Organization and Management of a Health Care Facility

Organization and Management of a Health Care Facility

HSA 515: Health Care Policy and Law

Strayer University


As a crucial piece of 21st Century Solutions Health Care Hospital, I will associate with various experts. Those experts incorporate specialists, medical attendants, and other associated proficient of varies field of medicinal services. Here at 21st Century Solutions, we as of late propelled a best in class data innovation the board focus, which handles all expert staffing arrangements inside the medical clinic. As a human services association, we have been entrusted with following every single proficient affirmation, lawful issues inside the emergency clinic, and giving point by point monthly reports gives an account of the general usefulness of the wellbeing organization office. This paper will give a point by point synopsis of 21st Century Solutions hierarchical structure, a potential strategic, esteem explanation, and legitimize the utilization of the data innovation to build quiet assistance.

Organizational structure

Chief Executive Officers (CEO) has an individual responsibility in order for an administration to be successful. The possess the responsibility and authority to articulate the strategy, vision, and goals of an organization ( For healthcare organizations to stay aligned with their mission, values, and goals, on would agree that it is essential to create a meaningful and operational liaison between hospital administration and staff, this alignment begins with the Chief Medical Officer (CMO) (Sonnenberg, 2015). The CMO is considered to be the leader of necessary cultural change, should promote acceptance of transparent performance, and ensures physicians take steps to decrease variations in practice, leads to compliance with best practice guidelines and to reduce the overall length of stay in hospitals (Sonnenberg, 2015). The CMO will give control and guidance to a few emergency clinic territories, for example, Utilization, Quality and Safety, Peer Review Credentialing and Physician Practice Evaluation.

The Chief Medical Informatics Officer, CMIO, must cooperate with the CMO to actualize electronic medical records (EMR) and electronic doctors request passage. The dynamic between the CMIO and CMO is one that powerful and can be successful in getting important resources from executives to improve performance, increase quality and safety efforts, and the IT infrastructure for population health management (Sonnenberg, 2015).

The job of key arranging and thinking just as understanding the operational, clinical, and money related parts of execution improvement has a place with the Chief Financial Officer (CFO). Then again, the Chief Operating Officer (COO) is accountable for the everyday tasks of an association. They work closely with the CEO and CMO to ensure the hospital runs smoothly (Williams 2012). The Chief Nursing Officer, CNO is responsible for understanding human resource issues and having the knowledge to facilitate performance improvement imperatives, the skill to build the business, financial savvy, and an understanding of the value of customer service (Hader, 2007). At long last, the Chief Quality Officer, CQO, has a special situation in a human services organization. CQO is responsible for ensuring patients quality of care and reducing patient readmission (Gittlen, 2016). The next outline shows how the CMO is an incorporating power connecting all parts of clinic organization.

HITECH Act and HIPAA Violations

Your obligations at We Care Hospital expect you to interface with a wide range of experts, including doctors, nurture, and associated experts in different regions of human services. The office additionally has another data innovation the executives focus, which handles all patient therapeutic records. The Health Information Technology for Economic and Clinical Health (HITECH) Act was ordered as a feature of the American Recovery and Reinvestment Act of 2009. The Act required an uncommon government interest in Health Information Technology (IT). Specialists and emergency clinics would get motivating force installments through the Medicare projects and Medicaid to propel the conveyance of great human services. It was anticipated that 10 years after the fact the Act would decrease government spending on wellbeing administrations by several billions of dollars by expanding proficiency.

More or less widely known inside the social insurance industry, the consensus view is that HIPAA has not been thoroughly authorized previously. The reality of the situation will become obvious eventually how the implementation system will change post the HITECH Act, yet unquestionably the Act contains language that suggests careless authorization might be old history. Under HITECH, compulsory punishments will be forced for “stubborn disregard.” Obviously, what “hardheaded disregard” signifies will be resolved on a case-by-case premise, yet talking in the speech of this guide, we accept that a supplier with “no story” in regards to consistence (or so insignificant a story as to depict a dismissive demeanor toward consistence) will probably be at huge hazard.

It has been 10 years since the HITECH Act was established and citizens are exploring the effect of the Act. Society should guarantee that the HITECH Act of 2009 and the HIPAA Act rules are being met. Society should follow legitimate issues inside the medical clinic and give detailed monthly reports of accounts of the general usefulness of the wellbeing organization office as it identifies with breaks in tolerant record security and the effect of the Electronic Health Record (EHR).

One model will be that HITECH Act currently forces information rupture warning prerequisites for unapproved utilizations and revelations of “unbound PHI.” These notice necessities are like many state information break laws identified with actually recognizable monetary data (for example banking and Mastercard information). HHS is required to characterize what “unbound PHI” signifies inside 60 days of institution. On the off chance that it neglects to do as such, at that point the HITECH definition will control. Under the HITECH Act “unbound PHI” basically signifies “decoded PHI.”

All in all, the Act necessitates that patients be informed of any unsecured breach. On the off chance that a break impacts 500 patients or progressively, at that point HHS should likewise be told. The notice will trigger posting the breaking substance’s name on HHS’ site. Under specific conditions neighborhood media will likely be told. Besides, warning is activated whether the unsecured breach happened remotely or inside. The notice arrangement is one more case of the weight protection and security concerns are given under the Act.

Feasibility Plan

For 21st Century Solutions to be effective, the clinic must actualize a strong possibility plan for employing restorative experts. The possibility plan should likewise address maintenance of experts enlisted. The enrollment and maintenance plan must incorporate an authoritative diagram of jobs and duties of restorative staff; the emergency clinic must empower fruitful finishing of clinical objectives and achievements and focused remuneration.

The initial step the emergency clinic must take is deciding the requirement for enrollment; this will incorporate figuring out what properties and accreditations the perfect competitor must have just as building up the sourcing activity plan that layouts the road where the medical clinic will select (residency programs, therapeutic school distributions, and online vocation sheets). When the up-and-comers have presented their resume for business, HR will screen them dependent on their capabilities, accreditations, and proposal letters. The medical clinic’s human asset data framework will make screening the candidates simple. After the up-and-comer is screened, they will be mentioned to partake in a telephone meet. During the telephone meet, the spotter will talk about parts of the position, for example, the set of working responsibilities, compensation desires, and any agreement stipulations. On the off chance that the competitor does well during the telephone meet and acknowledges the provisions of the position, at that point they will proceed onward to the following stage of the enlistment procedure, the work test.

Board interviews have been the essential wellspring of talking medicinal experts, yet thinks about have demonstrated that “These meetings ought not be your assessment device of decision; they are laden with predisposition and unessential data. Rather, supervisors ought to put resources into apparatuses that have been appeared to anticipate future execution. On the top of your list should be work-sample tests related to the tasks the job candidate will have to perform (Bohnet, 2016). 21st Century Solutions ought to consider giving competitors work related issue and assess the up-and-comer dependent on their capacity to take care of the issue; this will give the enlisting administrator a superior thought of the applicants’ future execution.

The following stage of the employing procedure will choose the up-and-comer who played out the best in their work test. The choice procedure ought to be led by a contracting advisory group that comprises of the CMO, division pioneers and site supervisors. When the up-and-comer is chosen, the up-and-comer will be booked to visit the medical clinic site where they will be set; this will enable the possibility to decide if the earth they will be set in is a solid match for them. After the site visit a spotter will catch up with the competitor. During the subsequent procedure, the enrollment specialist will meet the competitor on how their site visit went. After shutting the meeting, the spotter will make the applicant an offer. Following tolerating the offer the enrollment specialist will affirm the up-and-comers’ acknowledgment by having them sign an agreement that will incorporate their compensation and start date.

It is essential to have methodologies set up that attention on holding representatives and keeping away from turnover. Notwithstanding making a domain where workers feel esteemed, holding representatives is considerably savvier. The Affordable Care Act (ACA), which went in 2010, will develop access to human administrations consideration for more than 32 million Americans by 2019. These expansions in coverage are predicted to increase the shortage of primary care physicians from 25,000 to 45,000 by 2020 (HWIC, 2013). To hold restorative staff, 21st Century Solutions should direct formal new contract directions where data, for example, the historical backdrop of the association, crucial fundamental beliefs is talked about. Initiative ought to likewise attempt endeavors to guarantee the new staff gets to know the network they will serve, keep the lines of correspondence open, direct ordinary group building occasions, and guarantee pay rates and advantages are aggressive.

Information Technology to Increase Patient Services

Innovation is a compelling component in improving the manner in which you care for your patients and handle the business elements of your restorative practice. Lamentably, such a large number of emergency clinics neglect to perceive the intensity of innovation with regards to communicating with patients. Innovation can improve the manner in which you speak with patients and upgrade the patient experience a long ways past what continues during the patient visit. The table below summarizes the pros and cons of information technology in healthcare.

Summative Table of Some Pros and Cons

Increases Production and Saves Time Implementation Expenses
Improves Communication Job Elimination
Improves Data Storage, File Management and Data Analysis Security Breaches
Improves financial management Doctors unfamiliar with new technology
Cuts Costs of Operation and Increases Return on Investment  
Improves Business to Consumer Relationship  
Improves Business Competitive Advantage  

In general, in accordance with data innovation the points of interest exceed the disservices. 21st Century Solutions can conquer the weaknesses through duty over the group of doctors and staff will contribute extensively to a smooth progress just as a positive rate of return. Data innovation ought to likewise execute two-factor validation. Two-factor confirmation (otherwise called 2FA or multifaceted validation) expects you to affirm responsibility for isolated factors — your secret key and something different (normally a one of a kind code) — to finish delicate activities for you, this procedure can be both utilized with emergency clinic staff just as patients utilizing the patient gateways.


Bohnet, I. (2016). How to Take the Bias Out of Interviews. Harvard Business Review Digital Articles, 2-5.

Gittlen, S. (2016). Is the CQO Position Needed?. Healthleaders Magazine, 19(4), 46-50.

Hader, R. (2007). Are you prepared for your role as a CNO?. Nursing Management, 38(3), 43-44.

Health Professions Recruitment and Retention. (2013, April). Retrieved May 18, 2018, from file:///C:/Users/84742/Downloads/recruitment-and-retention (1)HWIC 2013.pdf

Sonnenberg, M. (2015). Chief Medical Officer: Changing Roles and Skill Sets. Physician Leadership Journal, 2(1), 16-21.

Williams, J. (2012). Moving from CFO to COO. Hfm (Healthcare Financial Management), 66(8), 96-100.

Zimring, C., Augenbroe, G. L., Malone, E. B., & Sadler, B. L. (2008). Implementing healthcare excellence: The vital role of the CEO in evidence-based design. Retrieved May 17, 2018, from

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