The Primary Care Clinic

1.Discuss the key political, economic, and social forces that may have influenced the development of the clinic.
Administrators of health care institutions and clinics have to be aware of political, economic and social forces that may influence the development if the institutions. The political environment is constantly changing and health care institutions normally receive constant briefs from state agencies on bulky paperwork that has to be read and acted on. Political candidates that get elected into offices, budget deficits, and political petitioning are some of the factors that have had a powerful effect on the clinic’s development. Political agendas might have shaped the development of the clinic as it has affected those residing in and those employed by the clinic. Political forces have influenced the prices, services, and harmonization of products and services offered by the clinic (Jacox, 1997).
Various economic factors could have also influenced the development of the clinic. Both direct and indirect economic factors locally and nationally might have affected the development and activities of the clinic. Large-scale economic decisions like the monetary and fiscal policies made by the state that might have been intended for a particular population could also have affected the clinic. Economic decisions regarding tax rates, interest rates, and relocation of state resources have directly or indirectly affected the provision of healthcare by the clinic. Reduction in consumer disposable income could have affected the delivery of services by the clinic.
Social forces like the aging factor and increasing aging population have provided both opportunities and threats in the development of the clinic. While the clinic might have capitalized on the opportunities, the gaining population could strain healthcare services because of its demanding nature. Lifestyle diseases like obesity, diabetes, and hypertension are increasing, which could affect the clinic’s effectiveness in delivering services. The general public is increasingly becoming informed on their health status and this has pressured the clinic to provide quality care to meet these needs (Carr, 2014).
2.Create a comprehensive mission statement and explain what makes it a comprehensive mission statement.
The clinic’s mission statement is to recognize the value of each and every person guided by the commitment to leadership and excellence. The clinic will recognize value by providing excellent physical and emotional care to each patient and their families, ensuring continued commitment to the poor and those who need specialized services, advancing in excellence in health care provision having a working environment where everyone is valued, acknowledged and given a chance to grow and advance personally and professionally, strengthen the relationship with the surrounding community, and demonstrating social responsibility. The clinic calls upon the commitment of the staff, physicians, volunteers, shareholders, community partners and sponsors to build a tradition of caring and providing quality services.
The clinic’s mission statement is comprehensive because it is realistic as it summarizes the purpose of the clinic and what it does. It describes the present status of the clinic and resembles the clinic and its activities. The mission statement is also concise while summarizing what the clinic stands for. Another factor that makes the mission statement comprehensive is that it is current and reflects the clinic’s priorities and focus. The mission addresses the goals and purpose of the clinic as a health care institution that provides care services to patients and families and professional growth to the staffs. Specifically, the mission statement is to ‘recognize the value of every person’ by catering for the patients and their families, those who need specialized services, the staff and the surrounding community.
3.Identify three (3) performance measures you would use to measure the clinic’s effectiveness and provide the rationale for each performance measure.
Performance measures are meant to measure systems, programs and processes of care services offered by the clinic. The clinic could use quality of care, cost effectiveness and satisfaction as a means to measure the clinic’s effectiveness. The quality of care involves the content of clinical care provided to patients and their families. The quality of care will measure the accepted care and treatment standards for the various conditions that the clinic is addressing. The clinic should have a structure to deal with patient safety, handling of patients, handling of dangerous chemicals and focusing on activities that are associated with favourable patient outcome. The clinic should be able to meet all the quality of care standards set (Jacox, 1997).
Cost efficiency measures focus on the efficiency of the clinical activities rather than doing the right activities being done. For instance length, the clinic should be able to reduce length of hospital stays, enhance treatment and increase patient satisfaction rates. The clinic should also be able to harmonize the admission costs, bed occupancy rates, length of stay, number of ER visits and cost per month so as to attain cost efficiency. However, the quality of care should not be compromised. The hospital should avoid unexpected readmissions for the same clinical condition.
Satisfaction is a performance measure that assesses the extent at which patients and their families were satisfied with various aspects at the clinic. Satisfaction surveys could be carried out on patients and their families to identify their satisfaction rates. Reports of care could yield objective and concrete opinions on how the clinic is fairing. The manager could use the scores for individual items to monitor the effectiveness of the clinic (Brook, & Young, 2010).
4.Describe how you would approach decisions regarding clinic expansion and annual plan approval.
Decisions regarding clinic expansion and annual plan approval could be approached through strategic planning. Strategic planning is the process through which managers and leaders in an organization sit to agree on what is intended for the future and how to get there. Strategic planning can be done through a cooperative effort between the management and the staff. This can be done by first agreeing on a strategic planning process by discussing common vision, goals and strategies. The next step in strategic planning is to do an environmental scan to understand the external and internal components. Once this is done, key issues are identified and addressed. It is important to review the organization’s mission, values, vision and objectives so as to make sure that the decisions regarding clinic expansion and annual plan approval are in line with the organization’s mission (CDC, 2008).
The next step would be to develop a shared vision for the organization and develop a series of goals that will define the organization in the near future. Strategies and action plans to reach the goals and objectives can then be developed. Strategic planning is an ideal approach to decision making regarding a health care institution mainly because planning is essential for good management and governance. The decisions regarding clinic expansion and annual plan approval involves a long range planning and strategic planning would enable an objective-focused work plan. Strategic planning would also enable the clinic come up with plans that would remain relevant even in a changing environment (CDC, 2008).
5.Describe the role of the clinic as a component of the healthcare delivery system in your community.
The clinic as a primary care provider in the community mainly because it provides the family medicine services to individual patients. Primary care is an important component in the healthcare delivery system because it centres on primary care which is curing common illnesses and disabilities. The clinic provides community oriented primary care as it prioritizes the needs of the community and assigns resources to basic care while placing les emphasis on technology based and acute care medicine. The clinic addresses any health problem arising from the community at all stages of the patients life cycle. The primary care clinicians in the clinic apply accountability when it comes to provision of health care. This means that the clinic staffs are responsible to their patients and their families while meeting personal health care needs and developing sustained relationship in the family and community context. The staffs ensure quality of care, efficient use of resources, patient satisfaction and ethical behaviour (Brook, & Young, 2010).
The clinic plays a critical role in ensuring the access to healthcare for the community especially those who face barriers to care. With the increasing population of the uninsured, community clinics can be quite essential in providing care. The clinic offers a comprehensive and coordinated system of care with access to basic care services like oral health, substance abuse and specialty care. These services get supplemented by a variety of enhanced services that the clinic offers including patient education, childcare and assistance in accessing other health oriented services. The clinic also helps in reducing health disparities in the community and improving the health outcome of those who are poor and those who really need specialty care. In addition, the clinic contributes to the strong local economy in the community by providing care to patients who engage in economic activities.
6.Examine how public healthcare policy has influenced the formation of outpatient clinics in the healthcare system.
For some years now, the health care system has been experiencing a decline in the proportion of beds needed for outpatient services. This has created trend of increased outpatient care. Outpatient clinics are cheaper to build and operate as most patients are normally treated during the day and overnight hospitalizations are rare. Outpatient clinics require less space needed for nursing units, housekeeping, and accommodation. Multiple shifts are also not needed and so operating outpatient clinics is way much cheaper (Jacox, 1997).
Public healthcare policy has influenced the formation of outpatient clinics in the healthcare system as policies allow outpatient clinics to exist within existing health care centres. The hospital staffs are therefore spend their days seeing outpatients and their nights catering for the needs of inpatients. In the US, all outpatient facilities are required to promote staff efficiency by minimizing distances between the common spaces. Grouping of functional areas with similar system requirements is also required and this makes it even easier for the development of outpatient clinics. The US requires all outpatient facilities to have flexibility and expandability in order to accommodate the changing medical needs, modes of treatment and workloads. This encourages the development of outpatient clinics as they are flexible to meet changes. Public healthcare policies have therefore supported the development of outpatient clinics by providing standards that encourage their formation (Carr, 2014).

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