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Organizational Leadership C158 Michelle White Western Govenors University

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Organizational Leadership C158 Michelle White Western Govenors University

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  • April 12, 2022
  • 22
  • 2021/2022
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Running head: ORGANIZATIONAL LEADERSHIP C158 1




Organizational Leadership C158

Michelle White

Western Governors University




Organizational Leadership C158

Michelle White

Western Govenors University

,ORGANIZATIONAL LEADERSHIP C158 2


Introduction: Organizational Leadership C158

Healthcare is a multi-faceted system that has many integral parts. A vast understanding

of how the healthcare system is maintained for its clients and staff is of vital importance for those

in leadership roles. Many different avenues in the healthcare industry require organizational

leadership and interprofessional team development in order to gain the knowledge needed to stay

current with the many changes being made in our healthcare system as a whole. Local hospital

administration and leadership teams are just a small part of the huge machine that is the

healthcare industry in this country. They play a huge role in keeping community medical centers

running smoothly, individual hospitals current with all the requirements necessary to keep local

hospitals open and incompliance with state and federal laws.

Business Practices (A)

The organization researched for this project has many policies and procedures in place for

the safety of both its clientele and staff members. This organization has a specific website where

all policies and procedures can be found if there is ever a question regarding the expectations,

requirements and/or reasons behind such rules. Recently, this organization went through a

grueling process and audit in order to keep its DNV Accreditation and surpassed all expectations

from the previous year.

Business practices for this organization make a great effort to focus on patient-centered

care. This organization’s Mission is to provide exceptional care without exception, every patient,

every time. Accreditation for this healthcare system include DNV (under the authority of CMS –

and is compliant with the ISO 9001 Quality Management System), American College of

Surgeons (for the Burn Center and the Adult and Pediatric Trauma Centers) and the American

Burn Association. This healthcare system participates in many quality measurement programs,

, ORGANIZATIONAL LEADERSHIP C158 3


such as, DNV, NDNQI and the AHA. This organization is also requesting nursing applicants to

already have a BSN or be actively enrolled in a BSN program. This facility has policies,

procedures and documentation requirements for full body assessments upon admission to check

for pressure ulcers, CLABSI assessment/documentation guidelines, CAUTI

assessment/documentation guidelines, HAP assessment/documentation guidelines, etc. The

business practices, accreditations and quality care programs this organization is involved in

makes an important statement about its commitment to remain focused and improve on patient-

centered care (mihs.mihsplatform.org.2014).

Regulatory requirements are at the forefront of making patient-centered care the gold

standard in most hospitals. Healthcare organizations who are able to meet these standards of

care are focused on patient safety, satisfaction and excellence in quality of care delivered. The

joint commission is a non-profit organization that accredits and certifies approximately 21,000

healthcare organizations and/or systems in the United States. An organization being accredited

and certified by the joint commission is recognized throughout the nation as being committed to

meeting certain quality performance standards (jointcommission.org.2017). Organizations

participation in the Joint Commission is voluntary, however, Medicare, Medicaid and most other

insurance companies will not reimburse for services rendered if these healthcare systems do not

have these accreditations.

The CMS (Centers for Medicare and Medicaid Services) have a value-based purchasing

system that can either reward or reduce payments to a facility according to standards and quality

of care provided to the patient (cms.gov.2017). Medicare can deny reimbursement to a facility

and/or characterize certain diagnosis as “no-pay” events for hospital acquired infections or other

medical issues the patient did not have prior to admission, such as, HAP, CLABSI, CAUTI or

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