Leaders of health care organizations are face with enormous challenges.

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Leaders of health care organizations are face with enormous challenges. As with other sectors of health care, there are numerous challenges facing ancillary services. As a leader in an ever changing and demanding environment, you must be able to propose solutions and predict probable outcomes. Your proposal(s) must be effectively communicate to staff and organizational leadership.

U.S. Department of Veterans Affairs. (2015). Ancillary Services. Retrieved from https://www.va.gov/healthbenefits/access/ancillary_services.asp

  • Common ancillary services, provided by the U.S. Department of Veterans Affairs (n.d.), are listed below:
  • Respiratory Therapy, Social Work (housing, discharge planning, family support),
  • Speech/Language Pathology (speech, language, voice, fluency, cognition, and swallowing),
  • Traumatic Brain Injury etc

You are a director of a hospital ancillary service unit hospital. You have noticed that your unit is faced with the following three challenges:

  1. Slow adoption to technology
  2. Staff shortage
  3. Poor job satisfaction rates resulting in turnover

You are to write a proposal addressing each of the above challenges. Your proposal should have the following sections:

  1. Background: Select an ancillary service from the above list and provide background on the services provided.
  2. Challenges: State the three challenges and identify how they potential could affect your selected ancillary service unit (be sure to support your position with valid sources).
  3. Solution/Outcome: For each challenge identify one solution and describe the probable outcome.
  4. Scope/Plan: Develop a plan to address these three issues and describe phases/timeframe of your plan.

Knowing scientific management theory as defined as supervising by way of focusing on task accomplishments rather than interpersonal relationships

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Knowing scientific management theory as defined as supervising by way of focusing on task accomplishments rather than interpersonal relationships (Huber 2014). Some routines in health care that seem to be inefficient in regards to scientific management are the overwhelming focus on tasks, the evaluations based on tasks accomplished, and the pressure to join committees to add more tasks to nurses’ duties. A lot of times nurses have trouble tending to the needs of their patients because they are so focused on getting the tasks done so as to not get in trouble. Many times tasks are added to the nurses’ workload making it hard to complete everything on time. This causes incidental overtime which is also greatly frowned upon. Finally, the committees are supposed to be a good thing, allowing nurses to participate in shared governance. The issue arises when the requirements for the committees capitalize on the time the nurse should be working or decompressing from the stress of daily work. Some examples of participative decision-making at the hospital that I work at are unit forums and shared governance council. The unit forums allow for nurses and aides in the unit to meet and discuss issues to resolve amongst themselves. Shared governance councils allow for nurses to meet with administration to discuss issues at the bedside that can only be fixed by administration.

Comment 2

The scientific management theory states that humans are motivated by money, and there should be a separation between managers and workers. The expected result is a dramatic increase in productivity of the workers and profits for the organization. Some of the routines in the health care setting that are inefficient is nurse-to-patient ratio and staff retention. I feel the nurse-to-patient ratios are unsafe as it overloads the nurse and nursing assistants in carrying for high acuity patients with a higher prevalence of medical errors and oversight. When staffing is is done according to census instead of census it creates an unsafe environment for the patients and the staff. Without adequate staffing, patient care is inadequate and the patients suffer. Which in turns causes patient surveys to report negative feedback giving the hospital low numbers.Staff retention is important to ensure there is adequate staff to meet the demands of an aging population with numerous chronic illnesses. When facilities ignore the concerns of staff or do not provide attempt to implement change that benefits the staff and the patients, morale falls and staff leave. When nurses feel their safety and license are in jeopardy, they will seek out a better work environment they feel safe in. The facility I work for currently does annual retention surveys that allow its employees to voice any concerns and share what they feel the facility is doing well or could improve on. The nurses are asked various questions in regards to the leaders and managers they work directly under and whether their needs are being addressed. The facility offers committees that focus on allowing staff to have voice. Some include unit base council for each unit of the facility, committee for staffing concerns and safety committees that focus on sentinel events.

Community Stakeholders: Who Minds the Gate?) HIV/AIDS IN LOW INCOME COMMUNITIES

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In any successful research endeavor, one of the first and most important steps is to define the study population. To survey or collect data on this population, researchers first must have access to individuals within it. However, access is not always guaranteed. In many cases, researchers must identify those in the position of power and seek their approval and buy-in of decisions related to a particular population. In the field of research, these individuals are known as gatekeepers. Crosby, DiClemente, and Salazar (2013) define gatekeepers as “people who are in positions to grant or deny access” (p. 107).

Consider the example scenario in this week’s Introduction regarding the reduction of waterborne illnesses. After the failure of the free shoe program, the organization now decides to investigate the feasibility of implementing a more hygienic set of latrines in a local school that serves hundreds of children. Who might be the gatekeepers in this situation? The school principal? The owners of the local water supply? Once these gatekeepers have been identified, what are the next steps in terms of gaining buy-in from them?

For this week’s Assignment, review the Learning Resources. Consider why certain individuals are gatekeepers and need to be involved in program planning and interventions.

Assignment:

Paper: 2 PAGES APA NOT INCLUDING REF

For the community plan intervention you selected for your Final Project, identify potential gatekeepers and provide a rationale for why you chose them. In the paper, explain the following: USE SUBHEADINGS

  • 1)Who are the informal and formal gatekeepers in the community? Provide a rationale for your answer that includes how and why you identified these gatekeepers.
  • 2)What are the next steps for gaining buy-in from these gatekeepers, and why? Provide a rationale for your answer.

Creating a Flowchart

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Creating a Flowchart

Workflow analysis aims to determine workflow patterns that maximize the effective use of resources and minimize activities that do not add value. There are a variety of tools that can be used to analyze the workflow of processes and clarify potential avenues for eliminating waste. Flowcharts are a basic and commonly used workflow analysis method that can help highlight areas in need of streamlining.

In this Assignment, you select a common event that occurs regularly in your organization and create a flowchart representing the workflow. You analyze the process you have diagrammed and propose changes for improvement.

To prepare:

  • Identify a common, simple event that frequently occurs in your organization that you would like to evaluate.
  • Consider how you would design a flowchart to represent the current workflow.
  • Consider what metrics you would use to determine the effectiveness of the current workflow and identify areas of waste.

To complete:

Write a 3- to 5-page paper which includes the following:

  • Create a simple flowchart of the activity you selected. (Review the Sample Workflow of Answering a Telephone in an Office document found in this week’s Learning Resources for an example.)
  • Next, in your paper:
    • Explain the process you have diagrammed.
    • For each step or decision point in the process, identify the following:
      • Who does this step? (It can be several people.)
      • What technology is used?
      • What policies and rules are involved in determining how, when, why, or where the step is executed?
      • What information is needed for the execution of this step?
    • Describe the metric that is currently used to measure the soundness of the workflow. Is it effective?
    • Describe any areas where improvements could occur and propose changes that could bring about these improvements in the workflow.
    • Summarize why it is important to be aware of the flow of an activity.
  • Remember to include a cover page, introduction, and summary for your paper.