Kaiser Permanente : The Organizational Structure Of Kaiser Permanente

In the United States, the convergence of rising healthcare costs and the pursuit of value-based healthcare are driving the growth of consumer engagement in healthcare. Insurance premiums for workers and employers have been steadily rising for years. Overall, the Kaiser Family Foundation estimates a 58% increase in total premiums over the last ten years. When examining the dollar amounts that workers contribute, the average annual contributions for single and family coverage for 2016 are $1,129 and $5,277 respectively. Finally, between 2006 and 2016 covered workers’ average dollar contribution to family coverage has increased 78% (Exhibit A) (Kaiser, 2016). At the same time, reports demonstrating quality variations began to surface. These high

The patient experience (PX) is becoming a vital movement in healthcare today. There are several components to an organizations patient experience process and help leaders to make the patient experience journey successful. Patient experience (PX) impacts quality and patient safety, cost management, retention, and outcomes. Accountable leadership committed to driving the patient experience shift in behavior is crucial. Development of the definition of what excellence is to the organization, along with strong, positive organizational culture needs to be committed to. There needs to be implementation of defined processes with alignment across all segments of the continuum of care. There are several trends affecting the patient

The present day truly does present a perspective of a world which is ruled by a tremendous amount of change and adjustment. This sort of rapid evolution is a major part of the health care industry. Hospitals are under a great deal of stress, with many people saying that healthcare today in America is an unsustainable proposition. The gaps and pervasive problems in American healthcare need to be fixed decisively rather than skirted around. Mergers are becoming more and more a new way of helping hospitals and other healthcare facilities achieve a new form of stability and a hope of gaining a greater level of efficiency.

Mandates are necessary for improving quality care in order to ensure that all involved parties are in agreement and understand what is expected to be successful in providing care to patients. Organizational accountability is greatly improved by mandates. For example, using value based payment (VBP) systems to determine which hospitals are most successful at providing the highest quality and most cost effective care to patients helps ensure that all parts of the interdisciplinary team have the same goals in mind (CMS, 2015b). The manger is responsible for ensuring patient safety and implementing measures necessary for success in a VBP system when creating a culture of quality care (James & Sammer, 2012). The role of the manager is to support

Key steps for successful change management include assessing readiness for change, establishing a sense of urgency, assembling the steering team, developing an implementation plan, executing a pilot, disseminating change, and anchoring the change within the organization. Adoption of change management practices increases the odds of success because focus is placed on the people in the organization who make things happen (Varkey & Antonio, 2010). In addition, enhancement of clinical performance and the continuous improvement of the safety, effectiveness and appropriateness of clinical care occurs through the introduction, use, monitoring and evaluation of evidence-based best practice. Ongoing evaluation of organisational and clinical performance is critical to good governance and involves the use of performance measures, clinical indicators and clinical audit. Reporting organisational performance is central to governance of clinical care and provides mechanisms for monitoring safety and quality performance and flagging issues that require intervention. Clinicians should provide input into prioritising improvement activities through identifying gaps between evidence and practice. Improvement activities

The purpose of this paper is to discuss my organization’s model of health care performance, quality assessment, and management. Improving the quality of health care in the United States is necessary (Sherwood & Zomorodi, 2014). According to Huber (2014), based on measurable criteria, health care quality is knowing whether care resulted in expected clinic outcomes. Health care quality and safety are part of Saint Mary’s Medical Center’s mission, vision and culture. For instance, the organization’s vision statement includes “delivering high-quality health care services in compliance with all applicable rules, regulations, and standards,” which calls for system-wide quality improvement (SMMC, 2016). Furthermore, the organization stresses that all employees are responsible for identifying opportunities for improvement (SMMC, 2015). Moreover, it is important to note, nurses are bound by their Code of Ethics to protect the health and safety of patients (Huber, 2014).

Achieving quality outcomes from health services organizations are now becoming the joint responsibility of clinical and management professionals. Healthcare leaders create the shared definition of quality by considering perspectives from quality knowledge, lessons, and methods. **Managers can understand the philosophy

Upon exploration of the Kaiser Family Foundation (KFF) website, different levels of health insurance were researched, explored, and evaluated. In the Health Insurance Marketplace, insurance plans are separated into a total of four metal categories. They include bronze, silver, gold, and platinum. In this paper I will examine each level of insurance offered and adequately summarize the respective insurance level. Assessing the benefits and drawbacks of all available insurance options as well a discussion and assessment of both the ease of the site and the level of information disseminated.

Finally, unexpected events, such as physician shortages is a possibility, so industry leaders who adapt quickly to change are likely to succeed. Equally important is the manager's capacity to influence the patient's perception of quality and the attributes of quality. From this reading, healthcare managers should conclude that quality management, statistical thinking, and clinical support are skills that leaders are expected to employ and master. Healthcare professionals who lack these skills would likely yield results that conflict with the organization's desired goals and operational

Every healthcare institution no matter the size has an organizational structure that promotes efficient management of departments. I found the theme of chapter six to be about a corporation’s personhood and the duties of a corporation’s governing board. It is critical to understand the structure of an institution because it facilitates the chain of command, lays out what department is accountable for what, and gives you a better understanding of the relationship the organization has with its employees (this is essential to know because chapter seven is about the distinction between an employee/independent contractor and their relationship with the hospital).

Quality management in the healthcare field is an aspect that is geared towards ensuring that patients receive excellent provision of care. This process is a function that healthcare facilities are responsible to carry out to demonstrate their due diligence to performing optimal care of their patients. Generally, the use of quality management enables administrators, physicians, and health care business to identify ways of enhancing internal processes that provides more quality for patients' outcomes. In the modern health care industry, several facilities seek for means of receiving an advantage from other organizations in the market. One of the major ways for health care facilities to obtain an advantage over others is to utilize quality improvement that results in better health outcomes for patients. As the leader of a local healthcare facility, Cindy Janowski, has discovered that leading organizations successfully implement quality improvement plans. Since she wants to ensure that the organization cope with the quality standards, Cindy needs to understand the various aspects related to quality improvement in healthcare.

In recent years, great quality within health care has been a necessity that has permeated and become a large concern within the industry. While quality healthcare has been defined as doing the right thing, at the right time, in the right way, for the right people and achieving the best possible results, many health care leaders struggle to transform their organizations to accurately fit this definition. This research paper examines different measure health care leaders can and have taken to enhance the quality of care within the healthcare industry. This paper explains the issues effecting healthcare quality and compares different strategies that have been implemented in different health care organizations to improve quality. This

Healthcare costs in the United States are soaring. To stop this cost inflation, healthcare organizations are being pushed to decrease those costs. Simultaneously, healthcare organizations are being pushed to increase quality. To motivate healthcare organizations to increase quality, the federal government has issued an enormous amount of new regulations and has decreased reimbursement when quality standards are not met. Thus, healthcare organizations must find a way to increase quality of care while decreasing costs.

First in today’s marketplace, healthcare organizations are highly scrutinized on quality and outcomes of patient care ("Quality Measures," 2015). So this project alone will place a lot of pressure on me as this can make or break the organization future success.

In the 21st century, the management in health care has become more vital within the health care industry. The patients in the community are relying on the Sunlight Hospital to make sure the services are rendered with prodigious quality. Marshall states, “Health care organizations have an immediate and direct impact on their patients’ quality of life” (Chron.com). Therefore, having a proactive management team can have an enormous impact on can take place within the Sunlight Hospital in order to remain successful.