The Strengths And Weakness Of Clinical Governance Essay

In a simple definition, shared governance is one of the most innovative and idealistic of organization structures, was developed in the mid-1980s as an alternative to the traditional bureaucratic organization structure (Huston & Marquis, 2004). Shared governance is based on the principals of equity, accountability, ownership, and partnership. This process of management allows each healthcare worker to have a voice in the decision-making and encourage input that will help grow the business and healthcare missions of the organization. In all, it makes each healthcare employee feel as if they are involved with a personal part in the success of the organization. The more employees who are satisfied with

Critically analyse how clinical governance can ensure accountability of individuals and teams and that nursing practice is safe and of a high standard?

Healthcare policy is dynamic and ever changing, especially in our society today with the many changes in government control, insurance company influence, and actual delivery of healthcare services. In order to corral our healthcare system and ensure that there is quality control amongst all populations, health policies must be put in place. Health policy is defined as many things due to its dynamic nature but the assigned text expresses a definition that encompasses all aspects of what health policy is for us today, “Authoritative decisions made in the legislative, executive, or judicial branches of government that are intended to direct or influence that actions, behaviors, or decisions of others”(Longest, p. 5, (2010)). Among the many reasons why health policy is pertinent to our society an aspect of health policy that I feel is most important is in regards to public health practices. Health policy is the reason why populations that whom otherwise would not receive the absolute needed healthcare, actually get to receive healthcare. The financial aspect of healthcare is quite steep and more often than not healthcare services are not sought out by populations because they cannot afford to do so. With health policy the policymakers allow for the proper and equal disbursement of goods and services to ensure that everyone is remaining healthy no matter what

Health care administration is defined as the process through which a country, region, or organization mobilizes health care resources. The end goal of health care administration/management is to effectively delegate a limited set of resources (money, manpower, hours) to create an optimal result (positive health outcomes). While the broadest goal is singular across all regimes, the means to access them are divergent. In some countries, such as the United States, market based models have commercialized health care (Woolhandler, 2003). Like any other product, health care in America is to be bought and sold on the open market. While there were alternative options available for the poor and elderly (Medicaid/Medicare), health care access was determined purely by market processes (Woolhandler, 2003).

The Government is a very important body as a stake in the health-care sector. Policies, Acts, and reforms are enacted and passed by the Government for adequate and better healthcare to meet the needs of its people. Insurance policies are one of the many ways that most States use to provide affordable and quality health care to every citizen. Although some of the laws may not have had a great impact towards the health-care, many have improved the services offered to the health-care consumer (Schmeer, 2016). Moreover, the government is also responsible for developing up policies which help in regulating the health

“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 systems are organizations that are formed to meet the overall health needs of the population. Health care is regarded as one of the leading cause in promoting not only physical and mental health but the well-being of the population. Legislation is implemented requiring government to offer services to all members of its society. The role of health services and the organizations that provide aid is to focus on the health of an individual and to uphold their human rights. According to WHO (2013), a “well-functioning health care system requires a robust financing mechanism, a well-trained and adequately-paid workforce, reliable information on which to base decisions and policies, and well maintained facilities and logistics to deliver quality medicines and technologies (World Health Organization; 2013).

In terms of state health agency structure and governance, approximately thirty percent of the state have a centralized governance organization, thus local health units are mainly led by employees of the state. Ten percent of the state have a joint governance structure so local health divisions is controlled by state employees of the local government or state. If state employees are in control, local government has the authority to make financial decisions or issue municipal health instructions; if local employees are in control the state stays in control. On the other hand, more than half of the state have a decentralized structure, therefore local units are mainly controlled by workers of local governments. Ten percent of the state have

Health policy reflects the decisions, plans, and actions that are implemented to achieve specific health care goals within a society and community. “An explicit health policy can achieve several things: it defines a vision for the future which in turn helps to establish targets and points of reference for the short and medium term” (Boufford, 1990). The purpose of healthcare policy and procedures is to ensure there is a standard of healthcare available. The purpose of healthcare policy and procedures is to communicate to employees the desired outcomes of the organization (Boufford, 1990). Policies are implemented to ensure the employees/ clients understand the standard procedure for the healthcare that is available. The three main points include 1) should states and government make decisions in

1. Governance: The governance of a hospital sets the framework for supporting quality patient care, treatment and services.

The organizational structure in the health care setting should be clearly defined, with each leadership role placed on a structural chart for easy comprehension. The highest leadership role of the organization can have a variety of names; president, Chief Executive Officer (CEO), Chairman, but the role is the same regardless of the title. The CEO (the title that will be used throughout the paper) is responsible for the direction, culture, vision, and mission of the organization. The CEO is responsible for the high-level managerial decisions and the implementation of the organization’s short-term and long-term plans. The CEO performs as a liaison between the organization’s Board of Directors and the management. In most cases the CEO reports and communicates to the Board of Directors on behalf of the organization’s management (Glick, 2011, p. 175-179)

The scope of health care management encompasses administrating how services get delivered to patients, persons delivering services, locations to which services get delivered, and the financing of all involved procedures. In these, institutions like nursing homes, rehabilitation centers, public hospitals, and private clinics get involved. At the same time, groups of service providers and associations play instrumental roles in controlling the quality of services and procedures of implementation (Gururajan, 2012). Thus, health care management encompasses the organization and administration of individual physicians, associations, involved institutions, and control of funds. Quintessentially, the

Health policies are created within the dynamic public policy-making system that takes place at the federal, state, and local levels of government. However, health policy can also be created at the private sector, which are governed via the authoritative decisions that influence the actions behaviors, or the choices of others. The general public policy is a cyclical process, happening inside a system

The concept of governance within a health care organization must be well design and welcome cooperation (Berger, S. (2011). When those that make policies can understand how to apply cooperative regulatory structure in healthcare setting it is noted that self-interest is not the only way of motivating positive behavior. The concept of governance spells out who is responsible for ensuring and providing support and services to all members needing health resources (Berger, S. (2011).

Corporate Governance refers to the way a corporation is governed. It is the technique by which companies are directed and managed. It means carrying the business as per the stakeholders’ desires. It is actually conducted by the board of Directors and the concerned committees for the company’s stakeholder’s benefit. It is all about balancing individual and societal goals, as well as, economic and social goals. Corporate Governance is the interaction between various participants (shareholders, board of directors, and company’s management) in shaping corporation’s performance and the way it is proceeding towards. The relationship between the owners and the managers in an organization must be healthy and there should be no conflict between the