The Importance Of Evidence Based Management In Healthcare

Burns, L. R., Bradley, E. H., Weiner, B. J., Shortell, S. M., & Kaluzny, A. D. (2012). Shortell and Kaluzny's health care management: Organization, design, and behavior (6th ed.). Clifton Park, NY: Delmar Cengage Learning.

Evidence-Based Practice (EBP) was initially a movement in medicine, dating back to early 20th century (Spring, 2007). It was described as a careful decision making process about the care of individual patients using best available evidence by Sackett, Rosenberg, Gary, Haynes, and Richardson (1996). Greenhalgh (2010) gave a similar definition but with more emphasis on the mathematical assessment of the potential benefit and harm. By now, EBP has been widely adopted by many health disciplines, including psychology. In 2005, the American

Evidence based practice is the combination of clinical expertise, patient values and the best research evidence into the decision making process in order to have a better care for the patient. It’s a patient focused practice so the clinician should make use of the best recent evidence from the research along with patient’s preferences. According to Fineout-Overholt and Stillwell (2015), “formulating the clinical question is like identifying the characteristics of the needle”(p.25). The clinical research question asked ideally defines the best research design for the study. To ease doubt and facilitate getting the right information at the right time, EBP stresses first asking a well-built question, then searching the literature for an answer

Evidence based practice can be defined as the process of, using the recent evidence base practice to make decision about patients individual care and to make sure that patient is getting most appropriate care by utilising the best practice, judgement clinically, preference for individual patient and systematic review (Nay & Fetherstonhaugh, 2007). Hence, when health professional work, they need to consider the characteristics of the context of the practice and the patient’s values and their situation. So, combination of these elements helps to make an assessment in patients care as EBP is involved (Hoffmann, Bennett & Del Mar, 2013). Hypothetically, the proper practice of EBP can help to increase consistency in caring patient, supporting the experimental research, which can benefit clinicians to provide quality of care, assessing and justifying patient (Nay & Fetherstonhaugh, 2007). For e.g, the act of washing hand prevents from infection. It is consider being the main root of transmission of disease from one person to other. According to the systematic review by So (2011), organism is eradicated from immediate hand washing with liquid soap and water when changing the wound dressing of methicillin-resistant S. aureus (MRSA). According to Hoffmann, Bennett & Del Mar, (2013), the rational of the clinical evaluation becomes more obvious when clinical information is integrated on best evidence practice, which is available with knowledge. It also helps to increase confidence in

Research and best-practices are an integral part of evidence-based management(EBM) and allow an organization to successfully implement EBM into their facilities. HSHS-EWD is a group of four hospitals that work with several clinics and healthcare providers to promote the health and well-being of many local communities. Connie Dorn, manager of central scheduling and prior authorization, is located within the revenue department and oversees registration and scheduling of the four different hospitals. During her 10-year tenure with the hospital systems she has seen many changes occur that have been beneficial to the hospitals, patients, and staff. Management meets on a continuous business to discuss areas that need improvement in order to stay on top of the latest advancements in the medical community. Connie currently sits on many boards, teams, and groups within the hospital system and is very experienced in the utilization of research and best-practices in regards to EBM. She recently utilized these skills while seating on a team that was trying to find a solution to denial of claims and poor customer satisfaction due to lack of authorization being in place. During the research phase it was discovered that the authorization team was obtaining authorization, however, physician offices were ordering the test incorrectly causing the radiologist to update the orders. Her team eventually found a solution that is in the process of being rolled out system wide called ACR-Select.

For reference, evidence based practice (EBP) is defined as “the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences” (American Psychological Association, 2005, p.5).

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).

I should apply evidence based practice in my practice setting by the knowledge gained from my experience, research and database. Evidence based practice is important for the me to protect the patients while they are in hospitalized Evidence-based care of patients can reduce patient problems and decrease healthcare costs .EBP process steps are assess, decide, plan, intervene and evaluate,

However, there are some barriers to EBP. One barrier is lack of time, lack of resources, and the difficulty in understanding statistical analysis. Another barrier for nurses is the lack of time in being able to implement these new practices and the lack of authority the nurses have to be able to change the patient care procedures. “Implementation of EBP places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources” (Majid, 2011). In order to make EBP successful it has to be adopted by nurses and other health care professionals.

Evidence Based Practice is a principle that is centered on the improvement of patient care and outcomes, by introducing and researching current based evidence when making decisions for that patient. According to Johnston (2016), “Health-care practitioners are increasingly being encouraged to implement research evidence into practice in order to ensure optimal patient outcomes and provide safe, high-quality care”. Throughout the course of this class, whether it be from researching about Evidence Based Practice, or the implementation of nursing care delivery models, patient care and the way we treat our patients is at the forefront of change. We know that change is necessary, now it is just a matter of how to implement that change into the healthcare

This article introduces health care managers to the theories and philosophies of John Kotter and

Evidence-based management (EBMgt or EBM) is an emerging movement to explicitly use the current, best evidence in management decision-making. Its roots are in evidence-based medicine, a quality movement to apply the scientific method to medical practice.

This paper is being submitted on January 30, 2015, for Dr. Kale Kruger’s HCS/514 Managing in Today’s Health Care Organizations course.

According to McConell (2012), the difference in a leader and a follower determines the success of a person regarding leadership. This chapter helps explain the content of qualities and proficiency for healthcare managers to be effective. Once again, effective management skills or certain qualifications enhance a healthcare organization environment. Healthcare managers and supervisors must have the capacity to handle challenges while the organization objectives and regulations may change over a period of time. Effective healthcare management governs the success of a healthcare organization. There are many different skill sets and leadership styles to be effective as a manager. People are interested in knowing what strategies are effective

Healthcare management is a great, complex, and dynamic field. Like any business, healthcare requires exceptional administration to keeps its operations effective and smooth. Notably, the healthcare field is constantly growing, calling for the expertise of skilled administrators with the capacity to manage hospitals. Since my childhood, I have enjoyed solving problems, helping people, caring about the community and individuals, and having an excellent compensation and growth opportunities.