Foundations of Excellence in Healthcare Management

Foundations of Excellence in Healthcare Management

  • Instructor: Kasey Jordan, PhD

  • Course: Introduction to Health Services Administration and Management

Three Big Ideas

  • High-Achieving Healthcare Organizations:

    • Share six characteristics of excellence.

  • Numerous Stakeholders:

    • Stakeholders have varying perceptions and priorities.

  • Strategies for Excellence:

    • Transformational culture, continuous improvement, evidence-based management, and strategic governance facilitate excellence in healthcare organizations.

Class Plan

  • 5 minutes: Welcome and Check-In

  • 15 minutes: Review and Discussion

  • 10 minutes: Excellence Discussion

  • 10 minutes: Mission Statement Discussion

  • 10 minutes: Stakeholders Discussion

  • 5 minutes: Strategies for Excellence Discussion

  • 5 minutes: Case Discussion

  • 10 minutes: Whynotthebest.org Exploration

  • 5 minutes: Final Thoughts

Quad-Function Model

  • Components:

    • Delivery: Actual provision of care from healthcare providers.

    • Payment: Reimbursement to providers for services.

    • Financing: How healthcare is funded.

    • Insurance: Protection from financial catastrophe.

Reflective Questions

  • Excellent Experience:

    • Consider a time that you had an excellent healthcare experience. What made the experience excellent?

  • Negative Experience:

    • Consider a time that you had a not-so-good healthcare experience. What made the experience negative?

Characteristics of Excellence

  • Safety:

    • Care is free from accidents or errors.

  • Effectiveness:

    • Patients' diseases or conditions are accurately diagnosed and improved to the limits of current knowledge.

  • Patient-Centered:

    • The patient’s needs and goals are established with the patient and family.

  • Timeliness:

    • Care is provided without avoidable delays.

  • Efficiency:

    • The previous four criteria are achieved at minimal cost.

  • Equity:

    • The above criteria are realized without differences in nationality, race, ethnicity, geographic location, age, gender, income, or sexual orientation.

Excellence in Healthcare and Quad-Function Model

  • Inquiry:

    • What does excellence in healthcare look like from each element of the Quad Function Model?

Purpose of Care

  • Historical Perspective:

    • Traditionally, health focused on avoiding illness.

  • Modern Perspective:

    • Excellent organizations pursue a comprehensive view of population health.

  • Definition of Health:

    • Health is defined by the World Health Organization as "a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity."

  • Strategies for Promotion:

    • Investigate a mission statement to reflect on how to pursue comprehensive health.

Mission of Healthcare Organizations

  • Focus Areas:

    • Emphasize population health while providing excellence in individual patient care, including preventive care.

    • Address needs that extend beyond healthcare, such as housing, food, and social support necessary for sustaining health and chronic disease management.

    • Learn about maintaining health for non-patients to prevent them from becoming patients.

  • Reference For Further Reading:

    • Eggleston, E. M., and J. A. Finkelstein. 2014. "Finding the Role of Health Care in Population Health." Journal of the American Medical Association 311 (8): 797–98. https://dx.doi.org/10.1001/jama.2014.163.

Stakeholders

  • Stakeholder Dynamics:

    • Key groups include:

    • Customers/Buyers: Patients and families differentiated by age, gender, and clinical need.

    • Health Insurers: Payment agencies differentiated by carrier and kind of coverage.

    • Buyers: Differentiated by individual, employer, and government.

    • Owners: Involves not-for-profit corporations, for-profit corporations, and government entities.

    • Caregivers: Differentiated by professional credentials and other employees by job description.

    • Contract Providers: Differentiated by the contract's purpose.

    • Suppliers and Volunteers involved in healthcare transactions.

  • Note: HCO = healthcare organization.

Achieving Excellence

  • Core Concepts for Achievement:

    • Cultivate a transformational culture to support improvements.

    • Implement transformational management strategies.

    • Prioritize continuous improvement initiatives.

    • Commit to evidence-based approaches in both clinical practice and management.

    • Leverage leadership and strategic teams to foster the desired culture.

Case Discussion

  • Scenario:

    • Analyze the differences in medication error rates among five similar nursing units.

    • Discuss potential strategies to improve performance and reduce errors.

Managerial Considerations

  • Universal Considerations:

    • Reduce variations in healthcare organization performance.

    • Meet the needs of clinical care teams effectively.

    • Support continuous improvement in practices and outcomes.

Assignment Prompt

  • Task:

    • Examine whynotthebest.org for a comparative assessment of MUSC and Roper Hospital.

    • Select one hospital and identify the top three opportunities for improvement (OFIs).

    • Justify the selection of the top three opportunities identified.

Summary of Three Big Ideas (Repeated for Reinforcement)

  • High-Achieving Healthcare Organizations:

    • Share six characteristics of excellence.

  • Stakeholder Perspectives:

    • Healthcare organizations have numerous stakeholders with varying perceptions and priorities.

  • Organizational Strategies:

    • Transformational culture, continuous improvement, evidence-based management, and strategic governance are crucial for achieving excellence in healthcare organizations.