Describe the basic premise of both the community and market-oriented approach to health care

DQ #1

Describe the basic premise of both the community and market-oriented approach to health care. To what extent is each multidisciplinary?  How might each approach help and/or hinder health care access for immigrants and refugees?  What are ways in which these approaches can promote a culturally inclusive health care experience for this group?  Include a brief analysis of the role that health delivery models can play alongside these approaches in the provision of culturally competent care.

DQ #2

For this final forum, describe a multidisciplinary approach for a vulnerable population that we have not covered in class.
Imagine you are a policymaker for your city or town. Based on what you know, and what you have learned in this course, what would you modify or improve to make a positive change in the life of a Immigrants and refugees?  Would you consult the vulnerable group when developing programs or policies?  Why or why not?  Which policy would you create to improve health care services accessibility, cost, and quality related to your selected group?

Develop a plan and specific steps to execute the plan in order to stay current with developments and issues in both general management and health care administration

Introduction

Life long learning is a concept or really a process that has generated much enthusiasm in the business management world.  In the twenty-first century, I believe we will see more remarkable leaders and managers who develop their skills through lifelong learning, because a rapidly changing environment is increasingly rewarding that pattern of growth.  In an ever-changing world, we can never learn it all, even if we keep growing into our nineties.  As the rate of change increases, the willingness and ability to keep developing become central to career success for individuals and economic success for organizations.  Many successful leaders and manager I have known did not begin their careers with the most money or the most intelligence. They were successful nevertheless because they we able to out grow their rivals. They developed the capacity to handle a complex and changing health care environment.  They grow to become unusually competent in advancing organizational transformation.  The best of them learned to become leaders.

Just as health care organizations are going to be forced to learn, change, and constantly reinvent themselves in the twenty-first century, so will increasing numbers of individuals. So what are the habits of life long learners?  There is no single formula, and individuals accomplish it through varying paths, often with more than one major career change.   However, if I had to identify the five most important characteristics of life long learners, it would be the following:

· Risk taking: Willingness to push oneself out of comfort zones

· Humble self-reflection: Honest assessment of successes and failures, especially the latter.

· Solicitation of opinions: Aggressive collection of information and ideas from others

· Careful listening: Propensity to listen to others

· Openness to new ideas: Willingness to view life with an open mind.

The beauty is that that listening with an open mind, trying new things, or reflecting honestly on successes and failures do not require a high IQ, a Ph.D., or a privileged background.  But beware of the simplicity of these habits.  There is a major reason why so few individuals develop them — in the short term, its painful.  Risk taking brings failure as well as success.  Honest reflection, listening solicitation of opinions, and openness bring bad news and negative feedback as well as interesting ideas. In the short term, life is generally more pleasant without failure and negative feedback.

Effective lifelong learners overcome a natural human tendency to shy away from or abandon habits that produce short-term pain. By surviving difficult experiences, they build up certain immunity to hardship. With clarity of thought, they come to realize the importance of both these habits and lifelong learning. But most of all, their goals and aspirations facilitate the development of humility, openness, willingness to take risks, and the capacity to listen.

The very best lifelong learners and leaders I’ve known seem to have high standards, ambitious goals, and a real sense of mission in their lives. Such goals and aspirations spur them on, put their accomplishments in a humbling perspective, and help them endure the short-term pain associated with growth.  Their aspirations help keep them from sliding into a comfortable, safe routine characterized by little sensible risk taking, a relatively closed mind, a minimum of reaching out, and little listening.

Why are we dwelling on this?  Most of the successful white-collar workers in the past hundred years found reputable companies to work for early in life and then moved up narrow functional hierarchies while learning the art of management. This traditional career path did help people learn, but only in narrow functional spheres of influence. One had to grasp more and more knowledge about accounting or engineering, but little else. Most people believe successful 21st century careers will be more dynamic.  People won’t be moving linearly through hierarchies as frequently and fewer and fewer people will be doing the same job the same way over long periods of time. To put this in practical terms, in 1980, the average individual spent 21 years working for the same company. By the year 2000, that statistic was reduced to a maximum of 7 years in any one company. Thus, we will need to be more flexible, adaptable, and master more volatile career paths to reach success. The lifelong learning plan is a mechanism for you to define your pathway to such success in the 21st century health care industry.

Assignment

Please use the outline below to develop and present your plan.  The limit is seven pages (plus any attachments).

MISSION

Why are you doing this?

Develop a plan and specific steps to execute the plan in order to stay current with

developments and issues in both general management and health care administration.

ENVIRONMENT

The time horizon for this exercise is the next ten years (through 2021).

VISION

What is (or will be) the guiding management book that provides the basis for your understanding/approaches/actions as a manager?

What is (or will be) the guiding health care book that provides the basis for your understanding/approaches/actions in the health care arena?

GOALS:  (Limit to 4-6 major goals)

In terms of your learning over the next 10 years, what specific things do you want to be different in this period that will help you stay current and on top of your field?

STRATEGIES

The specific things you will work on to help you achieve each goal.

TACTICS

The specific steps that you will take to achieve each strategy (relatively short- term actions)

MONITORING

How will you know if you are succeeding and achieving expected outcomes?  How will you spot impending failure or the need to adjust either strategies or tactics?

RISK FACTORS

Identify the general environment (e.g., information technology), professional and personal factors that will help/hinder your success with the plan?

What options are available for health information system acquisition?

Many health care leaders struggle with identifying the advantages and/or disadvantages when adopting a new or improving a current health information system. Many organizations are opting out of acquiring a new health information system due to the high monetary cost. Meanwhile, other health care organizations face resistance from employees and other stakeholders over system implementation . Overall, system acquisition is a challenge for most health care leaders.

Review each of the following articles :

  • Managing the data explosion
  • Catholic health partners to acquire Kaiser Permanente Ohio
  • Mergers and acquisitions may be hazardous to health IT

In your discussion post, refer to these articles as you answer the following questions:

    • What are at least three of the barriers faced by health care leaders in adopting health information systems
    • Can these barriers be prevented?  Explain your answer.
    • What options are available for health information system acquisition?
    • What system of checks and balances could be used to eliminate or reduce resistance?
    • How do culture and/or behavioral factors influence acquisition?

How do rights and responsibilities relate to principles of quality in health care?

Please respond to following the question in 100-250 words. Please support ALL posts with outside sources.

 

Advance Directives

When a patient is in a situation where they are not able to make certain health care decisions, advance directives come into play. The best gift you can give your family is to already have these decisions made for them so the fighting is eliminated or at least reduced. I have 2 large families and have been through this more times than I would’ve liked unfortunately. It is one of the most unsettling experiences. I also think we need to change the culture when it comes to these decisions. Every time you get on a plane, you are warned of what to do should it crash. This doesn’t stop anyone from flying.

We need to think about the talk of advance directives the same way. A necessary discussion that hopefully is not needed, but just in case……….They are not foolproof and there will still be conflict and disagreement at times, but it is still better to have something than nothing. The truth is it is impossible to account for every possible situation.

 

Are you aware of the Five Wishes? http://www.agingwithdignity.org/five-wishes.php

 

Death With Dignity/Aid in Dying

We would remiss if we did not discuss the recent case of Brittany Maynard, the 29 year old with terminal glioblastoma (brain cancer) who moved to Oregon before dying to be able to use the law to end her life to benefit her own wishes about choosing to die rather than dying painfully in front of her family. She died earlier this week on her own terms.

 

What are you thoughts about this case? How can we learn from and use this information as health care leaders? What do you think about language choice? People will vote for the option to have “aid in dying” or “death with dignity”, but don’t like “euthanasia”, “suicide” or “mercy killing”. Does language matter? Why or why not? Even the one making the choice may not appreciate the different nuances of language. They may not want to be perceived as having committed suicide.

 

http://www.npr.org/blogs/thetwo-way/2014/11/03/361094919/as-planned-right-to-die-advocate-brittany-maynard-ends-her-life

 

http://www.deathwithdignity.org/advocates/national

 

(Does your state (Mississippi) have a “Death with Dignity” Act?)

 

Hospice as an Ethical issue

Can you explain and support with a reference as to why hospice care is controversial and considered an ethical issue?

 

Patient Rights

 

  1. a) Patient bill of rights

(1) Respect and dignity

(2) Confidentiality

(3) Refuse treatment

(4) Disclosure of financial and other incentives

(5) Information for decision making

(6) Communication

 

  1. b) Informed consent

(1) Scope of consent

(2) Duty to disclose

(3) Special issues – Minors or emergencies

 

  1. c) Emergency care (EMTALA)

(1) EMTALA duty to screen and stabilize

(2) Community call plans (CCP)

(3) Emergency room overcrowding

(4) Disaster and surge planning

We all know patients have rights (many are listed above), but what about the importance of their responsibilities to their health care team? Can you explain one or two? How do rights and responsibilities relate to principles of quality in health care?

 

 

 

What are the ways health care prevention, quality, and reporting have changed under health care reform/Affordable Care Act (ACA)?