All health care organizations display characteristics related to service delivery, financing, payment solutions, and insurance relationships. Which of these can a health care organization most effectively harness in order to become the provider of choice for the largest variety of patrons? Why?

To prepare for this Discussion:

Review this week’s Learning Resources.

Post by Day 3: 

Conduct a web-based search and review and locate two healthcare organizations that you may know locally, regionally or nationally. You can choose one organization that is for-profit and the other one is not-for-profit. Integrated health delivery system vs. a standalone community hospital. For the purpose of this discussion, there many ways that you can select your two organizations for this discussion question assignment.

Describe briefly the two selected organizations including their organizational structure and governance.

Distinguish the different types of organizational structure for these selected organizations.

Assess the impact of the organizational structures on these organizations’ leadership management, access to capital and financial resources, etc.

Support your post with specific examples. 

Respond by Day 5 and continue the Discussion through Day 7: 

Expand on this Discussion by highlighting differences between your posting and your colleagues’ postings. Provide additional insights or alternative perspectives, especially regarding how the current and predicted shortages in primary care providers will impact access to care.

The initial post must require a minimum of four (4) current quality references. Including references in your replies to classmates is optional but recommended.

Your initial answer must be 250-300 words not counting the list of references. Your replies to other classmates’ posts need to be at least 100 words per post.

Focus on presenting in your posts critical ideas and synthesis and less on stating and describing.

Support your post by specific examples.

Assessment Instructions 

Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

• One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.
• The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.

Preparation

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on best practices in triage nursing. You will need at least three articles to use as support for your work on this assessment.

Directions

Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

• Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.
• Explain how health care disparities impact treatment decisions.
• Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?
• Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?
• Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population.

Additional Requirements

Your presentation should meet the following requirements:

• Written communication: Written communication should be free of errors that detract from the overall message.
• References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
• APA format: Resources and citations should be formatted according to current APA style and formatting.
• Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
• Font and font size: Times New Roman, 12-point.