1. Opportunities and Challenges in a Healthcare Setting HCM 462 Carlene Cox-Perone December 1, 2005

2. Our Mission, Vision and Values Our Mission Is … to provide compassionate quality health care. Our Vision Is … to be a regional health care system recognized and chosen for compassion, trust, innovation and excellence.Our Vision Is … to be a regional health care system recognized and chosen for compassion, trust, innovation and excellence. Our Values Are... Compassion Trust Innovation ExcellenceOur Values Are... Compassion Trust Innovation Excellence

3. Organization We are a not-for-profit organization able to provide several new services for the community, including open-heart surgery, a Level II neonatal intermediate care unit and enhanced cancer services. Our primary service area is a six-county region. Behavioral HealthBehavioral HealthBehavioral HealthBehavioral Health LaboratoryCommunityLaboratoryCommunityLaboratoryCommunityLaboratoryCommunity Education Medical and Surgical Care Education Medical and Surgical Care Education Medical and Surgical Care Education Medical and Surgical Care Complementary MedicineComplementary MedicineComplementary MedicineComplementary Medicine Occupational HealthOccupational HealthOccupational HealthOccupational Health Critical CareCritical CareCritical CareCritical Care Rehabilitation ServicesRehabilitation ServicesRehabilitation ServicesRehabilitation Services Emergency ServicesEmergency ServicesEmergency ServicesEmergency Services Respiratory Health ServicesRespiratory Health ServicesRespiratory Health ServicesRespiratory Health Services HomeCareHomeCareHomeCare Sleep DisordersSleep DisordersSleep DisordersSleep Disorders Hospice & Palliative CareHospice & Palliative CareHospice & Palliative CareHospice & Palliative Care Surgical ServicesSurgical ServicesSurgical ServicesSurgical Services Imaging ServicesImaging ServicesImaging ServicesImaging Services Wound Management CenterWound Management CenterWound Management CenterWound Management Center

4. Organizational Challenges The traditional structure in healthcare is being challenged from every direction.The traditional structure in healthcare is being challenged from every direction. Customer demands mean organizations must respond faster.Customer demands mean organizations must respond faster. New technology provides both challenges and opportunities.New technology provides both challenges and opportunities. Competition has an ever increasing global dimensionCompetition has an ever increasing global dimension

5. Management Oversight Emergency Medicine:Emergency Medicine: Emergency Departments provide expert treatment for adults and children.Emergency Departments provide expert treatment for adults and children. Triage is a brief clinical assessment that determines the time and sequence in which patients should be seen in the ED or, if in the field, the speed of transport and choice of hospital destination.Triage is a brief clinical assessment that determines the time and sequence in which patients should be seen in the ED or, if in the field, the speed of transport and choice of hospital destination. Cancer Services: Structure and Processes; Physical Aspects of Care; Psychological and Psychiatric Aspects of Care; Social Aspects of Care; Spiritual, Religious and Existential Aspects of Care; Cultural Aspects of Care; Care of the Imminently Dying Patient; and Ethical and Legal Aspects of Care.

6. Human Resources Managers need to provide structure for organizing and ensuring delivery of specific strategies developed in line with the Mission, Vision, and Values of the organization.Managers need to provide structure for organizing and ensuring delivery of specific strategies developed in line with the Mission, Vision, and Values of the organization. Ensure fair and equitable workloads, scheduling flexibility, competitive compensation, recruitment/retention programs.Ensure fair and equitable workloads, scheduling flexibility, competitive compensation, recruitment/retention programs. Managers will serve as role models, set priorities, and set improvement goals/standardsManagers will serve as role models, set priorities, and set improvement goals/standards

7. Communication Leadership oversight will include:Leadership oversight will include: Safety/SecuritySafety/Security Staff Education & DevelopmentStaff Education & Development Goal SettingGoal Setting Budget/Financial planningBudget/Financial planning Monthly department meetings with staffMonthly department meetings with staff

8. Employee Satisfaction Overall job satisfactionOverall job satisfaction Coworker performance/cooperationCoworker performance/cooperation Teamwork and participationTeamwork and participation Supervisor guidanceSupervisor guidance Communication formatsCommunication formats Physical working conditionsPhysical working conditions Mission/strategy developmentMission/strategy development Job StressJob Stress Training & DevelopmentTraining & Development Educational OpportunitiesEducational Opportunities

9. Cancer Services · Cancer development · Diagnosis and treatment · Side effects · New research · Communication · Emotions · Sexuality · Self-esteem · Community resources· Cancer development · Diagnosis and treatment · Side effects · New research · Communication · Emotions · Sexuality · Self-esteem · Community resources

10. Emergency Department Emergency departments in public hospitals save lives and prevent serious disabilities.Emergency departments in public hospitals save lives and prevent serious disabilities. Emergency departments are primarily set up to help people who are experiencing a medical emergency that is life threatening or could cause serious disability. For a variety of reasons, they can also treat a range of other patients. But everyone understands that the priority is to treat patients who have the most urgent medical needs.Emergency departments are primarily set up to help people who are experiencing a medical emergency that is life threatening or could cause serious disability. For a variety of reasons, they can also treat a range of other patients. But everyone understands that the priority is to treat patients who have the most urgent medical needs.

11. Quality Indicators Oversight and implementation of unit based clinical quality indicatorsOversight and implementation of unit based clinical quality indicators 100% compliance on all indicators in chart review process100% compliance on all indicators in chart review process 95% of all customers give rating of above average to outstanding in their overall satisfaction of department.95% of all customers give rating of above average to outstanding in their overall satisfaction of department.

12. References: http://www.jcaho.org/http://www.jcaho.org/http://www.jcaho.org/ http://www.acoem.org/http://www.acoem.org/http://www.acoem.org/ http://www.cms.hhs.gov/provider s/emtala/scletters.asphttp://www.cms.hhs.gov/provider s/emtala/scletters.asphttp://www.cms.hhs.gov/provider s/emtala/scletters.asphttp://www.cms.hhs.gov/provider s/emtala/scletters.asp