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Case Beth Israel Harvard

Decent Essays

Beth Israel Case

Date 09-02-2011

Beth Israel

Beth Israel Hospital (BI) in Boston, Massachusetts, is a hospital with a three-faceted identity. First of all it is a hospital for patients from Boston and the surroundings. The second role is as a research institution and the last role is as a trainings institution where Harvard Medical School faculty members can be trained.

Despite the hospital is one of the best, some people called the organization “an unruly mob”. Malcom Weinier, vice president of clinical and support services, told that the BI hospital has a structure that’s typical for a hospital. “It is part hierarchy, part team, and part matrix, but more team than anything else.” It works like a strong triangle, a nurse, an …show more content…

But with what number of casualties must one be satisfied and can be seen as quality? Obviously this is a very delicate example, but it’s reality.

Quality at Beth Israel, as stated in the example above, is very context-dependent and seen from a Beth Israel point of view unclear. This is because every departments manages and defines quality in different ways. The department of medicine for instance focuses on the revenue, number of research grants acquired, difficulty to recruit, reputation of current staff, productive use of space and whether the hospital is filled or not. Managing the medical quality at the department of medicine happens by intensive one on one supervision trough the different layers of the organization. Another way to measure medical quality at Beth Israel is the weekly morbidity/mortality conference. The house staff present a difficult or unusual case to stimulate discussion. This way of quality management differs from the quarterly medical quality assurance meetings concentrating especially on errors. At the quarterly meetings statistics, specific cases, trends and problem areas will be reviewed. At the department of cardiology quality is being measured and managed by the means of daily and weekly conferences and on-site supervision. The department of surgery manages quality by organizing weekly open meetings where there will be spoken and judged about complicated situations.

As you can see, quality at Beth

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