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Week 5 Drivers of High-Performance Healthcare Systems In this country, health care reform continues to grow, but we have seen confusion about what high performance healthcare system composed of. Because of innovation in healthcare quality and advancing hi
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Week 5 Drivers of High-Performance Healthcare Systems
In this country, health care reform continues to grow, but we have seen confusion about what high performance healthcare system composed of. Because of innovation in healthcare quality and advancing high performance in healthcare, American Medi...
week 5 drivers of high performance healthcare systems in this country
health care reform continues to grow
but we have seen confusion about what high performance healthcare system composed of becau
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Drivers of High-Performance Healthcare Syst
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Week 5 Drivers of High-Performance Healthcare Systems
In this country, health care reform continues to grow, but we have seen confusion about
what high performance healthcare system composed of. Because of innovation in healthcare
quality and advancing high performance in healthcare, American Medical Group Association
(AMGA) took the stand to be the leader to educate legislators, public and issuers regarding the
unique qualities of this system and to help healthcare organizations to improve their patient care
(Wylie, Crilly, Toloo, Fitzgerald, Burke, Williams & Bell, 2015). According to Wylie et al.,
(2015), high-performing healthcare system is defined as an entity that provides efficient
provision of services, organized system of care, Quality Measurement and Improvement
Activities, Care Coordination, Use of Information Technology and Evidence-based Medicine,
and Accountability.
I think that quality and cost are relatively two very important drivers that could affect the
high-performance healthcare system, which are present in my current workplace. For instance,
Shortage in nursing have been a talk and an ongoing issue that is seen in the last decade within
the nursing profession. It seems that in my nursing department, we constantly experience short
staffing from time to time (not cost effective because we tend to use agency nurses which are
paid higher than regular staff). Often, I would, or other coworkers would come in just to help out
because of short staffing (over time, which is another budget issue). Because of this costly
staffing issue, the management became tighter on nurse patient ratio leading to unsafe patient
care, staff burned out, decrease patient satisfaction and decrease employees job satisfaction
(causing them to leave their job). I honestly often experience short staffing since I started
working as a Rehab Registered Nurse (RN), it is difficult because of increased nurse patient
, ratio. Having increased patient ratio leads to poor quality of patient care which leads to poor
patient outcomes (Morrison, 2014).
According to Wylie et al., (2015), the survey showed ten (10) percent do not believe that
health care organization cost-containment negatively affects the quality of care, while eighty (80)
percent believe that the cost-containment negatively affects the patient quality of care. This
survey was conducted in one of hospital’s medical surgical floor in Australia. This article relates
to my current workplace, it seems that the focus of my department is all about the number of
patient and not the actual patient care while the organization or the management continue to
expect excellent customer service. It is expected by the management to provide high quality of
care even with short staffing or inappropriate nurse patient ratio due to organizations cost-
containment practice. I believe that if issue such as high nurse patient ratio and short staffing
continued it will lead to patient harm which may lead to patient’s death. Therefore, every
employer needs to assess the issue of short staffing and their cost-containment practice to
develop an action plan to stop the unsafe staffing and nurse patient ratio within my current work
place. According to Morrison (2014) appropriate nurse patient ratio promotes safe and high
quality of patient care.
Reference
Morrison, G. (2014). Cost containment project - Final report. Journal For Healthcare Quality, 7(3), 15.
doi:10.1097/01445442-198507000-00014
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