Measuring the Performance at Patton-Fuller Hospital

organizations to face future challenges due to the Affordable Care Act as well as other

"To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value” (Jointcommission.org, 2015). These requirements are regimented in the National Patient Safety Goals and are enforced via surveys and internal inspections to ensure that healthcare institutions abide by the safety mechanisms put in place to facilitate the optimal patient outcomes and environments.

West Florida Regional Medical center (WFRMC) is located on the north side of Pensacola, Florida. It is associated with Hospital Corporation of America (HCA), and “the West Florida Healthcare campus includes the all private room acute care hospital, the area’s only comprehensive physical rehabilitation hospital, and a mental health facility” (West Florida Hospital, 2010). When looking at the decision to invest heavily into total quality management (TQM), you must look at its history and hospital statistics of the Pensacola area. In 1992, there was intense competition between WFRMC and the other two hospitals within the area, Sacred Heart and Baptist Hospitals (McLaughlin & Kaluzny, 2006). “The 130 doctors practicing

Budgets should not be a managers task only. The whole organization should be involved in the budgeting process.

Timing is everything when it comes to patient health outcomes. The purpose of this study is to provide a comprehensive review of the critical value reporting process critical results to the appropriate staff members according to the guidelines described in the National Patient Safety Goals (NPSG) of the Joint Commission Accreditation on Healthcare Organizations (JACHO). The Joint Commission has listed the following NPSG for 2015: identify patients correctly, improve staff communication, use alarm safely, prevent infection, identify patient safety risks, and prevent mistakes in surgery (The Joint Commission, 2015). A pathologist first introduced critical values by the name of Lundberg over 30 years ago. A critical value was viewed as an indication that the patient was in graved danger unless interventions were done to address the decline in health status (Plebani, M. and Piva E. (2010). The national patient safety goal that reflects the benchmark on our medical-surgical/Telemetry unit was staffing communication in reporting critical values. Our facility as a whole was at 73% compliance for staffing communication. Our hospital 's compliance goal for staffing communication is 90%. However, our unit is currently at 75% compliance. Various factors contribute to the timeliness and compliance of reporting critical values including work force, material and methods, and equipment.

Highlighted below is Patton-Fuller Hospital's statement of revenue and expenses showing the income earning trends between 2009 and 2010. Succeeding the statement of revenue and expenses it the balance sheet for the two years showing changes experienced.

The main objective of Beaumont Hospital is to provide high quality, efficient, accessible services, in a caring environment for Southeastern Michigan residents. Beaumont Hospital believes that patient safety is just as important as medical progression. Constant improvements are made to ensure the patients have the safest hospital experience, which includes a Utilization Management Program. The utilization program facilitates cost effective, quality, and medically appropriate services across a variety of care that incorporates a range of services. Services include preauthorization, concurrent review, transitional care, discharge planning, and retrospective review. The Beaumont Utilization Management staff are available Monday through Friday from 8:00am – 5:00pm. Patients can telephone via a toll free number or fax requests. Patients can also use web-based application to request preauthorization. The coordination of the utilization management program is directed by the Medical Directors and the Vice President of Health Care Services. Registered Nurses (RN) and Licensed Practical Nurses (LPN) oversee the daily tasks. The RN coordinates work, performs planning, and monitors team functions.

Embrace quality, safety and service. Direct medical staff to monitor all quality core measures and tracks patient falls, drug errors and other "never events” (Herman, 2012).

Healthcare organizations are responsible to provide an environment of care with adequate resources, and well-trained staff to support patient safety. Paramount to these responsibilities is having medical staff bylaws that define minimum credentialing and privileging requirements for validating the competency of

In health care settings across the country patient care is compromised by various preventable mistakes. Health care workers (HCW) are continuously pushing the boundaries of time constraints. As these demands are increased the possibility for poor patient outcomes also increase. Prevention is the first line of defense and promotes healthy practices for HCW and patients. The Joint Commission (TJC) collects data pertaining to the incidences, information surrounding each case and establishes a national quality and safety standard. TJC accredits thousands of health care establishments with the goal to provide safety and increase the quality of care provided in each setting. In 2016 TJC released a new set of National Patient Safety Goals (NPSG). The goals are meant to bring awareness to the accredited facilities and HCW of concerning hazards that need to be focused on. For instance, using two identifiers when identifying a patient to prevent medical errors, and preforming hand hygiene to reduce the risk of infections.

We then map out current processes and procedures to make sure all personnel understand the flow of resources in different departments. This lead to creating a process flow chart from discharge to admission. Then we discuss what reports can be utilize to measure actions taken in real time to look for improvements. We decide to utilize what we call SHP reports along with the casper reports from CMS for measuring the data.

This article will be used to assess the value of an IT project implemented by Southeast Medical center. Judgments will be made based on the projects' nature, opportunities, and Return on Investment. I will also discuss factors that can reduce the benefits obtained from the investment. The article will provide some of the things that can be done to do away with the obstacles.

(2010). This information is obtained through financial reports, complaint records, and ongoing client surveys. The second performance measure I would use would be responsive communication. This measures satisfaction surveys retention, absenteeism, and vacancy measures. These measures will let us know what is going within the organization. Some examples are percent of “loyal” associates, percent of RN positions are vacant, and tenure of associates. The concept of this is associate satisfaction, retention, and complaints. In order to provide excellent care, we will need to know what the staff is feeling. Happy employees mean better performance which equals better patient care. For the third measure, I would focus on corporate design. Corporate design measures market share, efficacy of care, per capita cost of care, improvements unmet or delayed and variation in internal performance. The concept behind this measure is to find the extent of service, uniformity of performance, and competitor relations. Surveys are a big part of obtaining all this information and provide a great deal of knowledge on how well this organization is performing.

If a hospital is totally budget based, which is a total finical approach, concerns for patients’ safety is a high priority. According to Mensik (2017), there have been changes addressing staffing involving federal and state guidelines. Although these guidelines exist, there are some loopholes that allow for a wide range of interpretations (Mensik, 2017). As nurses, we are advised to know our state’s laws and knowledge of whether the hospital is meeting these requirements. According to (Mensik, 2017), the state of Oregon, violation of safe staffing regulations results in civil penalties if the patient’s quality of care was adversely affected. The Texas Board of Nursing offers Safe Harbor. Safe Harbor is a reporting of unsafe assignments which

The personnel budget, being the largest part of the operating budget, consists of multiple factors such as the average daily census, patient acuity, personnel required relating to full-time equivalents (FTEs), as well as productive and non-productive hours. The supplies include medical and office supplies, minor equipment, orientation and training, and travel expenses. Although budgets are based on assumptions, using the previous year’s expenses for personnel and supplies, helps the nurse manager/leader to accurately predict the next year’s budget.