Nadler-Tuchman Congruence Model Case Study

Mr. Lease indicates that quality in health care is another external influence in the delivery of health care services. The integration of medical services into larger payment groups, when using value-based purchasing and improving coordination of care would increase productivity in health care; making medical services much more affordable and increasing the quality of care (W. Lease, personal communication, July 23, 2010.

Marshall shows that health care organization has a direct and immediate impact in the life quality of the patients. It is clearly seen that the quality of services provided to the patient and operation of organization are included in the human resources functions. Good quality core includes treating patients with respect, involving them in decisions making about their care, taking their values and preferences into accounts, safe and timely services as well. Safety remains the most important service in health care organization because care is supposed to help, but not to harm. Human Resources play a major role which responds to the challenge of diverse organization by providing incentives or promoting best employees who do their best to gain patient satisfaction or concretize the company’s mission or goal.

Each aspect plays a role, as financial management as a whole impacts the health care organization in a significant way. An example (that ties to evidence) of a primary component is the model analysis of the insurance system that affects the health budgeting spending on a statewide level. Further elaborating, the insurance system affects the input and output of the external categorization of the practical approach for a health care organization to utilize their primary care towards patients. Thus, as a result the aspects shift according to model process. Additionally, one’s perspective plays an important role in influencing decision-making in regards to financial management for healthcare. This is because the individual plays a primary role in the performance and internal indicators of the direction of the organizational mission; thus their output affects the organization’s advancement.

In the financial portion of the critical success factors is critical for success. The organization, even with the Medicaid

Medicaid is defined as being a jointly funded state-federal health care program administered in Texas by the Health and Human Services Commission. Medicaid was established in 1967 and also stemmed from Patient Protection and Affordable Care Act P.L. 111-148 (Strategic Decision Support Team, 2010). Some of the goals and objectives within Medicaid are to make it less of a struggle for clients to get care, protects against out-of-pocket through the roof cost, and also to achieve cost savings for the state and federal government through the many improvements in coordination, as well as care (Eighty-First Texas Legislature, 1967).

Pioneering an Accountable Care Organization Model which is a program which goes hand in hand with the Medicaid Shared Savings Program. They are focused on providing highly coordinated care for Medicare fee-for-service-beneficiaries.

Also, it increased accountability and increased focus on outcome and quality measurement as an opportunity related to Managed Care, and it looked to improve the efficiency and cost-effectiveness of services (Stroul, 1998). However, the question still is, how did managing Medicaid dollars increase access to services for children in mental health systems.

The pay-for-performance program will take health care from basic health care delivery to high-quality health care delivery. The way that this is going to affect the patient "customer" is because they are going to have an overall better experience with more attention to their overall health. The patient will also see benefits because there are incentives for patients when they live a healthy lifestyle. One of the incentives that the patient will see is in cost savings in the immediate future. Pay-for-performance is positive for all stakeholders involved within the program because it delivers on the main goal which is to increase the quality of care to patients while reducing the costs.

The overall goal of Financial Alignment Initiative or two Financial Alignment Demonstration (FAD) models is to develop, test, and validate fully integrated delivery system and care coordination models that can be applied in other States (Centers for Medicare & Medicaid Services, 2011b). The first model to integrate Medicare and Medicaid dual eligible beneficiaries is the capitated model. The second model to integrate Medicare and Medicaid dual eligible beneficiaries is the managed fee-for-service (FFS). Under the capitated model, a State, CMS, and a participating health plan enter into a three-way contract, and the health plan receives prospective capitation payments to provide comprehensive and coordinated care. Under the managed FFS model, CMS and a state enter into a contract, which the state would gain from savings resulting from the initiatives that improve quality and decrease costs for both Medicare and Medicaid (Centers for Medicare & Medicaid Services, 2011b).

The Medicare-Medicaid Coordination Office serves people who are enrolled in both Medicare and Medicaid. The goal is to make sure whoever has enrolled in the Medicare-Medicaid program, will have full access to seamless, high quality health care, and to make the system as cost-effective as possible. The Medicare-Medicaid Coordination Office works with the programs across Federal agencies, States, and stakeholders to align and coordinate benefits between the two programs effectively and efficiently. We partner with States to develop new care models and improve the way Medicare-Medicaid enrollees receive health care. The Medicare-Medicaid Coordination Office was established in Section 2602 of the Affordable Care Act and the goals of the Office

Choosing a change model can be difficult for an organization. The company must ensure that the model it chooses will help them make the smoothest transition possible for everyone involved. The chosen change model must also help the company reach its goal within the time frame the company needs to have changes made.

In order to achieve this goal, I will increase employee morale by establishing written and oral communication, using the reward system and being an effective leader will improve the overall morale of the hospital’s nutrition services employees. In order to prevent overworking employees, I will arrange interacting groups to establish time to discuss upon ways to improve hospital setting, making it work effectively and not just efficient with the given tasks. Most employees feel overworked because they feel that they do more labor than others and feel underappreciated. Creating interactive groups between dietitians, diet assistants, and hostesses will promote new and faster ways of communication preventing them to fall behind schedule. Furthermore, new employees will need extra online and

This model was developed by Tom Peters and Robert Waterman (Mindtools 2012). Essentially, it aims to improve the overall performance and productivity of an organization while aligning all departments to suit the shared vision of the organization (Peters 2011). There are a number of benefits within its flexible nature and ability to look back and analyze the success of a previously implemented strategic change within the organization (Simister 2011). It is retroactive, yet it can be an important diagnostic tool in learning for future endeavors of change (Peters 2009).

Managing the growth of allied health care sector in the United State. Healthcare delivery system changings are most effectual when they are cohesive and ensure real answerability from providers to patient to improve outcomes. With the expected increase in allied health staff in the healthcare organizations, the first need will be to ensure that the care provided to patients is not impacted in anyway. Hiring new allied health staff allows organization to provide to provide adequate care for patients, but it also increases the cost to provide care. This means that recovering the financial costs of care and minimizing the cost of care takes a higher priority. Evidence proposes that multiple methods to delivery system changes may be necessary bend the cost curve and improve care quality. For example, the efficiency of a single disease administration program may be limited for patients who have multiple chronic conditions and who require coordinated care from many

Change in a business is inevitable and typically only the strongest thrive. With a fluctuating economy and constant technological advancements, organizations are expected to adapt in order to survive. When a business is posed with an issue or change, it must develop new business and strategy structures and implements those developments throughout the entire company. Communication, education and participation are all required for a change model to be successful. Though change and adaptation may be needed to better the company, with implementation of change comes resistance. Most companies face resistance on an organizational and individual level during a transition. However, it is how the company is able to overcome