Healthcare OrganizationFacility University Student MHA 598 Health Administration

Healthcare Organization/Facility University: Student: MHA 598 Health Administration Capstone Course Module 3 - SLP Professor: Date:

Jane D. Medicine Overview 4 -Part Board Review I. Organization/Facility Development II. Health Care Delivery, Information Systems, Operations, & Quality Assurance III. Regulatory Compliance, Health Care Law, & Ethics IV. Financial Management

I. Organization/Facility Development

Mission & Vision • Jane D Medicine is a nonprofit organization • Utilize a collaborative approach • Increase sensitization of lifestyle diseases • Improve healthcare knowledge in the city

Organization Overview Jane D Medicine is in Georgetown, Texas It is bordered by Austin and San Antonio It has about fifty employees including physicians

External Environment • Total population is 70, 685 • 32, 142 (45. 5%) are male • 38, 453 (54. 5%) are female • The median age is 45. 9 years • Median household income is $71, 289 • White is the dominant race

Overall Health of the Region • Obesity and poor maternal and child health are common • Others include mental health issues • Health organizations are about 30 • Most are private hospitals • Others are nonprofit and public facilities • Patient-centered model will be used

Austin Population Surrounding Cities/Towns San Antonio Males – 481, 582 (50. 7%) Males – 745, 866 (49. 3%) Females – 469, 133 (49. 3%) Females – 766, 080 (50. 7%) The total population was 1, 511, 946 The total population is 950, 715 (http: //www. city-data. com/) Median Age Range 33. 4 years 33. 6 years Median Household Income $67, 755 $50, 044 Racial Demography White (47. 7%) White (24. 8%) Hispanic (34. 2%) Hispanic (64. 1%) Asian (7. 5%) Asian (2. 5%) Black (7. 3%) Black (6. 5%) Two or more races (2. 7%) Two or more races (1. 6%) Other race (0. 3%) Other race (0. 2%) American Indian (0. 1%) Native Hawaiian/other Pacific Islander (0. 1%) Islander (0. 08%)

Organizational Leadership & Governance

Organizational Theory & Behavior • The Culture Care Theory will be implemented • It was developed by Leininger • It promotes cultural competence (Mc. Farland & Wehbe-Alamah, 2019) • It enhances sensitive care (Wehbe. Alamah, 2019) • Contingency approach to management will be used • It mitigates market uncertainties (Ahmed, Najmi & Ikram, 2020)

Dynamics of Organization/ Facility • Target market includes obese and mentally ill individuals; • Women of childbearing age; and • Children • Most are in rural communities • Obese people need self-management education • Women and children need access to health • Mentally ill individuals need emotional support

Recommendations • Increased awareness of selfmanagement (Osmundsen, Dahl & Kulseng, 2019) • Increased medical practitioners (CMS, n. d) • Screening for mental illnesses (Mc. Daid, Hewlett & Park, 2017) • Education to reduce stigmatization

Part 1 Conclusions Community will be emphasized CCT organization theory is implemented, and Contingency approach to management Patient-centered care model is utilized

II. Health Care Delivery, Information Systems, Operations, & Quality Assurance

Healthcare Delivery and Models • Jane D Medicine is an Accountable Care Organization • It will use a collaborative approach • Inpatient, outpatient and ancillary services provided • E-Health will be adopted

Delivery of Care Map

Information Systems • Data will be collected through surveys • Other methods- medical and billing records • Big data technologies will be used • Batch processing will be employed • Privacy policies will focus on data use • Use of big data lifecycle model

Interoperability • Use of data integration • Mediator-based approaches for autonomy

Staffing & Reporting Relationships

Strategy Map

Operational Excellence Scale • The scale will streamline operations (costs) • It will improve safety of patients • Proper documentation • Optimum utilization of resources • Effective delivery of services

Quality Assurance & Accreditation • AHRQ quality domains will be observed • Training will facilitate implementation of quality • Use of a patient-centered model • Lean and Six Sigma models will be used • Implementation of CPOE systems • Professionalism will enable JC Accreditation

Recommendations • Prioritizing patient-centered model to improve quality • Ensuring inclusivity • Focusing on patients

Part II Conclusion • Jane D Medicine will employ big data • E-Health will be implemented • Use of Lean and Six Sigma • Implementation of AHRQ quality domains

III. Regulatory Compliance, Health Care Law, & Ethics (To Be Continued…)

Compliance with Federal, State, and Local laws, Regulations, and Guidelines • Compliance facilitates effective service delivery • Jane D Medicine will comply with set policies and regulations • Its operations align with HIPAA requirements • It adheres to the Coivid-19 rules by DHHS • The organization complies with CARA • Jane D Medicine is compliant with construction zoning requirements

Health and Safety Policy • Identification of patients with falling risk • Proper dressing is provided for such patients • Identification and elimination of hazards

Health and Safety Policy • Employee safety policies are enacted • Disinfection and sterilization procedures

Data Protection Policy, Privacy Policy, and Information Security Policy • Implementation of modern information technology system • Limited authorization of patient data access • Policy on information accessed by patients and families • Wearing of identification wearables

Whistleblowing Policy • Policies to protect whistleblowers • Anonymity when reporting wrongdoing • Hotlines for reporting wrongdoing

Service Delivery Policy • Quality of services is ensured • This is irrespective of their pay • Free care delivery and subsidized care

Patient Confidentiality • Policies are enacted to enhance confidentiality • Written consent is required to access information

Respect of Persons • Patients have autonomy in decision-making • Their treatment choice should be adhered to • Patients and families treated with dignity • Patients make decisions comfortable with them

Financial Responsibility • Patients are not discriminated based on ability to pay • Fee charging should be reasonable • Patients with inability to pay can access services for free • Others are referred to Medicare and Medicaid

Part III Conclusions and Recommendati ons • A training program is recommended • Contracting Legal Counsel • Social responsibility and ethical conduct

IV. Financial Management (To Be Continued…)

• Ahmed, W. , Najmi, A. , Ikram, M. (2020). Steering firm performance through innovative capabilities: A contingency approach to innovation management. Technology in Society, 63. https: //doi. org/10. 1016/j. techsoc. 2020. 101385 References • Alexandru A. , Ianculescu M. , & Coardos D. (2018). Improved Patient Engagement in Self-management of Health, a Key to Sustainable Preventative Healthcare Systems. In: Perego P. , Rahmani A. , Taheri. Nejad N. (eds) Wireless Mobile Communication and Healthcare. Mobi. Health 2017. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 247. Springer, Cham. https: //doi. org/10. 1007/978 -3 -319 -98551 -0_15 • Barnes, A. J. , Unruh, L. , Chukmaitov. , A. , & Ginneken, E. V. (2014). Accountable care organizations in the USA: Types, developments, and challenges. Health Policy, 118(1). DOI: 10. 1016/j. healthpol. 2014. 07. 019 • Bokhour, B. G. , Fix, G. M. , & Mueller, N. M. et al. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Serv Res 18, 168. https: //doi. org/10. 1186/s 12913 -018 -2949 -5 • Botha, M. , Botha, A. , & Herselman, M. (2014). The Benefits and Challenges of e-Health Applications: A Content Analysis of the South African context. The International Conference on Computer Science, Computer Engineering, and Social Media (CSCESM 2014): Metropolitan College, Thessaloniki, Greece

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• Mc. Farland, M. R. , & Wehbe-Alamah, H. B. (2019). Leininger’s Theory of Culture Care Diversity and Universality: An Overview With a Historical Retrospective and a View Toward the Future. Journal of Transcultural Nursing. DOI: 10. 1177/1043659619867134 References Cont. • Mouaky, M. , Berrado, A. , & Benabbou, L. (2017). Guidelines to choose Operational Excellence techniques/tools for inventory management: the case of pharmaceuticals supply chain. Proceedings of the International Conference on Industrial Engineering and Operations Management. Rabat: Morocco, 11(13). • Niemiec, A. (2016). Strategic Map for Hospital Management: Perspectives and Priorities. Economics and Sociology, 9(3), 6375. DOI: 10. 14254/2071 -789 X. 2016/9 -3/6 • Osmundsen, T. C. , Dahl, U. & Kulseng, B. (2019). Enhancing knowledge and coordination in obesity treatment: a case study of an innovative educational program. BMC Health Serv Res 19, 278. https: //doi. org/10. 1186/s 12913 -019 -4119 -9 • Salah, S. , & Rahim, A. (2019). Introduction and Overview: Combining Lean Six Sigma with Process Improvement. An Integrated Company-Wide Management System, pp. 3 -5. DOI: 10. 1007/978 -3 -319 -99034 -7_1 • Sivaranjani, G. , & Mallikarjuna, S. K. (2016). Professionalism in health care education. Health Education Research. (PDF) Professionalism in health care education (researchgate. net)

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