1. Explain The Importance Of Clinical Integration In The Strategic Planning Process

The institute of Medicine (IOM) has defined quality healthcare as safe, effective, timely, efficient and patient-centered care that is given to an individual regardless of their race, gender, financial status or health status (Wood & Haber, 2014). Quality initiatives are designed to help maximize efficiency; decrease poor work performance and resolve workforce problems through leadership, commitment and involvement (Abdallah, 2014). Abdallah (2013) also noted that trained physicians can help with the implementation of quality culture and employee morale, and it can help with the collaboration of ACNP and physician management. According to Chorostecki et al. (2015), interprofessional (IP) care includes shared decision-making, collaborative problem solving, respect in the work field, and equal contribution among all healthcare team members. Implementing effective interprofessional collaboration can help enhance quality care in hospital, acute, home or office settings (Chorostecki et al.,

With my experience so far on that unit, one the barrier of interdisciplinary team work is that, it involve so many aspects of hospital bureaucracy and protocols to follow which can cause delays in patient care. For example, sometime l will get a direct admission to the floor and the patient will be complaining of pain but the attending physician has not put orders in the system yet. According to the hospital policy, I needed to call the doctor put the order in and incase the patient have a pressure ulcer, I will call the wound care nurse to come and assess the patient also. I understand that all this policies is to protect patient safety, but so many times l would page the doctor and he would take hours to respond. With this various protocol, it is causing delay to attend to patient needs. Working in collaboration with other healthcare professionals; involve a lot of time consuming, which is affecting patients to get care in time. Miscommunication between interdisciplinary teams is another barrier that is affecting effective health care delivery. A smooth communication between healthcare professionals would increase quality health care and safety. If there are problems in how healthcare professional communicate and interact with each other, the problems and error in patient care can occur (Zwarenstein et al. ,

The organization strategic plan consists of addressing clinical quality, growth, and becoming a larger part of the community, and providing long term value. The annual report states the following strategic goals (Bon Secours, 2012):

Involving all parts of the healthcare team will improve the care due to complete access to all resources to prevent implications and promote the ideal outcome for all patients. “By the end of 2013, preventable hospital-acquired conditions would decrease by 40% compared to 2010. Achieving this goal would mean approximately 1.8 million fewer injuries to patients with more than 60,000 lives saved over three years.” (U.S. Department of Health and Human Services, 2011) Health care facilities involved in the partnership

Integrated Managed Care Organization- The organization is properly aligned for the primary driver being cost cutting services. Since all entities within the organization are responsible and affected by any expenses endured on any entity being unfavorable or favorable, the foundation serves as a primary motivator to reduce costs at all levels. This alignment eliminates any financial gains from driving high utilization of services or higher intensity services within the organization. Ultimately, this system allows the physician medical group to drive care, being responsible for the clinical care decisions as opposed to health plan making those decisions as designed in other organizations. This is the preferable model for Medicaid systems as

There are several different reasons as to why a long term care facility would seek to join either an integrated health system (IHS) or an integrated health network (IHN). The motivation to participate typically comes from either a requirement or eagerness to enhance the organization's situation within the long term care environment. Organization chose to incorporate an integrated system or network when the goals of the whole outweigh the goals of the individual organization's current state.

Without strategic planning, several things can go wrong including missing out on great opportunities. Strategic planning is an organization’s outline to help achieve its purpose. Although strategic planning begins at the top of the pyramid, it is more effective when it is carry out as a whole among other in the organization. Having a good internal control system in place protects an organization from high risk, fraud, and more. Jackson Memorial Hospital has several weaknesses which are similar to its competitors and other health care organizations. For instance, Mount Sinai Medical Center one of Jackson Memorial’s competitors, encountered lack of strategic planning that led to many issues such as with readmissions, surgical complications,

In Clinical Integration in Strategic Planning “providers can track the patient across the continuum, coordinate care across the continuum and make sure the patient is getting the most appropriate care in the most appropriate environment” (Karash & Larson, 2016). It is needed to simplify the direction/coordination of patient care through any circumstances, providers, sceneries, and time in order to attain care that is harmless, appropriate. effectual, well – organized, reasonable and patient-focused. In addition, clinical integration also develops the partnership with the physician, an administrator developing the partnership with the team. Clinical integration starts from the top board of

Improve coordination of care through the enhancement of interoperability among internal and external partners in care

Clinical integration has commonly been viewed primarily as a legal concept that allowed unrelated fee-for-service providers to negotiate joint contracts with payers.

Building upon the knowledge gained in its previous attempts, over the next several years, IHC went about creating the infrastructure necessary to support such a model. IHC reorganized its management teams to include “a clinical administrative structure to be the clinical counterpart of the administrative structure at each level of the organization” (Bohmer, 2002). Guidance Councils (consisting of a physician leader and nurse manager) were formed for each clinical program and were responsible for coordinating program goals, management strategies and data collection across the system. Within the Guidance Councils were interdisciplinary Development Teams who identified “the key work processes and medical conditions for which protocols should be developed”, then created, implemented and refined said protocols (Bohmer, 2002). This was made possible by engaging practicing physicians (who were wisely reimbursed for their time) in the process, which gave them both the direct experience of the systems they created (be it paper or computer) and a provided feedback loop within the clinical community. Furthermore, IHC created a culture around process improvement, organizing “everything around value-added (front line) work processes” while offering “extensive training in clinical process improvement” as well as operational process improvement (Clark, 2010).

Managing a strategic plan is about setting the underpinning aims of an organization, choosing the most appropriate goals and fulfilling them overtime (Masood et al., 1995). Furthermore, managing a strategic plan can be defined as the art of formulating, implementing and evaluating cross-functional decisions that helps as organization to achieve their objectives (Analoui & Karami, 2003, p. 5).

In business there are strategies that need to be fulfilled. Starting a business or health care organization we need to use strategy planning. In the strategy planning of our business or health care organization we need to map out the mission, vision and goals that we want our business or health care organization to meet. My paper is going to be on the Veterans Health Administration strategy planning. This paper will review their internal and external assessments, competitive marketing analysis, identification of stakeholders, an overview and assessments of services provided, competencies and

Strategic Planning is one of the most fundamental factors in the success of an organization. This research project will discuss the importance of strategic planning as well as the different components of strategic planning. Many organizations fail to accomplish their goals and tasks due to the lacking of strategic planning. In order for their businesses to be successful, organizations need to be well informed about how the strategic planning process works.

Wow Hospital (WH) managers also called healthcare executives or healthcare administrators, plan, direct, analysis and coordinate medical and health services. They might manage an entire facility or specialize in managing a specific clinical area or department, or manage a medical practice for a group of physicians. Medical and health services managers must be able to adapt to changes in healthcare laws, regulations, and technology.