had on the quality of patient care and reduction in patient mortality, it is difficult to conceive of unionization…...
mlaBibliography
Daft, R. (2005) Management (7th ed.) Mason: Thomson South Western.
Nevins, J., Commager, H. (1992) a Pocket History of the United States.
New York: Pocket Books
Seago, J., Ash, M. (2002)
The mental health implications of COVID-19 on healthcare workers are significant and multifaceted. The pandemic has placed immense pressure and stress on healthcare workers as they face increased workloads, long hours, high levels of uncertainty, and the risk of exposure to the virus.
Some of the key mental health implications include:
1. Increased levels of anxiety, fear, and distress due to the constant exposure to COVID-19 and the feelings of vulnerability.
2. Burnout and exhaustion from working long shifts, dealing with high patient volumes, and witnessing the suffering and death of patients.
3. Post-traumatic stress disorder (PTSD) symptoms from experiencing traumatic events and....
Balancing the Triple Aim in Healthcare Strategic Planning
The Triple Aim, a widely adopted healthcare model, encompasses three interrelated components: improving the patient experience, reducing healthcare costs, and improving population health. Healthcare organizations face the challenge of effectively balancing these objectives in their strategic planning to achieve optimal outcomes.
Patient Experience
Measure and Track Outcomes: Regularly monitor patient satisfaction, clinical outcomes, and experience metrics. Use feedback mechanisms to identify areas for improvement.
Promote Patient Engagement: Foster active patient involvement in decision-making, care planning, and self-management. Empower patients with access to their health information and online portals.
Create a Patient-Centered Culture: Instill values....
1. The ability to bounce back from adversity is a fundamental trait in nursing leadership.
2. Resilient nurse leaders can inspire their teams to overcome challenges and achieve success.
3. In the fast-paced and high-stress environment of healthcare, resilience is a key characteristic for effective nursing leadership.
4. Nursing leaders who demonstrate resilience are better equipped to navigate change and uncertainty in the healthcare industry.
5. Resilience is not only crucial for individual nurses but also essential for fostering a resilient and adaptable nursing team.
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