Numerous healthcare facilities do not focus on achieving the objective of providing high quality healthcare to patients. Some of these facilities are primarily focused on profit making. Many of these businesses employ business savvy individuals to operate their operational departments/business departments. Consequently, the operational managers at some hospitals, nursing homes or home care agencies may not have clinical backgrounds.
The decision to hire business savvy operational supervisors who have no clinical background might have an adverse impact upon the quality of healthcare in many settings. These individuals usually do not prioritize patient safety or optimal patient outcomes. Some operational managers may strategize and assign some of the features of an operational manager to nurse managers while dictating all actions that must be taken by the nurse supervisor. A nurse manager who is deputized to this role may be constantly pressured by his or her non clinician better than ensure that the facility shows a profit, or else.
High quality healthcare and income making can co-exist. However , this particular seldom occurs in many places. A suitable business model must be implemented in order for top quality healthcare and profit making in order to co-exist. High quality healthcare means offering care that is tailored to meet the needs of patients. Well structured medical care environments have successful business models in place whereby appropriate and experienced individuals are placed in key positions.
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Individuals in key positions are those people charged with making important decisions within the company. Failure of healthcare businesses to utilize appropriately trained individuals within their business models may lead to disappointed patients, debilitation or death.
Patient Safety May Be Compromised in order to make the Numbers
The clinical staff in some settings may find themselves on various trajectory courses from the operational division. An operational manager focused on creating a profit may disregard the safety needs of patients. This may not be surprising to people who work in the healthcare industry.
Nurses and Certified Nurses Assistants (CNAs) over the years have found themselves with fewer resources. Despite limitation in resources they are still somehow anticipated to achieve positive results. Decisions to restrict resource to staff are usually created by operational managers or by doctor managers deputized to these roles.
Focusing on profit making at the sacrifice of high quality care is a common practice within healthcare settings. Some time ago, workers in a dialysis unit were every given several pairs of gloves in a Ziploc bag. The employees was told by the non clinical operational manager that this was their quota of gloves for the day. Benefit risk of infection and higher probability of cross contamination through blood was never factored in to that decision.
One nursing home apparently pressured into cutting costs had been known for its chronic absence of mitts and soap. Certain floors in that facility had the long term smell of feces and urine.
In order to save money, the operational section at a home care agency declined to comply with the clinical manager’s directive that more than two hours of paid field training had been required prior to thrusting nurses on innocent patients. The operational manager/ account manager at the same home treatment agency opposed Child Protective providers to be called into a home from fear that the child’s family would get upset and remove the contract from the agency.
One nursing home suggested staff that certain depleted supplies which were needed for daily patient use cannot be shipped over night as the firm would not pay for them. A CNA in that nursing home poignantly asserted; “The only time that we have adequate staff and adequate supplies with this place is when the State is definitely expected to show up. ”
The aforementioned works may sound egregious to an person with clinical training but not to someone focused on making a profit.
Cutting cost at the expensive of affected person safety may result in great cost savings. However , the individuals who make these types of decisions cannot in good belief contend that their overall goal is to provide high quality healthcare to patients. Moreover, the ability to make decisions that affect patient safety plus comfort also shows who has the power within certain healthcare settings.
Scientific Department’s Dilemma in not meeting the particular Expectation of the Operational department.
Exactly where patient safety is compromised due to business decisions, many nurses are scared to make reports to outside companies. This is often in conflict with the training that nurses receive in nursing school.
Some nurses may recall that while in nursing school, there were professors who constantly emphasized that; “Nurses are agents of change. ” After real life exposure to the health care system, some nurses may actually query this idea or refuse to think it.
How much change can an individual nurse implement within his or her job? Healthcare facilities focused on profit producing are unlikely to change their procedures and procedures due to a nurse’s recommendation. Often , when changes are implemented in healthcare settings, it is due to a law suit by a patient, or due to aggressive intervention by a state company.