NHS FPX 4000 Assessment 1 Applying Ethical Principles

Sample Answer for NHS FPX 4000 Assessment 1 Applying Ethical Principles Included After Question

Questions to Consider

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Generate recommendations for process improvement and organizational fitness for a selected organization in the form of proposal that is targeted for its management team.

A Sample Answer For the Assignment: NHS FPX 4000 Assessment 1 Applying Ethical Principles

Title: NHS FPX 4000 Assessment 1 Applying Ethical Principles

Introduction

The success of health organizations depends mostly on the quality of services delivered to patients. Health organizations should provide patients with care that optimizes their experiences by ensuring high quality, safe, and efficient services. The kind of care delivered to the patients should also promote actual and potential health needs. Health organizations’ ability to achieve these outcomes of care depends on their adopted quality improvement initiatives. For example, continuous quality improvement should be strengthened in implementing evidence-based practices to improve the performance and quality of care given to patients. Also, there is a need for healthcare providers to provide patient-centered care that is holistic. Quality improvement initiatives such as incorporating new technologies into the provision of care are also useful in facilitating the realization of these objectives. Therefore, this research paper presents an analysis of Kindred Healthcare and develops recommendations that aim at improving patient safety and the management of human resources.

Background to the Organization

The selected organization for the analysis is Kindred Healthcare. Kindred Healthcare comprises a group of hospitals that were established to provide specialized care to the target populations. Kindred Healthcare hospitals seek to provide care to diverse populations and support them in their recovery from different illnesses or injuries. The hospital is primarily known in America for its quality services offered to the patients. As seen from the information given on the hospital’s website, it focuses on the provision of consistent, high-quality care that exceeds the national benchmarks. The provision of healthcare services with such attributes implies that the care given to patients in the hospital addresses the clinical needs of the disease and the emotional needs of the clients. This focus of care ensures that the hospital supports holism in the provision of nursing and medical care. The kind of quality of care provided by Kindred Healthcare varies significantly. They include hospice care, inpatient, outpatient, home-based care, rehabilitation, and behavioral health care (Kindred Healthcare, n.d.). Therefore, the extensiveness in the organization’s services has led to its enhanced performance and competitiveness as a healthcare organization.

Organizational Structure

Kindred Healthcare has a hierarchical organizational structure where the chain of command flows from top to the bottom. The hierarchy of Kindred Healthcare comprises of the CEO at the top followed by CFO, president, vice president, executive vice president, and general counsel and corporate secretary. The lowest level of the hierarchy comprises the finance and treasury CFO, operations CFO, control officer, and clinical and residential CFO (Kindred Healthcare, n.d.). The adoption of the hierarchical structure in organizations has some advantages. The advantages include defined levels of responsibility and authority, promotion of specialization among employees, easy coordination of tasks and responsibilities, and easy to understand the employees under each of the above personnel. The hierarchical structure is, however, associated with some disadvantages. The disadvantages include slowing down of innovation due to bureaucracy, low levels of employee satisfaction with their jobs due to limited job ownership, and difficulties in making decisions at the organization’s lower levels.

The structure of Kindred Healthcare can also be understood based on the division of its services. Thus, the operations of Kindred Healthcare are organized into four business segments. The first one is the hospital segment that provides long-term care to acutely ill patients. The second segment is the Kindred at Home, which specializes in community, hospice, and home-based care services. The other segment is the Kindred Rehabilitation. Kindred Rehabilitation offers rehabilitation services to patients with disabilities through the organization’s nursing centers. The organization’s effectiveness in undertaking these operations is mainly due to the partnership that Kindred Healthcare has with stakeholders such as healthcare partners, suppliers, communities, and non-profit organizations.

Mission

The mission statement for Kindred Healthcare is to promote healing of patients, preserve dignity, provide hope, and offer value for patients, residents, families, customers, employees, stakeholders, and members that the organization serves. The hospital achieves these outcomes by utilizing high-quality, evidence-based practice data and patient-centeredness in care provision.

Vision

The vision of Kindred Healthcare is to assist their patients to achieve their highest possible potential for healing and health. The hospital seeks to achieve its vision statement by focusing on values that include patient-centeredness, passion in care delivery, and cultural transformation that enable employees to achieve their personal and professional best. Kindred Healthcare is also committed to achieving additional values that include doing the right things always, being kind to patients, and respecting individuality to strengthen inter-professional teams (Kindred Healthcare, n.d.).

Finances, Internal Process, Learning & Growth, Customer Satisfaction

Finances

Kindred Healthcare employs close to 33,000 employees, and as of the year 2019, it had total annual revenue of about 3.2 billion US dollars. The hospital’s credit rating imitates the company’s moderate financial leverage in terms of the ongoing reimbursement pressures and the low growth outlook in the overall business operation. Kindred Healthcare’s general financial leverage is moderate. The revenue generated from the organization outweighs the operational expenses; this means that the company is engaged in profit-making. Close to 60% of Kindred Healthcare’s revenues come from the long term acute care, 14% comes from the IRFs, 17% from the rehabilitation business, and nine percent from the contract services. According to the current financial data, the company’s total return to investors is 25.3%. The total return to investors, five-year annualized, is 0.3% while the total return to investors, ten years annualized, is -7.9%.

Internal Process

Kindred Healthcare’s internal processes involve quality improvement strategies to enhance quality healthcare delivery to different patients. Internal processes also include the provision of adequate care to patients with high levels of dignity. The organization also engages in quality and risk management priorities; Kindred Healthcare is known for its quality services and patient-centeredness in providing care. The hospital’s focus on these aspects of care has made it among the most competitive health organizations in America. However, there is an increased need for Kindred Healthcare to focus on two quality improvement areas and performance areas. The areas include the promotion of patient safety through the provision of high-quality care and effective management of human resources, including the staff, to provide the desired quality of care.

Patient safety in healthcare is a concept that ensures that care does not result in any harm to patients. The use of nursing practices such as patient-centeredness shared decision making and prioritizing values and preferences of the patients promote patient safety. On the other hand, effective human resource management entails the provision of opportunities that promote staff development. Significant human resource development also extends to adopting organizational standards and policies to guide human resource activities such as hiring, promotions, and firing of employees (Hassmiller & Bilazarian, 2018).  Other internal activities include the Promotion of patient safety and the effective management of human resources.

Learning, Growth, and Customer Satisfaction

Kindred Healthcare provides opportunities for growth among the employees and other stakeholders. The organization often includes training and learning opportunities characterized by the workshops. In most cases, management offers learning approaches that allow healthcare workers to adhere to the new practices essential for quality treatment outcomes. Some of the activities that promote learning and growth include continuous research processes and evidence-based practices. The learning activities are often emphasized to enhance risk management and address the issues related to patient safety and adequate human resources.

The risk management issues arose due to a lack of adequate staffing in the hospital. Successful health organizations have sufficient staff tasked with engaging in activities that promote excellence in the provision of care. These organizations also have practical approaches to responding to providers’ increased need in times of elevated patient acuity care needs. These aspects lack in Kindred Healthcare, hence, the whistleblowing by the nurse. The existing organizational culture also influences the occurrence of the above issues. Organizations should have a corporate culture that supports the needs of their stakeholders.

 Given the training processes undertaken by Kindred Healthcare, there are always effective operational processes that lead to patient’s satisfaction. The patient’s reviews suggest that the hospital meets the required standards in the operational processes (Zegers et al., 2016). The hospital provides elaborate services that ensure that patients are satisfied with the services offered.   Leadership and management of health organizations should foster a workplace environment characterized by open communication and active participation in the delivery of care (Pearlman et al., 2016). Health organizations with enabling cultures report enhanced outcomes that include quality, safety, and efficiency of healthcare. The above factors often lead to a high level of satisfaction among the patients.

Evidence-Based Strategies for Monitoring and Improving Risk Management Issue

A number of evidence-based strategies may be utilized to improve and monitor the above-identified risk management issues. One of the interventions that can be embraced to enhance patient care safety in Kindle Healthcare is the incorporation of interprofessional teams in the provision of care. Inter-professional teams improve the quality of care given to patients by strengthening the utilization of best practices to address the care needs of the patients. Working in interprofessional teams enables nurses and other healthcare providers to understand effective interventions that can enhance the treatment outcomes of the patients. The further evidence-based intervention that can be utilized to improve safety and quality of care is the staff’s capacity building.

Nurses and other healthcare providers should be provided with up to date training on new practices utilized to improve patient outcomes. Training also equips them with principles of patient safety in care that should be incorporated into their practice. The last evidence-based practice intervention is developing effective human resource standards. The standards should guide employee recruitment, retention, and dismissal. Employees should be informed about the standards, policies, and consequences associated with their violation (Zegers et al., 2016). Human resource policies should also promote adequate staffing to promote safety and quality of care.

Undertaking continuous research processes through collection and data analysis is another evidence-based strategy for monitoring and improving risk management issues. Through research processes, there is always a high chance of identifying the best treatment approaches that can be used to enhance the quality of healthcare outcomes. For instance, through data application, there are always high possibilities of managing the number of patients and ensuring quality treatment outcomes in the treatment processes. Also, through research processes, healthcare professionals can monitor and improve the issues associated with risk management.

Organization’s Values

A number of ethical, legal, and institutional values can be utilized to adopt changes to address the identified risk management issues. One of the legal provisions applicable to risk management issues is the Public Interest Disclosure Act of 1998. The Public Interest Disclosure Act was adopted to protect individuals who report awful organizational practices. The implementation of this law implies that healthcare providers have protection from the law should they report harmful experiences in their organizations. This law also strives to promote safety and quality in healthcare by increasing the need for transparency and accountability in the provision of nursing and healthcare as a whole. The ethical principles that apply to the case include privacy and confidentiality, justice, non-maleficence, and benevolence.

Healthcare providers should safeguard the privacy and confidentiality of the organization’s data. The data should not be shared with external parties, as it threatens an organization’s public image and performance (Nakanishi & Tei-Tominaga, 2018). Healthcare providers should also ensure the good use of the organization’s data. The data should be used to implement quality improvement initiatives. Health organizations should also adopt transparent approaches that minimize conflicts and improve the quality of care given to patients (Hassmiller & Bilazarian, 2018). Therefore, the nurse and Kindle Healthcare should have incorporated these legal and ethical values into their adopted decisions.

Conclusion

In summary, Kindle Healthcare is an organization that is recognized for the provision of healthcare services in America. The performance of Kindle Healthcare depends on how it achieves its strategic objectives. Kindle Healthcare was recently sued for unfair dismissal of an employee. The case reveals that Kindle Healthcare has risk management issues related to patient safety and effective human resources management. Therefore, the organization should consider embracing inter-professional teams, developing standards and policies for human resources management, and building staff capacity to address these risk management issues. The mission and vision of the organization suggest that Kindle Healthcare is focused on quality healthcare outcomes. The organization often provides training and learning opportunities characterized by the workshops. In most cases, management offers learning approaches that allow healthcare workers to adhere to the new practices essential for quality treatment outcomes. 

References

Bean, M. (2020). The nurse sues Kindred Healthcare, alleges retaliation for his patient safety complaints. https://www.beckershospitalreview.com/legal-regulatory-issues/nurse-sues-kindred-healthcare-alleges-retaliation-for-his-patient-safety-complaints.html

Hassmiller, S., & Bilazarian, A. (2018). The Business, Ethics, and Quality Cases for Consumer Engagement in Nursing. The Journal of Nursing Administration, 48(4), 184–190. https://doi.org/10.1097/NNA.0000000000000597

Kindred Healthcare. (n.d.). About Us | Kindred Healthcare. Retrieved October 24, 2020, from https://www.kindredhealthcare.com/about-us

Nakanishi, M., & Tei-Tominaga, M. (2018). The Association between Quality Improvement Initiatives in Dementia Care and Supportive Psychosocial Work Environments in Nursing Homes. Healthcare, 6(2), 44. https://doi.org/10.3390/healthcare6020044

Pearlman, R. A., Foglia, M. B., Fox, E., Cohen, J. H., Chanko, B. L., & Berkowitz, K. A. (2016). Ethics Consultation Quality Assessment Tool: A Novel Method for Assessing the Quality of Ethics Case Consultations Based on Written Records. The American Journal of Bioethics, 16(3), 3–14. https://doi.org/10.1080/15265161.2015.1134704

Zegers, M., Hesselink, G., Geense, W., Vincent, C., & Wollersheim, H. (2016). Evidence-based interventions to reduce adverse events in hospitals: A systematic review of systematic reviews. BMJ Open, 6(9), e012555. https://doi.org/10.1136/bmjopen-2016-012555