2 part assignment-$60 (healthcare administration)/ graduate school

!!!PLEASE READ ABOUT THE HEALTHCARE ORGANIZATION BELOW BEFORE STARTING ASSIGNMENT!!!!

Healthcare Organization

In this assignment, a non-profit organization that aims to promote care for patients with hypertension and diabetes will be created. The type of organization created is a specialized healthcare center that promotes the provision of effective healthcare services to patients who suffer from diabetes and hypertension. Additionally, the organization will create awareness about the conditions that may increase the risk of an individual contracting the two diseases. The name of the healthcare facility will be ‘Preventative Care Clinic.’

The facility mission will be “to increase the quality of life for the people battling diabetes and hypertension by providing high-quality patient-centered care to them as well as educating the population on the best ways that may be used to prevent oneself from suffering from the two illnesses.” The vision of the facility will be “to create an environment where the people with diabetes and hypertension can access care services regardless of their level of income.”

‘Preventative Care Clinic’ aims to identify the victims of diabetes and hypertension and provide them with the appropriate care that is needed as well as availing the necessary resources to them. By doing this, the clinic will promote the increase of the quality of life among the individuals who have diabetes and hypertension. Hypertension and diabetes are some of the lifestyle diseases that are increasing at a higher rate daily. Thus, by promoting effective care to the people who have illnesses, the health outcomes of the population will be promoted. 

The healthcare facility will offer services such as identifying individuals with diabetes and hypertension and providing effective care to them by addressing their individual needs, providing nutritional counseling, providing eye, foot, and skin care to patients, Medicare care, promoting patient’s awareness on managing medical interventions and ensuring the utilization of coping mechanisms for chronic illnesses. Preventative Care Clinic will be located in Austin, Texas due to Texas being one of the states in the U.S. with the lowest standards of healthcare services. Additionally, Texas has a high percentage rate of uninsured and underinsured residents, therefore, locating the healthcare facility in the location will ensure that many residents have access to the healthcare facility. Preventative Care Clinic will be medium-sized healthcare facility which will enable the facility to attend and service more patients in the location. The approximate number of employees that will be required will be 350. 

Data Examination

As indicated above, the healthcare facility will be located in Austin, Texas. The city has a total population of 978,908 (City Data, n.d.). In the population of Austin, 99% of the population is in the urban area while only 1% is in the rural area. The proportion of the male population is 50.6% which is 495,694 people (City Data, n.d.). On the other hand, the female population of 483,214 makes up 49.4 % of the population in the city. The median age of the residents in Austin is 33.9 years (City Data, n.d.). The estimated household income in the city is $75,413 whereas the per capita income as of 2019 was $46,217. The estimated median house value is $378,300. In Austin, the population of Whites is 477,668, the population of Hispanics is 318,016, the population of Asian is 79,536, the population of African Americans is 72,334, the population of American Indians is 2,796 whereas the rest of the races constitutes 1,260 people (City Data, n.d.). 

Texas has one of the worst healthcare systems in the United States. Considering that Austin is the capital city of the state, it is assumed to have better health facilities, however, the healthcare facilities are below average in comparison to the data on healthcare facilities in the rest of the United States. The state of a high number of uninsured and underinsured people, tough Medicaid regulations, and lack of quality healthcare services providence to the patients that has resulted in some of the highest rates of disease and death. Texas is ranked the fourth last state in the United States to have poor healthcare facilities by the National Healthcare Quality and Disparities Report (Callaghan et al., 2019. 

Some of the common medical conditions in Austin include cancer, heart disease, chronic lung disease, hypertension, stroke, diabetes, and obesity (Callaghan et al., 2019). Unfortunately, these medical conditions are some of the most expensive preventable chronic illnesses in Austin. As a result, ‘Preventative Care Clinic’ has chosen to concentrate on the provision of care to diabetes and hypertension patients due to these chronic illnesses having the possibility to result in other detrimental illnesses if not well controlled. Additionally, since the healthcare industry in Austin is poor and with a high uninsured rate of people, the healthcare facility, ‘Preventative Care Clinic’, is fit for this location to provide high-quality healthcare services at very affordable rates to the low-income earners (Callaghan et al., 2019). 

Some of the types of healthcare facilities located in Austin, Texas include hospitals, outpatient clinics, hospices, long-term care facilities, specialized care centers, and outpatient care centers (Callaghan et al., 2019). Some the healthcare facilities that are located in Austin include Austin Surgical Hospital, Dell Children’s Medical Center of Central Texas, Scoot & White Hospital, St. David’s Medical Center, Cedar Park Regional Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center Austin, and University Medical Center Brackenridge (Travis County Health and Human Services Department, 2016). 

‘Preventative Care Clinic’ will be different from the other healthcare facilities in the area as it will focus on the providence of diabetes and hypertension care to its patients. Additionally, the healthcare facility will be a non-profit healthcare facility thus indicating that it will charge very low and affordable prices to its patients. Moreover, residents identifying as low-income families and those that are uninsured and underinsured will be qualified to access the offered healthcare services that will be provided in the healthcare facility. 

Organization Dynamics and Structure

The healthcare facility will have a managerial team and a board of managers. The c-level executives and the departmental managers will be employed based on their merit. Being employed based on merits indicates that individuals with a lot of experience will be hired to fill the positions because such individuals will ensure that the healthcare facility is successful. Since Preventative Care Clinic is a non-profit healthcare facility, it is essential to ensure that the managers are effective with ensuring that the amount charged to the clients is enough to cater for the running costs. Alternatively, managers should pitch the aim of the organization to non-governmental organizations to acquire the funding that will enable the healthcare facility to cater to the low-income earners that are underinsured (Mick and Shay, 2014). 

The healthcare facility will have several departments including the pharmacy department, finance department, human resource department, research department, outpatient department, inpatient department, physical medicine and rehabilitation department, counseling department, and medical department. The governing board of the healthcare facility will consist of people who have a plethora of experience in the healthcare industry and the required education. The board will consist of members with managerial backgrounds, financial backgrounds as well as healthcare backgrounds. 

Measures to maintain diversity and cultural competence will be formulated. Since the healthcare facility will have people from various cultural backgrounds, the employees at the healthcare facility will be needed to follow the stipulated strategies that will be used to ensure that diversity is maintained (Henderson et al., 2018). Some of the strategies will be the promotion of effective communication and collaboration, encouraging feedback, and focusing on attaining the objectives of the healthcare facility such as promoting patient-centered care and patient safety (Borkowski, 2016).

Teamwork will be promoted in this healthcare facility and a visionary management style will be used in managing the healthcare facility. The process management theory will be used to influence organizational behavior (Bratton & Gold, 2017). The theory is utilized to increase the efficacy and efficiency of the processes that will be involved in the healthcare facility. The theory will also be utilized to ensure that the objectives of the healthcare facility are achieved. The target market of the healthcare facility will be individuals that have diabetes and hypertension residing in the Austin, Texas area. The healthcare facility will also target to serve the patients with diabetes and hypertension in the towns surrounding Austin. There are no special needs that will be required for the patients in ordered to be serviced in Preventative Care Clinic. Individuals of all genders and ethnicities will be treated and be provided with quality and patient-centered care while in Preventative Care Clinic. 

Recommendations and Conclusion

In a nutshell, the healthcare facility will provide care services for individuals with diabetes and hypertension in the city of Austin, Texas, and the surrounding regions. Currently, there are not specialized care healthcare facilities catering to patients with diabetes and hypertension in the area. Since the level of healthcare in Texas is low, the healthcare facility will come to revolutionize the story. One of the recommendations that may be given is to seek funding from non-governmental organizations. 

By seeking funding from non-governmental organizations will ensure that the healthcare facility can provide healthcare services to the patients with diabetes and hypertension that come from low-income earning families. Another recommendation would be to increase the conditions that the healthcare facility will provide care for by including other chronic illnesses such as cardiovascular illnesses in order to maximize possible funding. 

References

Borkowski, N. (2016). Chapter 1: Overview and history of organizational behavior. In Organizational behavior in health care (3rd ed.). Jones and Bartlett Learning: Burlington, MA. Retrieved from the Trident Online Library.

Bratton, J., & Gold, J. (2017). Human resource management: theory and practice. Palgrave.

Callaghan, T., Washburn, D. J., Nimmons, K., Duchicela, D., Gurram, A., & Burdine, J. (2019). Immigrant health access in Texas: policy, rhetoric, and fear in the Trump era. BMC health services research, 19(1), 1-8.

City Data. (n.d.). Austin, Texas (TX) profile: Population, maps, real estate, averages, homes, statistics, relocation, travel, jobs, hospitals, schools, crime, moving, houses, news, sex offenders. City-Data.com – Stats about all US cities – real estate, relocation info, crime, house prices, cost of living, races, home value estimator, recent sales, income, photos, schools, maps, weather, neighborhoods, and more. https://www.city-data.com/city/Austin-Texas.html

Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in the community: A concept analysis. Health & Social Care in the Community, 26(4), 590–603. doi: 10.1111/hsc.12556. Retrieved from the Trident Online Library.

Mick, S. S., & Shay, P. D. (2014). Chapter 2: A primer of organizational theories in health care. In Advances in health care organization theory (2nd ed.). John Wiley & Sons: San Francisco, CA. Retrieved from the Trident Online Library.

Travis County Health and Human Services Department. (2016). CHRONIC DISEASE IN AUSTIN/TRAVIS COUNTY. AustinTexas.gov. https://www.austintexas.gov/sites/default/files/files/Health/Chronic_Disease/Chronic_Disease_in_Travis_County___cover.pdf

Case Assignment:

Using the information from the reading above, please extend your paper by answering the questions below. 

1. Health Care Delivery and Models
   1. Categorize the organization as an MCO or ACO.
      1. Provide a rationale for the categorization.
   2. Provide a comprehensive explanation of services that will be offered by the organization/facility. Note: Services offered should meet the needs of the population identified and the dynamics of the organization/facility.
      1. Inpatient, outpatient, and/or ancillary services.
      2. Include E-Health Services.
   3. Prepare a map detailing the delivery of care (services) in the organization/facility. (See Burton, 2017, for a sample map.)
      1. Interpret and provide an explanation of the map you prepare.
2. Information Systems
   1. Describe the systems used in the organization/facility that will manage health care data.
      1. How will information be collected, stored, and managed?
      2. Identify standards, policies, and security measures used.
      3. Explain how the organization/facility will promote interoperability.
3. Operations Management
   1. Construct and explain a simple organizational chart outlining the staffing and reporting relationships within your organization (How to Create an Organization Chart).
   2. Create and explain a general strategy map (pg. 86 of McLaughlin & Olson, 2017) for your organization.
   3. Using the Operational Excellence Scale provided by McLaughlin & Olson (2017, pp. 405-406), rationalize in detail the operational tools your organization/facility will use be a “level 4” organization.
4. Quality Assurance & Accreditation
   1. Rationalize specifically how the 6 domains of Health Care Quality (by the AHRQ) are fully addressed within the organization/facility.
   2. Create a detailed risk management and patient safety plan for the organization/facility.
   3. Identify and explain two leading methods of continuous quality improvement (Plan-Do-Study-Act, Rapid Cycle Improvement, FOCUS-PCDA, Lean, Six Sigma, and/or the FADE Model) that will be used in the organization/facility.
      1. Rationalize how the methods will be used to ensure that quality and safety are kept at/above the safety rating of major hospitals in the area of the organization/facility.
      2. You may use the following source to find the Leapfrog Hospital Safety grade for hospitals in your area: https://www.hospitalsafetygrade.org/
   4. Assume the new organization/faciality is seeking Joint Commission (https://www.jointcommission.org/en/) accreditation. Identify and explain the major competencies this will require from management and staff.
5. Conclusions and Recommendations
   1. Bring this section to a close and provide 2 or 3 recommendations for your organization based on the information researched and identified.

REQUIRED READINGS:

Agency for Healthcare Research and Quality. (n.d.). Six domains of health care quality. Retrieved from https://www.ahrq.gov/talkingquality/measures/six-domains.html

Bauer, G. (2018). Delivering value-based care with e-health services. ACHE. Retrieved from https://www.ache.org/-/media/ache/about-ache/covid/hap/deliveringvaluebasedcarewithehealthservices5.pdf

Burton, D. A. (2017). The anatomy of healthcare delivery model: How a systematic approach can transform care delivery. Retrieved from https://downloads.healthcatalyst.com/wp-content/uploads/2014/06/anatomy-of-healthcare-delivery.pdf

Note: The image used is Figure 2 on page 4 of the PDF.

McLaughlin, D. B. & Olson, J. R. (2017). Chapter 4: Strategy and the balanced scorecard. Healthcare Operations Management (3rd ed.). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library.

McLaughlin, D. B. & Olson, J. R. (2017). Chapter 15: Holding gains. Healthcare Operations Management(3rd ed.). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library.

Clark, J. S. (2010). Data analysis in health care compliance programs. Journal of Health Care Compliance, 12(3), 39-40,70-71. Retrieved from the Trident Online Library.

Shi, L., & Singh, D. A. (2017). Chapter 1: Major characteristics of U.S. health care delivery. In Essentials of the U.S. health care system (4th ed). Burlington, MA: Jones & Bartlett Learning. Retrieved from the Trident Online Library

Shi, L., & Singh, D. A. (2017). Chapter 2: Foundations of U.S. health care delivery. In Essentials of the U.S. health care system (4th ed). Burlington, MA: Jones & Bartlett Learning. Retrieved from the Trident Online Library

Optional Reading

Clarke, J., Bourn, S., Skoufalos, A., Beck, E.H., & Castillo, D.J. (2017). An innovative approach to health care delivery for patients with chronic conditions. Population Health Management, 20(1):23–30. doi:10.1089/pop.2016.0076. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5278805/#__ffn_sect

Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your analysis.
2. CRITICAL THINKING SKILLS NEED TO BE UTILIZED
3. CITE EVERY FACT
4. Case papers should be at least 5 pages, not including the title and reference pages. 
5. Support your paper with peer-reviewed articles with at least 5 references.
   Use the following link for additional information on how to recognize peer-reviewed journals:
6. You may use the following source to assist in formatting your assignment:
7. For additional information on reliability of sources, review the following source:

POWERPOINT Expectations (PART 2)

The intent of the PowerPoint presentation is for you to transform the theoretical and general aspects, from the case assignment above, to a “Board-meeting” presentation. The PowerPoint will demonstrate the culmination of your understanding and your ability to identify the key points of your case work and transform them into relevant slides utilizing Microsoft PowerPoint (PPT) software.

1.  Conduct additional research to gather sufficient information to justify/support your analysis.

2.  The PPT should be at least 10 slides, not including the title and reference pages.

3.  DO NOT COPY AND PASTE SLIDE CONTENT IN THE NOTE SECTION. The note section of EACH SLIDE should be an extemporaneous discussion of your material, with your slides simply providing highlights.