Governance in Non-Profit Healthcare

The Modesto Medical Center of Modesto board of directors is responsible to make sure that the workers practice quality services at all times. The board of directors support and guide the implementation of quality improvement activities. The board of directors is responsible to review, and approve the system to eliminate and approve the quality improvement plans. The board of directors is responsible in monitoring the staff’s quality improvement that improve patient care and reduce risks of liability claim. The executive leaders in the organization supporting the medical staff and to comply with the Joint Commission accreditation, and executive leaders guide staff within the organization, communicate, problem solver when organization face any issues, responsible in sharing visions and goal, and review quality improvement committee’s progress in the organization (Nemeth, 2003).

Manage a health care organization is not an easy task, the compromise with the community to provide an excellent service and the responsibility of keeping the profitability and viability of the organization makes health care management a complex and every day challenging profession. It require effective practices to avoid the failure of the business.

“Running a health care organization is a team sport. It is very important that all members of the team-whether on the medical staff, in management or on the board-understand the role of governance and what constitutes effective governance” (Arnwine, 2002). Running a hospital is a difficult task. Several factors need to be seriously thought of and considered in every decision and undertaking. Unfortunately, all the three important factors in governing a hospital is not always in harmony. As likened to a team sport, if the three major components are not working with each other as a team, there will be tension and a great divide will be experienced. And often times, the patients will be in the middle and will be greatly impacted. This writer believes that there are several factors that contribute to the tension that usually exists among the medical staff, the board and administration. One factor is the disconnect, where each entity is not seeing each other eye to eye and their visions may be different from each other. Another factor may be the lack of communication in order to bridge the gap and to build a respectful and a relationship wherein there is trust for each end every member of the group. Often times, the medical staff is concerned with ensuring that patients are cared for in a manner that their practice is protected as well as the patients are getting the appropriate care. On the other hand, the board of trustees may be focused in ensuring that that

Health care is one of the furthermost significant services today that allocates with the problem of life of countless Americans throughout the period of urgent situation and vigour. Health care service chooses the natural life, natal and bereavement of an individual. The development in education, medicines and understanding of people has knowingly improved the supply of care and analysis for retrieval from sicknesses. American bazaars viewpoint for the improvements relating to medicines and health strategies. The health inventions by the Americans have prepared wonders in the

Owing to strict and staunch regulations, has transformed the internal environment within the healthcare organizations where board members are making better decisions and are thus exposing the investors to less risk and also provide better access to the capital. In addition, provisions mandating stringent internal controls have also avoided costly financial failures in healthcare organizations.

HOSPITAL STAFF PRESENT: Joseph Trapani, CEO; Rachel Beal, COO; Michael Felice, CFO; Pam Legette, CNO; Margaret Sledge, Director of Patient Access; Ramona Strickland, Director of PI/Risk Management; Felecia Arbuah, Director of Clinical Services; Quian Buford, Director of Residential Services; Jeri Harlow, Business Office Director

It is crucial that the board will manage to build the relationships of trust and support with the healthcare facilities. Rather than implementing the policy which is based on the relations of domination and subordination, the teamwork between the actors identifies above should be established. It will guarantee the quality of care, according to Millar et al., who state the following: “Boards which combine a culture of ‘high trust’ across executive and non-executive members, together with robust methods of measuring and monitoring the quality and safety of patient care, are also associated with higher performance” (Millar et al., 2015). Also, it may eliminate the chances of the appearance of financial fraud and corruption.

About the company I have chosen. Ascension Health has ascended to the pinnacle of not-for-profit health care. As it is one of the largest Catholic hospital system in the continental United States, and this making it one of the top providers of charitable health care in the United States, the organization's health care system is composed of nearly eighty hospital locations alongside over 12 rehab centers, special care facilities, and psychiatric hospitals. Ascension Health also operates assisted living for the elderly, many community clinics for the low income communities, and they also employee many other health care providers that assists in their goals of charity. All of the charitable faculties extend over 21 states all across the United

2. Challenges - the challenges facing the health information services and how change can be alike-particular section at the level of industry Changes can be gradual. This will help to develop the skills of the staff.

PeaceHealth is a non-profit health care system in the Western United States that incorporates medical centers, critical access hospitals, clinics, and laboratories spanning across Alaska, Oregon, and Washington. PeaceHealth operates medical centers in Ketchikan, Alaska, Ketchikan Medical Center, critical access, 25 beds, 29 long-term care beds, Cottage Grove, critical access, 14 beds. Eugene, Sacred Heart University District Hospital, 104 beds. Florence, Peace Harbor Medical Center, 21 beds, level IV trauma center, and Springfield, Oregon, Sacred Heart Medical Center at RiverBend, 338 beds, Level II trauma center. and Bellingham, St. Joseph’s hospital, a level II trauma center with 253 beds, 400 physicians, and 2600 employees, Friday Harbor, = Peace Island Medical Center, is a critical access hospital with 10 beds and a 24-hour emergency room, Longview, St. John’s Medical Center, 346 beds, Level III Trauma Center. Sedro-Woolley = PeaceHealth United General Hospital, critical access, 97 beds, Level IV trauma center, and Vancouver, Washington = Southwest Medical Center 450 beds. Level II trauma center. In addition, the preceding locations likewise provide clinic and laboratory services to their communities (PeaceHealth, 2016).

PeaceHealth is a non-profit health care system in the Western United States that incorporates medical centers, critical access hospitals, clinics, and laboratories spanning across Alaska, Oregon, and Washington. PeaceHealth operates medical centers in Ketchikan, Alaska, Ketchikan Medical Center, critical access, 25 beds, 29 long-term care beds, Cottage Grove, critical access, 14 beds. Eugene, Sacred Heart University District Hospital, 104 beds. Florence, Peace Harbor Medical Center, 21 beds, level IV trauma center, and Springfield, Oregon, Sacred Heart Medical Center at RiverBend, 338 beds, Level II trauma center. and Bellingham, St. Joseph’s hospital, a level II trauma center with 253 beds, 400 physicians, and 2600 employees, Friday Harbor, = Peace Island Medical Center, is a critical access hospital with 10 beds and a 24-hour emergency room, Longview, St. John’s Medical Center, 346 beds, Level III Trauma Center. Sedro-Woolley = PeaceHealth United General Hospital, critical access, 97 beds, Level IV trauma center, and Vancouver, Washington = Southwest Medical Center 450 beds. Level II trauma center. In addition, the preceding locations likewise provide clinic and laboratory services to their communities (PeaceHealth, 2016).

Analytically healthcare facilities deal with many adverse limitations when it comes to meeting or exceeding the needs of its constituents. In the process of healthcare there are approximately four different methods that are used to assess the quality of a healthcare organization and they are structure, process, outcome and patient experience. Each one serves a different purpose within the structure of a healthcare organization below I will give a brief overview of each one, but the two main ones that this article will focus on will be structure and process.

2. In both cases, business is transacted in the name of the company/corporation as opposed to individuals (Cutler,2000).

Within a health care organization there are many layers to include health boards in hospital governance. Corporate governance is a complex arranged of processes, policies, regulations, laws, organizational structures, people, and customs (Dowton, S.B. (2011). Each of these entity must establish a relationship in order to work toward a common goal that ensures the quality, accountability and

A country’s economy and well-being depends upon how strong its healthcare system is. A country would grow into a stronger nation if the people are mentally and physically stronger. Moreover, healthcare systems are usually complex and complicated systems and thus, they need a lot of attention. As Donley (2005) states, “[t]he changing patterns of health care delivery have increased complexity in all practice environments” (p. 314). By a complicated system, it means how different healthcare organizations together play a pivotal role in measuring success of a country’s healthcare system. These healthcare organizations further rely on various departments within the system which are in turn led by various leaders. Thus, it is evident how leaders are the key link in deciding the fate