Middleville Regional Health Care Assignment

The Governing Board’s Role in These Strategic Initiatives, Determining Its Responsibility and Involvement

The role of the governing board’s steering committee will be to oversee the Middleville hospital’s quality of medical services, fiscal integrity, mission, employee evaluation, and recruitment. The governing board is supposed to act ethically and efficiently. The board must work to accomplish the tasks while maintaining a strategic focus. As such, the governing board should demonstrate the highest level of integrity in their operations.

The governing board plays a critical role in selecting and recruiting the chief executive of the hospital. The chief executive will be responsible for participating, approving, and monitoring the hospital’s strategic plan. The board will also ensure that the quality of the medical services meets the set standards. Further, the governing board will oversee new technology implementations, such as payer technologies (Stansfield, 2005).

Any decision in the Middleville hospital will require the implementation authority of the board. The board will ensure integrity in the finances of the hospital and seek to preserve and protect the assets of the institution. Therefore, the board should ensure effective utilization of the funds allocated for development. As such, it ensures that the institution is funded adequately. The governing board will be tasked with establishing and keeping the hospital mission as well as aligning the hospital’s activities with its objectives. Additionally, the board approves the right technology, financing, staffing, and marketing for the hospital to ensure that it gains a competitive advantage.


Performances Middleville Can Use To Measure Its Success in Providing Quality Healthcare to the Community

Three performances that Middleville can use to measure its success in providing quality healthcare services include process, outcome, and structural performances. Process performance provides measurements on how best the hospital offers its services to patients. The rules on the process determine whether the services provided by the hospital are beneficial to the patients. These performance measures entail the prescription and administration of drugs. Therefore, the performance of the organization is measured based on the services provided regarding whether they meet the required standards (Kaufman, 2006).

An outcome as a measure shows the overall result of the Middleville hospital. The outcome is measured based on how best patients are responding to treatment. The outcome will be measured by the number of patients whose health has improved after visiting the hospital and, therefore, the increasing number of patients whose health has improved indicates that the hospital is performing well. Another measure of the hospital’s performance will involve the patient level of satisfaction.

The positive feedback from the patients will be an indicator of good performance by the hospital staff. Satisfied patients will also comment about the service they received, which is an evidence of good outcome. Such allows the hospital’s management to ascertain whether it is issuing the regular services. Satisfied clients are likely to return in the future for treatment or recommend other people to the hospital. Referral from clients is crucial in maintaining and improving the hospital’s bottom line.

The structural measure of performance will show the hospital’s condition and capacity regarding the services provided. The hospital’s performance is measured depending on the infrastructural capabilities of Middleville hospital. The performance will be measured based on the availability of up-to-date medical equipment. Hospitals with the right number of talented employees are likely to have better performance (LaTour & Maki, 2010).

Areas of Focus to Maintain Competitive Market Share and Provide Healthcare to the Community in the 21st Century

Middleville has got 575 beds and admits 13,000 patients compared to Brierfield which has 380 beds and gets 17,000 admissions. The hospital has got more personal than the rest of the hospitals, which is enough manpower to spearhead the organization’s mission. The hospital; could improve its admission rates by ensuring that patients receive improved and quality care. The staff should also see the patients on time, and they should also keep each patient and their families updated on the patient’s condition and the necessary procedures for the well-being of the patient. They should also analyze the admission levels to find out what could be causing the low numbers. Such is critical in determining where the problem could be emanating.

The hospital’s location could be the reason for the low admission rates, and more patients are opting for Brierfield. If patients are closer to a competitor, then Middleville could lose out on key consumers who choose to visit the hospital nearer to them. Additionally, the hospital could choose to provide the best quality care for each individual. Such would be complemented by making sure that the facility is safe to avoid hospital-acquired diseases. This would entail proper training of staff and conducting quality control procedures. The hospital should also enhance its image by ensuring that its nurses provide excellent services. The management might decide to reward the best performers and loyal customers (Kaufman, 2006).

Middleville should build lasting relationships with the people in the community by providing free screening services. It should set up camps across the neighboring communities to allow people to come for various disease screening, such as cancers, blood pressure, and diabetes and offering free medical advice on how to stay healthy. The hospital should hold seminars to teach people how to stay healthy in addition to sponsoring events in the community to interact with more potential customers. During those events, the marketing team should give out brochures, free samples, and flyers with information on disease prevention and wellness.

The hospital’s management should come up with a way to manage a specific patient group by separating the wards. Such would entail paying attention to the specialties that are growing rapidly. The management should readjust beds and staffing to keep up with the demands of each specialty. The management could use simulation modeling software to ascertain where providers and beds need expanding and thus train nurses to care for patients in that specific specialty.

The hospital should set internal benchmarks depending on the historical productivity on the busiest months. Such would include using TeleTracking to determine the number of patient placements each nurse did in a particular month and ascertaining which of the months were painful. These months could act as productivity target for the demanding days thus creating a benchmark for staffing levels.

The Costs and Benefits Associated With Implementing EMR and Associated Health Data Systems

Middleville will need to invest in modern information technology to improve its performance. Information technology would help the hospital to disseminate and record patient’s data and information. Further, modern technology mitigates any chances of loss of information or mixing of patient data. As such, using the latest technologies and structures would improve the quality of medical services in the hospital. In the healthcare industry, hospitals that develop the best structures are the ones that provide the best quality services to patients. Therefore, patient improvement and satisfaction are significantly dependent on the structure of the hospital.

Moreover, investment in new and improved technologies increases efficiencies in operations. However, the initial investment in new medical technologies requires massive capital investments. At the same time, these technologies reduce the costs of operations and enhance the benefits. As such, acquisition of new technologies and machinery absorbs much of the facility’s finances although the benefits are massive (LaTour & Maki, 2010).

Electronic medical records, EMR and associated health data systems would benefit the Middleville hospital by helping in tracking data over an extended period of time. The systems would assist the hospital to track patient information even when they are being treated remotely or from home. It would be much easier to access the patient information as compared to if the hospital were to use manual records. Middleville hospital would thus trace information for a big number of patients for an expansive time period.

The new technologies would improve the quality of healthcare. The EMR and associated health data systems provide a convenient avenue for storing and sharing patient information and data. Physicians can easily access such information in the hospital (Kaufman, 2006). The doctors can thus provide the best treatment by looking at the patient’s history obtained from the EMR and other health data systems.

The technologies would also offer efficiencies in medical practices in addition to saving costs (Stansfield, 2005). The EMR is much more cost-efficient than the manual record keeping since the records are easily retrieved. Record-keeping using the EMR is less costly compared to the paper recording of data since it reduces the time it takes to search for patient history. Further, the records are readily available at the touch of a button. The record-keeping using the EMR is convenient and easy to use. The Middleville hospital can use the EMR technologies to improve the delivery of services as well as reduce the response time to patient’s queries.

The hospital could institute a data warehouse to ensure that the staff performs internal management audits by collecting data regarding customer satisfaction, absenteeism, staff satisfaction, and supplies used, as well as hours worked. Such data would be crucial in managing and maintaining full functionality of the hospital.

Suggestions to Promote Employee Satisfaction and Retain Experienced Personnel

With the economy hitting the Middleville area very hard, the governing board can adopt non-monetary measures to enhance the performance of each employee. Therefore, the governing board can provide tangible recognition to the employees, nurses and clinical officers who perform exceptionally well. The recognition can be done through announcements in meetings or through office memo as well as in the notice boards (Kaufman, 2006). Such accolades would boost the morale of the employees who have been recognized while those who are yet to get recognition will work harder to attain such a feat.

The management can also send congratulatory e-mails to the staff who show improvement in their work. Such a gesture would improve their morale to spur them to work extra hard in the hospital. It is thus crucial for the management to realize that employees are not only motivated through monetary measures. Another way that the management can motivate the clinical staff would be by offering flexible work arrangements (LaTour & Maki, 2010). These type of arrangements are critical in breaking monotony thus improving the performance of the workers.

The governing board should allow the employees to interchange their roles in the Middleville facility. Changing the positions would assist in improving the performance and morale of the hospital workers. Workers who perform the same job for a long period are likely to lose confidence and get bored, which might bring about reduced output. As such, the Middleville hospital should invest in staff training to allow them to adopt new roles thus improve performance. For a hospital that cannot provide better salaries and benefits to its staff, then non-monetary motivation would be a better option. Self-satisfaction works to improve the performance of an individual.


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