Healthcare Organization Analysis
Healthcare Organization Selected
The healthcare organization selected for this analysis is Tallahassee Memorial Healthcare. The facility is located at 1300 Miccosukee Rd, Tallahassee, FL 32308.
Reasons for Choosing Tallahassee Memorial Healthcare
I chose Tallahassee Memorial Healthcare because it has played a significant role in shaping my nursing career. I have worked at this facility three times – I first trained in the labor and delivery unit and later continued my labor and delivery career at the same facility for 15 years. The hospital is widely known for its long-standing tradition of providing high-quality treatment. Overall, I chose this facility because it offers its care providers opportunities for personal and professional growth.
Overview of Tallahassee Memorial Healthcare
Tallahassee Memorial Healthcare (TMH) is one of the widely known health facilities in Tallahassee, FL. The facility was founded back in 1948 to provide care for the injured and the sick (Graham & Fleet, 2020). According to the ADH website, TMH is a trauma center and level 2 type of facility. The facility is renowned for providing high-quality services such as emergency care, rehabilitation, orthopedic, oncology, cardiovascular, special care, neurosciences, and wound care. In addition to this, it offers various preventive services including highly-rated imaging and diagnostic tests.
Type of Control
Tallahassee Memorial Healthcare is a not-for-profit facility also known as a non-profit facility or FNP. According to the Internal Revenue Service (IRS), these types of facilities qualify as charities, which explains why they are exempted from paying property tax as well as state or federal income tax (Erivan et al., 2022). In return, the not-for-profit facilities are required to occasionally distribute any additional funds back into their immediate communities by initiating different projects.
Overall Facility Star Rating
Tallahassee Memorial Healthcare has an overall star rating of one. This type of rating, as explicated by the Care Compare website, is based on how the hospital performs across various areas of quality such as treating heart attacks and pneumonia, safety care, and readmission rates. In essence, the rating of between 1 to 5 stars is based on different measures across the aforementioned areas. The star indicates how each facility performs on a given set of quality measures when compared to other hospitals within the U.S. This means that the better the hospital performs on the different quality measures, the more stars it is likely to get. However, some new or small facilities may not be eligible for an overall rating in the event they fail to report data on all standards.
Credible Additional Source
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is a good example of a credible source on healthcare organizations. JCAHO is a non-profit organization that accredits up to 20,000 healthcare organizations and other related programs in the U.S. (Who we are- The Joint Commission 2022). One of the basic objectives of the Joint Commission is to continue improving and, at the same time, enhancing the quality and safety of healthcare delivery across the U.S.
Two Organizational Ethics
The two organizational ethics of this type of facility and control (non-for-profit) are honesty and integrity. On one hand, integrity is necessary in non-profit facilities because the healthcare providers often interact with patients and community members. On the other hand, honesty is a two-path process – for both the patients and medical professionals. As for the patients, it is imperative to be honest with their medications to prevent any possible life-threatening situation. A good example here is where the patient is cautious when mixing some medications to limit the chances of adverse reactions. As for medical professionals, being honest and open with patients plays an important role in improving their outcomes – they are free to take part in their care.
Nurse’s Role in Fiscal Responsibility
The nurse’s role in fiscal responsibility for this type of organization revolves around assisting the facility in its effort to reduce unnecessary expenses while, at the same time, continue providing high-quality patient care. For instance, nurse managers can oversee the budgets of their respective units by determining the unit’s revenue against the overall cost of supplies and staffing (Ludwig-Beymer et al., 2022). Similarly, the floor unit has an important role in ensuring accurate use of unit medications to eschew waste.
Healthcare Organization Change
Value-based care, for clarity, strives to improve healthcare quality for patients. In essence, value-based care offered by all clinicians will impact positively patients’ outcomes. Therefore, the one organizational change that would help improve value-based care is effective communication among care providers. This can eliminate costly patient care overlaps (Who We Are- The Joint Commission 2022). More importantly, effective communication may translate to timely diagnosis as well as reducing disease severity.
Comparison of Financial Structures
The other healthcare facility that will be used for comparison is HCA Florida Capital Hospital. The two hospitals, HCA Florida Capital Hospital and Tallahassee Memorial Healthcare, are not-for-profit which implies that they do not make profits for partners or shareholders. According to the American Hospital Directory website, these two facilities profit mainly from both gross patient and non-patient revenues. On one hand, the gross patient and nonpatient revenue for Tallahassee Memorial Healthcare were $ 3,687,189,419 and $ 31,400,952 respectively(American Hospital Directory, 2021). On the other hand, the gross patient and nonpatient revenue for HCA Florida Capital Hospital were $ 2,422,948,780 and $ 948, 172 respectively (American Hospital Directory, 2022). This figure shows that the two facilities’ focus is on delivering quality and safe services to their consumers.
Healthcare Organizations More Aligned With Value-Based Healthcare
Both Florida Capital Hospital and Tallahassee Memorial Healthcare are equally aligned with value-based care by being not-for-profit organizations. According to Clarke et al. (2019), these types of organizations provide high-quality care to their patients. Although the two hospitals seem to charge less money for services, HCA Florida Capital Hospital is less expensive compared to Tallahassee Memorial Healthcare. It is imperative to note that lower-priced care does not mean the facilities provide lower quality. However, when compared based on the average length of stay, Tallahassee Memorial Healthcare appears to be more aligned with value-based healthcare.
Equitable Patient-Centered Care
Since the two are non-profit organizations concerned with providing high-quality care, they are both supportive of equitable patient-centered care. According to Gusmano et al. (2019), non-profit organizations ensure they treat their patients with all the conditions, whether life-threatening or not – this is regardless of their financial status. Similarly, the two are more supportive of equitable patient-centered care because intake revenue is not considered a deciding factor in patient care.
Financial and Quality Data Source
A good example of one financial source of data is the CSM Hospital Compare website which can effectively guide an organization through its transformation process. It consists of several rates of patient care measures specifically on hospital performance. The Joint Commission is yet another example of a quality data source that could illuminate change. The Joint Commission, besides accrediting and certifying organizations, ensures they are upholding the established quality and safety standards.
Reflection
Organizations are increasingly shifting their attention to utilizing data in making informed decisions that impact organizational change and systematic outcomes. As evidenced above, there are several sources of data such as financial and quality which, when used effectively, could help the organization achieve desired change and outcomes. By adopting the right data sources, companies can easily eschew biases and, at the same time, make well-informed decisions that are aligned with their overall strategies. However, to obtain genuine value from the data source, it must be accurate and relevant to the organization’s mission and purpose.
With that said, data is crucial in decision-making since it guides the organization in discovering new business opportunities. Narrowing down into the right data sources related to quality helps a lot in providing a clear picture of the business’s core activities. This, in turn, ensures the management is capable of making solid decisions that aim at improving the commercial evolution of the organization. Most importantly, the management, guided by deep-dive insights, will be able to make informed decisions that will help uncover new opportunities for growth besides creating new professional connections and innovations as part of systematic outcomes.
Furthermore, data plays a critical role in informed decisions by guaranteeing better and more effective communication. It is imperative to note that communication, besides easing the process, “generates a kind of synergy that promotes better understanding of what the team is working to achieve” (Li et al., 2021, p. 101). Similarly, effective communication improves interactions and, at the same time, helps develop a sense of belonging among team members. Overall, data allows the organization to operate as a single unit where members in different departments can share their insights as far as organizational change is concerned.
References
American Hospital Directory. (2022). HCA Florida Capital Hospital. Web.
American Hospital Directory. (2021). Tallahassee Memorial Healthcare. Web.
Clarke, D., Doerr, S., Hunter, M., Schmets, G., Soucat, A., & Paviza, A. (2019). The private sector and universal health coverage. Bulletin of the World Health Organization, 97(6), 434. Web.
Erivan, R., Rigolot, B., Villatte, G., Dartus, J., Descamps, S., & Boisgard, S. (2022). Orthopedic and trauma surgery in France: Do patterns differ across healthcare institution types (public community, public university, private not-for-profit, and private for-profit)?Orthopaedics & Traumatology: Surgery & Research, 108(8), 103402. Web.
Gusmano, M. K., Maschke, K. J., & Solomon, M. Z. (2019). Patient-centered care, yes; Patients as consumers, no. Health Affairs, 38(3), 368-373. Web.
Graham, J., & Fleet, A. (2020). Effectiveness of the pediatric nutrition screening tool at Tallahassee Memorial Healthcare. Journal of the Academy of Nutrition and Dietetics, 120(10), pp. 113. Web.
Li, J. Y., Sun, R., Tao, W., & Lee, Y. (2021). Employee coping with organizational change in the face of a pandemic: The role of transparent internal communication. Public Relations Review, 47(1), 101-984. Web.
Ludwig-Beymer, P., Vottero, B., Coates, A., Blodgett, N., Rogers, J., & McGonigal-Kenney, M. (2022). Nursing faculty workload: Balancing fiscal responsibility and faculty satisfaction. Nurse Educator, 47(3), 174-179. Web.
Who we are. The Joint Commission. (2022). Web.