The organization that I have chosen is a hospital. A hospital is an organization providing treatment for patients with a staff and equipment specific for that hospital. The most common and most known type of hospital is the general hospital which has an ER for the major emergencies. . A district hospital is the major health care facility in its region, with large numbers of beds for intensive care long-term care.
Specialized hospitals include trauma centers, rehabilitation hospitals, children’s hospitals, seniors’ hospitals, and hospitals for dealing with specific medical needs such as psychiatric problems, and certain disease categories. Purpose of risk and quality management Risk and quality management are vital to operating any kind of organization, but more so when dealing with an organization such as a hospital. Dealing with the lives and wellbeing of others is a huge responsibility. Some hospitals deal with more areas of services than others.
Take John Muir Health for example, they provide a vast amount of services that range from primary care, emergency care, urgent care, rehabilitation, cancer treatment, children’s care, medical imaging, and more (John Muir Health, 2013). Of these areas of service require risk and quality management assessment. Other areas that do not always come to mind when thinking of risk and quality in a hospital include not only what goes on in the background such as, the IT departments but also what is right in front of the patients the moment they walk into the hospital.
These services include the maintenance crew, the retail shops, parking garage, and the cafeteria area. In a hospital the purpose of risk management is to ensure both the safety of their patients 3 and their staff as well as protecting the interest of the hospital (http://www. jacksonvilleu. com, 2013). On the other hand the purpose of quality management in a hospital is to ensure that certain standards are met when delivering care to patients and the same goes for the work environment that the staff is placed in. Steps the organization may take to identify and manage their risks There are various concepts of risk management in hospitals.
One of the key concepts of risk management in a hospital is to deal with and reduce malpractice suits. Others key concepts are to identify and evaluate risk, which include the risk of the patients, staff and the hospitals assets (http://www. jacksonvilleu. com, 2013). The key concepts of quality for both the staff, and patients in a hospital are to ensure that things are done in a timely manner, example being that patients are waiting an excess amount of time in the waiting room to be seen by their physician. Other key concepts are to ensure that the care being provided is equitable, which ensures that patients are being treated equally regardless of the gender, ethnicity, or religion.
Making sure that staff is being efficient with their time and supplies are also a key concept of quality management in a hospital (DesHarnais, 2013). Risks in the organization Risk in a hospital setting and various other organizational settings is something that are ongoing, the moment a problem risk is identified is the moment another may begin to arise. One step in identifying a risk is to assess what is being performed and what could go wrong with that activity. Once that is done the staff needs to be aware of these possible risks and taught how to 4 handle them appropriately.
Everything needs to be thoroughly documented as well. Once the risks are identified in order to manage them the staff needs to be prepared to follow up with the protocols put into place to ensure that problems brought by the risks do not arise. Finally the assigned risk management team needs to constantly analyze and check the progress of the risks (Roney, 2012). Internal and external factors that influence quality outcomes in a hospital Time, time amount of time spent in a hospital is one of the first things that a patient thinks of when asked what quality of care the patient received.
When a patient makes an appointment to see a physician they expect to be seen at that designated time. Especially, if it is an appointment set weeks to months in advanced. If a patient is seen beyond the time they were given they may feel as though the quality of care they receive is low. An external factor that influences the quality of a hospital is monetary investors and stockholders. Investors and stockholders in a hospital have a great deal of influence on quality of a hospital.
They want to make sure that their money is safe and that the hospital is following all protocols to ensure that they minimize any risk’s that may affect the quality of care given to patients. If a hospital begins to give poor quality to its patients investors will not want to invest more money into a hospital that patients are not likely to go to. Lastly accreditation organizations such as The Joint Commission have an influence on the quality outcomes of a hospital. Without accreditation from The Joint Commission a hospital does not get paid for treatments and care given to those on programs such as Medical. Long term goals and short term goals 5 Long-term and short-term goals vary for individual hospitals.
However, most do share the same idea of what their goals are. A few of John Muir’s long-term goals are, “Partnering with physicians to strengthen both the Health System and physicians in our unified purpose to improve the delivery of care”, and “Building alliances that create health communities” (John Muir Health, 2013). A short-term goal that a hospital may have is to reduce the amount of HAI’s from the previous year. If one-year the hospital had a high amount of malpractice suits their short term goal for the next may be to reduce that amount, also to reduce the amount of money being spent on supplies.
Fundamental risks and quality management that should be implemented and how they will influence health outcomes. One risk that a hospital may face is Hospital Associated Infections (HAI). HAI generally occur when a patient’s stay for extended amount of time, the physicians don’t use proper hand washing techniques or medical procedures and so on. This type of risk affects the quality of care to a patient directly. It generally means that the physician or staff may not have followed proper protocol in ensuring the patients safety (Betterhealth.gov. au, 2011).
Another risk that hospitals take is patients who do not pay. In 1986 The Emergency Medical Treatment and Labor Act (EMTALA) was passed, which in short states that emergency rooms have to stabilize and treat anyone who goes into an emergency room regardless if they have insurance or can’t pay (American College of Emergency Physicians, 2013). This also affects the quality of care given to those patients because the emergency rooms are required to only do the minimum to stabilize the patients. A third risk in a hospital is medication errors.
These occur when either the pharmacist can’t read a physician’s hand writing on a prescription, or the physician does not know the 6 patients medication history and so on. The quality outcome of the patient’s wellbeing is affected in this risk. Relationship between risk management and quality management The most important factor in both risk management and quality management is the patient and staff. They both share the goal to ensure the satisfaction and safety of them.
It would be extremely difficult for either one to function if the other did not. If a physician or his staff is unaware of a possible risk that may occur and it happens the quality of care for the patient is then compromised. Policies that should be included for risk management would be to implement both a risk analysis system and a risk control system. The risk analysis system should assess, and evaluate the risk so that it can then be reduced. While the risk control system should monitor the risk and create a report so that you can see how the implementations are working. Another policy to be put into place for risk management would be to implement a system or team that works on foreseeing what risks may occur and focus on their prevention.
As for quality management conducting both patient and staff satisfaction surveys should be implemented. Along with a policy that insures that all staff is properly trained to ensure the quality of patients. This staff should include any staff who the patient may have contact with ranging from security, receptionist, to physician. 7
- EMTALA. Retrieved from http://www. acep. org/content. aspx? id=25936
- Infections in hospital – reduce the risk. Retrieved from http://www. betterhealth. vic. gov. au/bhcv2/bhcarticles. nsf/pages/infections_in_hospital_reduce_th e_risk? open
- Continuous Quality Improvement In Health Care (4th ed. ). Sudbury, MA: Jones and Bartlett. John Muir Health Services. Retrieved from – http://www. johnmuirhealth. com/services. html 7
- Steps for Hospitals to Run Effective HIPAA Risk Assessments. Retrieved from – http://www. beckershospitalreview. com/healthcare-information-technology/7-steps-for-hospitals- to-run-effective-hipaa-risk-assessments. html
- Healthcare Risk Management: Minimizing Liabilities and Ensuring Quality Patient Care. Retrieved from – http://www. jacksonvilleu. com/nursing-degree-resources/healthcare-risk- management.