In the healthcare field, there are forces that drive practice and develop change within an organization. There are both internal and external forces in which not one organization is immune to (Kotter, 1996). By establishing a vision of the company, a sense of purpose and direction is created, working towards change within the forces (Huyer, 2014). When people participate in a vision, they work towards a common goal and identify what needs to be changed in order to reach that vision. In this paper, a presentation of Banner Health will be discussed, along with its mission and stakeholders, driving forces, viability, as well as an analysis of forces, a response to change, a vision for change, and an evaluation of change.
When a health care organization is implementing a strategy, being aware and planning for the primary barriers will help in having a successful outcome. Primary barrier can include personal factors like lack of agreement, lack of skills, lack of motivation, or even lack of awareness. These are all types of internal barriers. Some of the primary external barriers can include lack of resources, outside organizational constraints, and lack of collaboration. The lack of evidence is another example of a primary barrier in health care.
External and internal influences are relevant in health care. These influences continue to affect the total operations of a health care facility. I will summarize the insights I have gained into the external influences of the new health care reform policy and quality initiatives. The recent health care reform legislation was passed in the house and senate this year. The senior vice president, that I have interviewed, states that health care reform is an “unknown” for organizations. In addition, I will research the quality improvement initiatives and how these external influences include implications for organizations and health care administrators.
Creating a health care reform plan for the U.S. health care system is no easy task. Multiple things must be taken into consideration. These include making insurance affordable, making sure the plan is economically feasible, and creating a plan that will still work in the future. What hindered the reshaping of health care into a sustainable system in the past, are the health sectors interests that prefer the status quo. By continuing to cling on to yesterday’s model, the health care industry is creating its own peril (Schaeffer, 2007).
Jim James, the CEO of _______, when faced with the reality of the Affordable Care Act (ACA) becoming law and taking effect, began to implement new rules and guidelines for his institution. Although improvising a strategic plan the institution is expected to follow as supplies and resources would soon be in critical demand. As CEO, he understood what was expected of the health care system, focusing mainly on the organizational needs that will help with the expanding or growing population and meeting the increased demand for the future. Via industrialized existing programs and building clinics that will accommodate the expected significant impact of the newly insured. “Eliminating ED crowding will take the collective involvement of healthcare workers, business leaders, politicians, the press, and the public” (Derlet & Richards, 2008). After much consideration, and a comprehensive evaluation of the documents for the new Affordable Care Act Jim James thought about the upcoming opportunities using a persuasive approach to transform the hospital. Since he stated that his most pressing desire is to find ways to connect the recipients in a way that will model changes in existing programs. Admittedly, we have a medical, acute care, care system- a system that waits until we become ill before it kicks into action instead of a healthcare system focused on helping us stay healthy (Schimpff, 2012). The justification, seeing the possibilities that are crucial in dealing with changes in
The healthcare system in America started as a predominantly volunteer system where patients were required to pay little to nothing for treatment. Since it began, the healthcare industry has seen tremendous changes that have transformed it into a business entity which has operations like financial management, strategic planning and functional specialties to keep the industry viable. The industry is one of the largest in the country employing 15 million people with a projected increase of jobs with 3 million jobs annually. As the healthcare industry continues growing, services and personnel are changing, and various dynamics are coming into play to accommodate changes (Smith, Saunders, Stuckhardt, & McGinnis, 2013).
The Washington Post reported on June 16, “Once again, the United States has most the expensive, least effective health care system in survey.” It’s apparent that the United States healthcare system is in an economic crisis. Furthermore, the United States healthcare system is not only in economic turmoil, but the social systems currently in place offer little to no future economic resolve for the predicament we are currently situated in. The paradox that seems to have fallen upon American healthcare is that, “The system doesn’t want you to die, but at the same time doesn’t want you to get well.” Heineman (2012) It is bad business. In other words, medicine is a business and I have witnessed this approach towards business in medicine first hand in my over five years of clinical and business experience in the medical field.
When faced with the reality of the Affordable Care Act (ACA) becoming law and taking effect, Jim began to implement new rules and guidelines. Although impravision a strategic plan the institution is expected to follow as supplies and resources would soon be in critical demand. As CEO, he understood what was expected of the health care system, focusing mainly on the organizational needs that will help with the expanding or the growing populationu8, meeting the increased demand for the future. Via industrialized existing programs and building clinics that will accommodate the expected significant impact of the newly insured. “Eliminating ED crowding will take the collective involvement of healthcare workers, business leaders, politicians, the press, and the public” (Derlet & Richards, 2008). After much consideration, and a comprehensive evaluation of the documents for the new Affordable Care Act, Jim James, CEO thought about the upcoming opportunities using a persuasive approach to transform the hospital. Since he stated that his most pressing desire is to find ways to connect the recipients in a way that will model changes in existing programs. Admittinly, we have a medical (that is, sick) care system- a system that waits until we become ill before it kicks into action instead of a healthcare system focused on helping us stay healthy (Schimpff, 2012). The justification, seeing the possibilities that crucial in dealing with changes in the upcoming health care system using a
The healthcare system in America is a market based system that functions by relying on the structures of an efficient market. The principles of demand and supply are instrumental in determining the functionality of the healthcare system in USA. One of the factors that has contributed to this reality is the fact that healthcare in the US is provided by various distinct organizations which are largely owned by private businesses. Indeed, 21% of hospitals in USA are owned by the government while another 21% are owned by private businesses operating for profit. 58% of hospitals in USA can be described as not for profit organizations. Indeed, the American healthcare system is a leader in medical innovation when compared to its impact on the health status of people. However, the nature of the entire unit as a whole leaves a lot to be desired since accessibility to these medical marvels remains a fundamental problem for a majority of the US population (Davis, Stremikis, Squires & Schoen, 2014).
It has been said that one cannot know where he or she is going until he or she knows where they has come from. This saying is especially true when discussing the current model of the United States healthcare system. The present day model of the United States healthcare system is the culmination of two hundred years of constant evolution due to ever changing societal norms. America has been in the forefront of major transformations throughout history and there have been integral factors that have been the catalyst for these changes. “Changes driven by
Sage, W. M. (2014). Getting The Product Right: How Competition Policy Can Improve Health Care Markets. Health Affairs, 33(6), 1076-1082. doi:10.1377/hlthaff.2013.1183
The goal of the current American health care system is centered around making a profit. As discussed in both Health Care Meltdown and How We Do Harm, many doctors today are making a profit on over diagnosing and over charging, leaving patients with undesired care and little money. This system is not only straining practitioners and over treating patients, but drastically increasing the cost of care in America. As discussed in detail in each of the books, there are steps that can be taken to increase access to health care while decreasing expenditure.
The healthcare system plays a key role in the economic stability of our country, as every year trillions are spent in attempt to combat disease and health issues that plaque humanity. As it makes up a significant amount of the expenditures in the economy, so the costs associated with health care of those in pain from illness and injury, including lost productivity, increased need of assistance in living and also the cost of death in some cases, is important to the economic stability and over all standard of living in our country. The key to economic prosperity is balancing the need for care with the costs of illness to keep as many people healthy and well without breaking the bank of collective society. The costs of healthcare have been increasingly problematic in recent years with so many issues surrounding the current system. With the “total health care spending in the United States expected to reach $4.8 trillion in 2021, up from $2.6 trillion in 2010 and $75 billion in 1970, meaning that health care spending will account for nearly 20 percent of gross domestic product (GDP), or one-fifth of the U.S. economy, by 2021” (Aetna). With this in mind it is apparent that as we look at the trillion-dollar industry of the medical community it seems that it needs to be a major focus of our nation as a whole and with the many issues come many creative solutions. First let us analyze the reasons behind the current cost and the major problems facing this industry and than discus what
Another group often blocked is complementary or alternative health care practitioners. These restrictions and the insurance industry unwillingness to pay for these services, gives the physicians an almost monopolist control over health care. Providers must be able to enter the market for competition to work and there must be many providers vying for the patient. To get the most out of health insurance plans Consolidation of hospitals and multispecialty group practices increases the negotiating leverage of the group but in certain areas of the US a single large medical system has become the sole provider of major health service thereby restricting competition (Shi & Singh, 2008). This consolidation while giving the hospitals and group practice leverage when negotiating prices of supplies and services tends to increase the price of health care to the patient because there is no longer any competition (Shi & Singh, 2008). For these reason “competition will remain less effective in most health care markets, because the prerequisite for fully competitive markets are not fully met” (Federal Trade, 2004, p. 20).
Centuries ago, a famous Greek philosopher, Heraclitus disputed conventional wisdom that things will always stay the same. Using the flow of the river as an example, Heraclitus describes the changes that were going on the time a fluid. He challenged the Greek leadership to acknowledge these changes or risk their global dominance. Two thousand years later, modern civilization is facing the same challenges. A rapid improvement in technology compounded with an increase in global competition has given rise to the emergence of change in most major industries. One industry were change has become inevitable is the health care industry. Today, there are increasing calls from management experts to a change the health care system to one that can