Contingency Theory Vs Spectrum Health Care

Finally, the third alternative to the paternalistic model is the contractual model. This model is similar to paternalism, in that it questions the assumptions of equality, however it differs in that there is a “contract” between both parties, leaving each with their own dignity and moral authority. What is crucial about this model is that it does not neglect the fact that there is an obvious difference in the degree of knowledge between the patient and the physician. Instead of focusing on that discrepancy, the model concentrates on the agreement between the two parties to exchange goods and services and the enforcement of that by government sanctions. In other words, this model compromises between partnership and the reality of medical care, and according to Veatch, is the only realistic way to share all responsibility, while protecting various parties in health care. For example, both parties are freely entering this contract, and therefore are both given the right to leave it, given proper notice. However, while partaking in the contract, there are duties and obligations of each, which may neglect virtues of benevolence, care and compassion, which we do see stressed in other models.

Goldhill provides many analogies, but none are relevant to health care. In many instances, Goldhill uses situations which have a clearly defined task or job (dry cleaning, emergency flat tire on the freeway) and the corresponding business solution (IT system implementation, price transparency / pressure) to compare and match with a health care situation (Liu, Retrieved September 2016). In healthcare the patient treatment and workup process varies per individual patient and cannot be compared to the process in industries and businesses. Goldhill is comparing apples and orange and is missing the

Healthcare organizations do not contribute to the society’s welfare and impact the society positively therefore the relationship with the stakeholders is poor. With a poor relationship, this causes conflict between the patient and the doctor. Enough financial resources should be allocated to prevent quality of care issues and improve the quality of care to the patients. The moneys allocated can be used to purchase equipments that are beneficial to the care of the patients. There are many issues when it comes to the allocation of resources and should be cost effective to ensure the health benefits of those in the community that are being treated. If the allocations of the resources are not done correctly it can affect the community. Human resources should allocate financial resources to eliminate the shortage of doctors and nurses which has affected the performance and

In this particular assignment, the objective is to critical analysis the accountability as well as responsiveness strategies, which may usually assist Queensland healthcare reform to ensure the relevant work practice within the healthcare system.

Systems theory postulates that organizations that operate as an open system enhance its chances of survival. The healthcare organization is made up of interlinked constituents hierarchically organized into the structural whole (Karabacak, Ozturk and Bahcecik, 2011, p. 258). These components of the health care institution can re-create and maintain themselves in response to environmental challenges. The open system enables the exchange to occur between to environment and the system, permitting the system to reduce entropy and as well maintain the steady state. This theory requires healthcare organizations to maintain constant interaction between the external environment and internal environment to attain homeostasis. The system theory establishes a framework whereby the healthcare organization can enhance its potential for success during crisis. By engaging in open system operation, collecting information from the internal units and external environment within the hierarchy enhances organization’s ability to respond to changes and crisis effectively (Bisgaard, 2009, p.

In the Health Information Services, rapid changes have swept the industry through electronic health records and changing health care delivery systems. Due to these changes, such employees have seen their jobs change drastically and this has become a major issue for the industry. Redesigning jobs can be effective or counter-productive. If they overload and stress people then they can see productivity plummet. However, if people become to specialized with monotonous duties, they can also see productivity plummet. In this analysis by Elizabeth Layman, she looks at all the potential factors and outputs and leaves with an approach to forming new roles that may effectively help the business address these concerns.

described as holistic (Ryan et al., 2006). The medical model was the overriding philosophy in social care and managed care settings up to recent times. The most common criticism of the medical model is that it views the individual as the problem. The medical model then assumes a more mechanical view of illness and indeed health, illness is purely a fault in the machine and diagnoses are formulated about functional and structural failings of that machine. Concepts of mind, family and social environment are not viewed as having much relevance or real impact on the machine. Thus, the person, the body, and ultimately the machine, is thought to function autonomously (Zigmond, 1976).

According to Beaufort, Longest, and Darr (2008), there are three key component structures of health service organizations and health systems, including: the governing body, management, and professional staff organizations. The governing body can be one individual or a group of people who rule an organization. The governing body has several major roles, and responsibilities. They are responsible to select credential candidates, such as chief executive of staffs (Beaufort et al., 2008, p. 62). They have authority to change things around, and create policies; they lead, plan, organize, and control the organization. They are responsible to protect the members of the organization, set goal, ethics and values (Beaufort et al., 2008, p. 61). Overall,

Currently, each individual business unit is siloed. When a patient goes through the internal structures within the healthcare system, they view each business unit they use as its own function. The patient does not experience the interconnectivity of the processes; it only identifies the vertical integration within the system.

The role of finances for health care systems Inc. will be for managing the business’s finances. This ensures having cash available for expenses to ensure the business stays afloat and to ensures there is cash to provide a cushion for any costs that come up unexpectedly. Ensuring that the finances are managed means the company can make plans to ensure the future of the company (Brumley, 2015) and utilize the resources of the company to ensure its running at peak proficiency. The primary users for the financial information will be the finance department which consists of the chief financial officer, comptroller, treasurer and the personnel in charge of specific financial information within the company departments. This whole department reports to the chief executive officer who is responsible for all financial transactions for the company (Gapenski, 2013). There are many legal and regulatory issues that this business has to follow due to being in the health care industry. Some of these issues are that the health care industry is highly regulated for people entering the industry for the well-being of the public. The personnel working in the health care industry have to be licensed or state certified. The facilities themselves have to be licensed and inspected by state personnel that ensure the quality of the facility and the personnel. The legal concerns for this health care business are varied for the health care industry but the primary concern is professional

We have met with Jim Provines on October 30; Jim has MPI in management and a master’s degree in health informatics. Jim works for Edward-Elmhurst health care as a manager of IT support services. Jim explained that healthcare and IT finally came together because healthcare needs IT for many reasons. One of them is the technology has changed so much. Most of the clinical equipments that are used in the hospitals are IT-based equipments, so these equipments need IT team and clinical engineers’ supports. As the technology advances, healthcare changes, in the past the patient was paying for the health services, no matter how the service was. Now there is a new system is called pay for performance, this system depends on the patient outcome. That means if the facility doesn’t have good patient outcome, it will not get paid. Healthcare technology is increasingly playing a role in almost all patient care processes, from patient registration to data monitoring and self-care tools to ensure good patient outcome. For example Electronic Health Record, healthcare devices such as smart phones which enable physicians and patients alike to check on healthcare processes, patient portal, patient chart which includes all patient’s information and protected health record.

The case study on the Job Redesign for Expanded HIM Functions by Elizabeth Layman was very dense . It was about the implementation of electronic health records and the changes in the health care delivery system and how those changes have altered the work environment of Health Information Services Departments. This study went on to give solutions to those problems , how to implement those changes and the impacts those implementations will have on the employees , individually and on every level. The study described the Four levels of alignment to achieve these departmental and organizational goals. These levels include Re-engineering - which is the process of rethinking the business and systems of the organisation . At this level , upper

Dr. Donald Berwick is a medical provider and author who describes the current healthcare system as one of “power over reason, respect and even logic in order to serve it’s needs and not the patients”

This unit has highlighted the importance of understanding the underlying assumptions or philosophies of management structures. The module encouraged critical thinking of applying management concepts that allowed an understanding of how health systems are designed. The unit has displayed a model how the health system may be viewed as a whole, from the population to service providers, to purchasers and regulators. The model allows a closer examination of how the management system is integrated into the entire public health system. A systems thinking (ST) approach was discussed to consider the health system as a complex adaptive system (CAD). In a CAD, ST provides an understanding that relationships in the health system are integrated, dynamic

If one were asked to create a mental image of what came to mind when the thought of Healthcare, more often than not that person would envision the stereotypical white walls of a pristine hospital with bustling nurses, consulting physicians and patients in hospital rooms. This is a pretty widely thought of construct for healthcare. This paper’s intent is to thoroughly inform, analyze this setting of healthcare. More specifically the origin of the hospital setting and how this system came to be, also how all of the individual healthcare professionals assimilate together to create one organized and efficient staff to run the facility, and lastly how this facility preforms and by which guidelines it must follow and their driving factors that make