Walden University Organizatio

Assignment: Developing Organizational Policies and Practices

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

  • Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
  • Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
  • Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

  • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
  • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
  • Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
  • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
  • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.
  • Due to the nature of this assignment, your instructor may require more than 7 days to provide you with quality feedback.

Assignment that I did in module one:

Evidence-Based Practice and the Quadruple Aim

Misleydis Hernandez

Walden University

Interprofessional Organizational and Systems Leadership

The connection between Evidence-Based Practice and the Quadruple Aim

Evidence-Based Practice (EBP) is an essential aspect that focuses on providing the most effective health care services and improving patients outcomes in health facilities. Its main objective is to enhance the health levels in a population by providing reliable information based on the evidence, experience, and expertise of a physician to assist patients in making a choice dependent on their values and preferences (Crabtree et al., 2016). The EBP is a significant strategy that helps clinicians to achieve the Quadruple Aim, which incorporates generating an improved patients’ experience and outcomes, lowering overall health costs, and enhancing the experience of physicians (Melnyk & Gallagher-Ford, 2019). EBP efficiently increases health care safety within a population, improves quality, decreases cost, and empowers clinicians to fully engage in daily healthcare delivery.

Evidence-based practice is dependent on scientific information to make appropriate decisions in a medical facility setup. It is attached to the management and policy formation as it incorporates specific preferences and evidence of patients’ values and expertise levels of clinicians to make decisions on proper care. Integration of the EBP in healthcare facilities positively impacts the processes and influences the achievement of the Quadruple Aims. Its adoption and development primarily improve the quality of healthcare services received by patients as it emphasizes inpatient care (Crabtree et al,. 2016). It also significantly impacts the experiences of a clinician by empowering them which makes them more productive.

EBP generally ensures the patient population receives quality and safe health care services. Since the EBP focuses on improved patient health outcomes, the patient experience is enhanced through the providence of quality health care services to all patients (Sikka, Morath, & Leape, 2015). The strategy has a positive impact on patient’s perception of services which leads to increased satisfaction with services offered during a visit to a medical facility. The patients get a chance to make choices and all medical decisions regarding an individual’s values and preferences which improve the relationship and trust between a patient and their health care provider.

Evidence-based practice in health care facilities is beneficial to population health as it creates ease in accessing high-quality information on health care and best medical practices. It ensures the development of effective preventive programs, empowers the medical workforce making public health more reliable (Sikka, Morath, & Leape, 2015). The strategy ensures that the health facilities offer the general population adequate information regarding proper health status, limitations, and benefits of personal health procedures evenly in the society.

Melnyk and Gallagher-Ford (2019) stated that one of the prevailing benefits of Evidence-based practices is lowering costs and creating a valuable outcome. The cost of all expenses in a health institution is greatly discounted through the adoption of the EBP in a facility. Although it is hard to provide high-quality health services at a reduced cost, the EBP strategy through the adoptive values and patient preferences takes a proactive step in finding a solution in providing high-quality and affordable care. Some of the feasible processes used in reducing costs include using less expensive drugs, reducing therapy cycles, adopting fewer doctor appointments, and reducing the use of supportive drugs.

The EBP positively impacts the work-life of healthcare providers, as it is used in developing interventions that ease cases of work exhaustion and dissatisfaction (Melnyk & Gallagher-Ford, 2019). The strategy facilitates improved processes that reduce the workload, creates a conducive working environment, hence generating supportive professional support and cooperation that significantly improves clinicians’ productivity.

References

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence?Based Practice. Worldviews on Evidence?Based Nursing, 13(2), 172-175.

Melnyk, B. M., & Gallagher-Ford, L. (2019). Achieving the Quadruple Aim in healthcare with evidence-based practice: A necessary leadership strategy for improving quality, safety, patient outcomes, and cost reductions. Evidence-based leadership, innovation, and entrepreneurship in nursing and healthcare: A practical guide to success, 125-144.

Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: care, health, cost, and meaning in work.


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Walden University Organizatio

Respond to the blog post of three colleagues in one or more of the following ways:

  • Make a suggestion to your colleague’s post.
  • Expand on your colleague’s posting.

DB 1– Lynn

An explanation of organizational policy in your field education experience

Naomi’s Nest a division of Elmhurst Home organization services women and men, all of the policies and procedures are across the board. As an organization, we have to follow as was the agency policies that pay for our clients stay and treatment (Detroit Wayne Integrated Health Network).

Here are some of the in-house policies and procedures, rules and regulations for the house for SUD/Mental Health, informed consent to treatment, medication policy, just to name a few. Detroit Wayne Integrated Health Network has policies and procedures for the client we serve from the payer side, as a provider will provide case management/relapse prevention, community-based cognitive behavioral therapy, women’s specialty, and drug testing services. The term of the agreement is from October 1, 2020, through September 30, 2021 (DWIHN 2020).

Reference

Agenda – Detroit Wayne Integrated Health Network

https://www.dwihn.org/board-sud-jan2021-agenda.pdf

DB 2– Montiyah

Organization’s policies and procedures are implemented to help make employees understand the organization’s views and values on specific issues, and what will occur if they are not followed. Policies are general statements of how an organization want to behave and procedures define exactly how to do a task or perform step by step. My field agency works with veterans and the elderly population, therefore, there is access to a numerous amount of confidential information pertaining to the client’s background (i.e. family history, background and open dependency case statuses). There are numerous trainings regarding HIPPA and ethics that must be followed at all times. Other trainings are specifically designed and utilized to company policy. In the mental health field, there are times when situations or emotions arise within the clients we are working with which can result in physical aggression or attempt. In these scenarios, the is a policy that exists not only to protect the client but the employees as well. Each situation has a protocol to include steps to be followed. Following a course of action along with applying de-escalation tools learn in training to help protect all parties that are involved. Policy states that we cannot use physical force or touch when working with the identified client population. There are tools given that can help assist with protecting yourself while not injuring the other party involved, this is the policy to follow by.

The values of the company align with the code of ethics, regarding respect and dignity and compassion and understanding. The mission not only ensures that the clients are treated with respect, but every person on site and outside providers will be treated the same way across the board. We are considered to be representatives of the company and the most positive attention must be viewed. The purpose of policies such as these is, they allow you to communicate to your employees the way you expect them to behave on the job. Violation of policies exist as well and these can be as minor as a written or verbal reprimand, to suspension of an employee, all the way to termination based on the severity of the violation. The policies are explained and the employee is to sign them stating that they understand at the time of new hire or orientation. As an intern, I am still a representative of the organization and was required to sign the same paperwork as employees. Organizational policies are necessary to ensure that the company is providing the most efficient and effective service while remaining ethical as to what is labeled in the values, vision and mission of the agency.

DB 3–Kiarra

An explanation of organizational policy in your field education experience

An organizational policy in my field education experience at Building Beyond Therapy LLC. is their Social Media Policy. This policy requires that employees and interns abide by the guidelines as it relates to social media posting, blogging, and sharing of information. These guidelines are in place even if the student and/or employee decides to post information on their own site or other sites. Both employees and interns must sign the Building Beyond Therapy LLC., Social Media Policy before starting their position.

The following guidelines are in place to protect Building Beyond Therapy LLC, the employee/student, and clients:

  1. Follow all applicable Building Beyond Therapy LLC policies. For example, you must not share confidential or proprietary information about Building Beyond Therapy LLC and you must maintain patient privacy. Among the policies most pertinent to this discussion are those concerning patient confidentiality, email use, and the use of recorded patient information.
  2. Write in the first person. Where your connection to Building Beyond Therapy LLC is apparent, make it clear that you are speaking for yourself and not on behalf of Building Beyond Therapy LLC. In those circumstances, you should include this disclaimer: “The views expressed on this [blog; website] are my own and do not reflect the views of my employer.” Consider adding this language in an “About me” section of your blog or social media profile.
  3. If you identify your affiliation to Building Beyond Therapy LLC, your social media activities should be consistent with Building Beyond Therapy LLC’s high standards of professional conduct.
  4. If you communicate in the public internet about Building Beyond Therapy LLC or Building Beyond Therapy LLC-related matters, you must disclose your connection with Building Beyond Therapy LLC and your role at Building Beyond Therapy LLC.
  5. Be professional, use good judgment and be accurate and honest in your communications; errors, omissions, or unprofessional language or behavior reflects poorly on Building Beyond Therapy LLC, and may result in liability for you or Building Beyond Therapy LLC. Be respectful and professional to fellow employees, business partners, competitors, and patients.
  6. Ensure that your social media activity does not interfere with your work commitments.
  7. Building Beyond Therapy LLC strictly prohibits “friending” of patients on social media websites. Staff inpatient care roles should not initiate or accept friend requests.
  8. Building Beyond Therapy LLC discourages staff in management/supervisory roles from initiating “friend” requests with employees they manage. Managers/supervisors may accept friend requests if initiated by the employee and if the manager/supervisor does not believe it will negatively impact the working relationship.
  9. Unless approved by the management, your social media name, handle and URL should not include Building Beyond Therapy LLC’s name or logo.

Having this Social Media policy in place is critical to the development of the agency, the confidentiality of the client, and the overall professionalism of the clinician. Most times, social media is an outlet for us to talk about our day. However, having this policy in place limits the staff with oversharing and directs the staff to take accountability for their own actions without causing liability issues for Building Beyond Therapy LLC. This policy also protects the livelihood of our clients, guarantees confidentiality, and ensures that we respect their dignity and worth of a person.


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