IMPROVING PATIENT QUALITY AT ST.
EFFECTIVE HUMAN RESOURCE MANAGEMENT
HA255: Human Resources for Healthcare Organizations
Unit 9 Assignment
Issues at St. Vincent’s Hospital
Creating the Right System
Achieving the Right System
Advantages / Disadvantages
Issue at St. Vincent’s Hospital
What is the issue?
One of the major concerns at St. Vincent’s is the length of patients stay.
It has also became a major issue of the cost for patients staying longer than expected
These problems have occurred over the time because of the lack of communication
Changing the Current System
Creating the right system to fix the
current issues –
Create an in-home healthcare service
program. The concept is similar to the
nursing home environment.
This program will provide patients with the
extended care needed in their own homes.
Overall this home service can decrease the
length of stay in hospitals and also the cost
to the organization.
This service will also focus on improving
the patients health inside their own
The Alternative and Proposal
At Home Healthcare Services –
Locate and hire certified home healthcare nurses and aides.
Ensure that personnel are well qualified to complete task set forth. Providers will work with patients mostly unsupervised and must be able to work alone, as well as report back to the Primary Care Manager about current status of patient.
Training and Orientation
All candidates will complete an 2 hour
assessment to consider placement in the
CPR test will also be administered.
Employee’s will be evaluated on their skills
This evaluation will be reviewed by
management and the most qualified
candidates will be selected.
Pay and policies will be provided for each
chosen employee based off of previous
experience and training.
Employees will work together on rotating shifts.
This will allow patients to have care whenever it is
Once in the home health care setting, employees
will document everything that is done for the
patient and ensure it makes it to their medical
record at hospital after attending physician validates.
Employees are given the opportunity to work in
home and in hospital facilities, based on certain
Allow for follow on education when permitting.
Evaluating / Approving In-Patients for Out-Patient Care
Meet with Dr. Thurston to
determine which patients his staff
feel are eligible for home health
Have attending staff revaluate the
patients whom have stayed the
longest with in-patient care to be
sure that they are able to leave for
home care setting.
Be sure that providers reiterate to their
patients approved for new setting positive that
they are not being forgotten about but would
be beneficial to health to be in new setting.
The patients will be informed of the home
visits and schedule
Patients will be notified of the providers
assigned to assist them
All the test and how long the care will be
provided is also explained
Will look into these Medicaid and Medicare, as well as individuals own healthcare insurance plans to see if home care is covered. This could also determine if in the long patients leave the in-patient setting.
We already know some insurance companies willing to pay for the care needed regardless of how it is provided.
For those that can’t afford home care, we have identified foundations that are willing to donate to this form of service.
Advantages Vs. Disadvantages
Majority of patients will be more
comfortable in their own homes.
Length of stay in hospitals will
References: 32-36. Retrieved August 18, 2015 from Kaplan University Online Library.
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Jarrín, O., Flynn, L., Lake, E. T., & Aiken, L. H. (2014). Home Health Agency Work Environments and
Retrieved August 18, 2015 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174033/
Miller, K. L., & Stanley, A. L. (2015). Health Homes: A Next Step Toward Integrative Healthcare in the
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