HEBEI MEDICAL UNIVERSITY

HEALTHCARE MANAGEMENT

PRESENTED TO : Yi Liu, Ph.D.

BY : ANUP KUMAR DUBEY (MBBS 2011 BATCH )

ROLL NO : 1003110037

Case no : 5

You are a new administrator at a hospital, well known for pulmonary medicine. The

physicians in the ICU, the ER, and the department of pulmonary medicine have demanded

to meet with you about the shortage of respiratory therapists. You stall them for 48 hours

so you can gather data. What types of information will you need to collect to have an

intelligent conversation with this powerful group of physicians?

A shortage of respiratory therapists in your medical facility directly affects the

quality of your patient care. I being the administrator of this hospital will try to make

it easy to manage innovative recruitment methods, our hospital guarantees that the

most talented Respiratory Therapists are part of our staff. the respiratory therapy staff

levels by handling every aspect of the staffing process. Through Our Respiratory

Therapy Staffing Consultants have in-depth industry knowledge and are available 24-

hours a day, 7 days a week to respond to patients immediate needs. Our screened and

highly qualified professionals will exceed your expectations in skill level, attitude, and

experience. At minimum, Respiratory Therapists must show proof of a two-year course

study, and certification by the state.Our hospital offers our Respiratory Therapists

flexible schedules, and competitive benefits to ensure that the professionals our staff

always enjoy the highest level of employee satisfaction.as my hospital is a profit

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organization I we have enough budget to provide better healthcare facilities to our

patients just by adding on staff for our respiratory department . patient n my staff are

having issues due to inadequate staff They r not getting enough leave n rest due to

which they r inefficient in their jobAs an administrator my job is to satisfy all the needs

and requuierement of my staff in order to provide them which proper rest n leave so

that mental peace n harmony of my staff can be retained As I m new administrator of

this hosp. they give the staff n patients complain a lot abt this matter of therapist

shortage so I have taken it into account n now io m going to talk to the board of

directors about this serious issue.and after gathering all data for the records I have

ensured that this matter is serious enough to be taken into account for

Whatever I am going to take decision I am going to discuss with board of directors because

I assume that my hospital is for profit organization type

Role of a Hospital Administrator

my role plays a vital role in this case as to meet the requirements of my hospital n staff an

administrator plays an imp role . I ll listen to the com plains n take into notice all the

information required to meet the coming staff needs

I will take this issue seriously and make the board of directors to take immediate action.

Hospital administrators or CEOs are responsible for all hospital operations. It is the top

position one can acquire in a medical setting, and thus, years of work experience and

education are required. While salaries are high, administrators put in long hours and have

heavy responsibility. Administrators may often be called at off hours to handle emergencies

relating to the hospital.

healthcare financing:

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healthcare financing solutions, hospitals and healthcare centers can procure state-of-the-art

medical technology, medical devices and medical equipment without breaking their

budgets. Cost-saving rental, leasing and rent-to-buy programs can make investments in

vital medical technology and medical devices possible.

human resource management

Human Resource Management (HRM) is the function within an organization that focuses

on the recruitment of, management of, and providing direction for the people who work in

an organization.

The HRM department members provide the knowledge, necessary tools, training,

administrative services, coaching, legal and management advice, and talent management

oversight that the rest of the organization needs for successful operation.

HRM functions are also performed by linemanagers who are directly responsible for the

engagement, contribution, and productivity of their reporting staff members. In a fully

integrated talent management system, the managers play a significant role in and take

ownership responsibility for the recruitment process.

They are also responsible for the ongoing development of and retention of superior

employees.

Organizations also perform HRM functions and tasks by outsourcing various components

to outside suppliers and vendors. The tasks that are most frequently outsourced are those

that take HR time and energy away from the HR activities that provide the most strategic

value to the company.

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This outsourcing most frequently involves payroll functions, but vendors and external

consultants can help an organization with HRM in many ways. Specifically, many HR

departments outsource background checking, benefits administration, training such as

sexual harassment training, temporary staffing, and the production of employee

handbooks, policy manuals, and affirmative action plans.

HRM's Changing Focus

HRM is the organizational function that deals with or provides leadership and advice for

dealing with all issues related to the people in an organization. HRM, as such, deals with

compensation, hiring, performance management, organization development, safety,

wellness, benefits, employee motivation, communication, administration, and training.

 

HRM is also a strategic and comprehensive approach to managing people and the

workplace culture and environment. Effective HRM enables employees to contribute

effectively and productively to the overall company direction and the accomplishment of

the organization's goals and objectives.

HRM is moving away from traditional personnel, administration, and transactional roles,

which are increasingly outsourced. The HRM function is now expected to add value to the

strategic utilization of employees and to ensure that employee programs recommended and

implemented impact the business in positive measurable ways.

Gone are the days when HR staff received direction from the executive team as to their

priorities and needs. HR is now expected to sit at the executive table and recommend

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processes, approaches, and business solutions that improve the ability of the organization's

people to effectively contribute.

The new role of HRM involves strategic direction and HRM metrics and measurements to

demonstrate their value. Employees who work in HRM must demonstrate their value by

keeping their employer and company safe from lawsuits and the resulting workplace chaos.

They must perform a balancing act to serve all of an organization's stakeholders:

customers, executives, owners, managers, employees, and stockholders.

It is difficult to underestimate the importance of an effective, modern HRM function within

an organization. An employee who retired from HRM twenty years ago would not

recognize the competence and capability of the best HRM organizations today. You can

choose to move your HRM function out of the dark days and into the light. Organizations

that do - are best served.

ER (emergency room): usually treat emergency condition patients which require

immediate attention like status asthamaticus, burn injury, road traffic accident,

poisoning,

Cardiac arrest Heart attack, trauma and COPD etc. Cardiac arrest may occur in the

emergency department or a patient may be transported by ambulance to the emergency

department already in this state. Treatment is basic life support and advanced life

support as taught in advanced life support and advanced life support courses. This is an

immediately life-threatening condition which requires immediate action. So in order to

provide better health care facilities ambulance should also be fully equipped with the

addition of best life saving therapist.

ICU (Intensive care unit): patients which require close monitoring are kept in ICU.

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Pulmonologists are specially trained in pulmonary diseases and conditions of the chest,

particularly asthma, pneumonia, COPD, cystic fibrosis and lung cancer and

complicated chest infections. They work in ICU,ER and pulmonary medicine

department. They are experienced staff which can deal with the immediate conditions

of respiratory system.

Quality management in the health care field ensures that patients receive an excellent

quality of care .It is very important for administrator to maintain quality of healthcare.

It is a function that health care organizations (such as medical clinics and hospitals) are

responsible for performing to show their due diligence to taking optimal care of their

patients. By employing quality management applications to a health care business,

doctors and administrators can benefit from identifying ways to improve internal

processes that will ream more "quality" outcomes for their patients .

Job/ Duties and Tasks for: "Respiratory Therapist"

1) Set up and operate devices such as mechanical ventilators, therapeutic gas

administration apparatus, environmental control systems, and aerosol generators,

following specified parameters of treatment.

2) Provide emergency care, including artificial respiration, external cardiac massage

and assistance with cardiopulmonary resuscitation.

3) Determine requirements for treatment, such as type, method and duration of

therapy, precautions to be taken, and medication and dosages, compatible with

physicians' orders.

4) Monitor patient's physiological responses to therapy, such as vital signs, arterial

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blood gases, and blood chemistry changes, and consult with physician if adverse

reactions occur.

5) Read prescription, measure arterial blood gases, and review patient information to

assess patient condition.

6) Work as part of a team of physicians, nurses and other health care professionals to

manage patient care.

Opportunities for Improving Health Care Quality:We’ve made a lot of progress to support

better quality care in recent year. The National Quality Forum (NQF) has taken important

steps including assisting with the prioritization of measures for development and

implementation, and especially in “endorsing” quality measures to promote the consistent

use of meaningful, well-understood measures. Today, there are numerous and diverse

quality improvement initiatives underway at all levels of the health care system – federal,

state, regional, local, and within health care organizations – that are putting quality

measures to use. Quality improvement initiatives within and across health care

organizations are core to these efforts. They require measurement in order to identify

opportunities for improvement, often through “registries” that enable providers to assess

and track how their patients are doing in terms of key aspects of care and potential

complications in order to identify areas for improvement. Quality measures are also being

used for payment reforms, which can enable health care providers to get more resources to

take steps like setting up registries and implementing other changes in care delivery to

improve care and avoid unnecessary costs. Private payers, employers, Medicare, and

Medicaid are all undertaking a range of payment reforms to provide better support for

such activities, generally in conjunction with using quality measures

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Policy Reforms to Support Better Quality and Lower Costs

we could achieve health care that was financially sustainable was to reform our health care

financing and regulatory policies to do much more to support better-quality care and lower

costs at the person level. It describes a specific series of steps building on current initiatives

to improve the way care is delivered in each part of our health care system, the employer

and individual insurance markets, as well as antitrust enforcement and other regulatory

reforms. Focusing on person-level quality of care as the fundamental strategy for

addressing health care cost growth is in some ways new, but it builds on promising ideas

and trends throughout our health care system. Our group is by no means the only ones who

have reached this conclusion. A broad variety of recent reports, from the Simpson-Bowles

Commission, the Bipartisan Policy Center, and others, all agree that the most important

thing that policymakers can do now to improve health care quality is to make feasible

changes in health care payments and benefits so that they can better support patient-

centered care. Improving quality in health care is difficult, it must be done carefully to

avoid unintended consequences, and the quality and cost problems won’t be solved

overnight. But so long as providers are generally paid more for more services rather than

better quality, and so long as patients get more benefits and more financial support when

they use more services rather than take steps toward better health and using care more

effectively, our policies are not providing the needed support and momentum for solving

these problems.

provide respiratory therapist is an improvement of quality healthcare service

• Plan: objective-RT necessary or not,

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• Do: Organization of Data and get feedback

• Study: analyze and measurement of feedback;

• Act: provide RT

Conversation with Physicians:

• Listening to them with the mind

• Appreciate them for asking respiratory therapists or other help.

• Ask guiding question to improve understanding

• Trying to Solve Problem

• Tell them ‘I am going to provide respiratory therapist’

• Going to Speak Openly and Honestly about others problem in hospital

Reasons taken into account for providing respiratory therapist:

1. high quality and safety in service is ensured: providing high quality in ICU n ER will

bring in more patients n more fame to our hospital. Providing respiratory therapists in ICU

, ER and pulmonary department can ensure high quality and safety service.

2. increasing patient satisfaction : patient satisfaction is the motto of our hospital and

healthcare services bringing in fame for our hospital.

3. physicians -satisfaction, efficiency increased: providing respiratory therapist in ICU ,

ER and pulmonary department will definetly increase physicians satisfaction and

efficiency.

4. Decreasing staff turnover rates : inadequate number of staff in any team result in they

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need to work hard and may left the job. So, provide respiratory therapist in ICU , ER and

pulmonary department can decrease staff turnover rate in hospital.

5. Correct the deficiency of team member: Less employee can cause the stress and fatigue

of team member which result in increase chance of human error

6. Attend to patient in time and hence prevent negligence or malpractice: If number of

staff is not enough in any departments it can cause delay to provide treatment which can

result in serious problem even patients can die. If patients die due to this cause they can sue

the hospital for negligence .

Motivation , highly required to bring out the best outcomes

• My job is to Motivate and influence the physicians and other staff to work hard will

result in improved performance

• Rewards for good performance and punishment for underperforming employees.

Conclusion: . A respiratory therapist training is exclusive. we are not just guest to pass

by , and leach suckers to ensure best result till the end of our capability of providing best

health care facility. They are professionally trained in Oxygen therapy and pulmonary

toiletry. I am going to provide respiratory therapists to maintain safety of our patients.

Because ‘ health of my patient is my FIRST priority. ’

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