Discussion: Comparing Frameworks for Analyzing Organizations

Avedis Donabedian’s work generated a pivotal means of assessing organizational performance relative to structure, process, and outcomes. However, it is clearly not sufficient to view health care quality merely in terms of outcomes—the structures and processes that facilitate these outcomes are equally as important.

In this Discussion, you consider multiple frameworks that can be used to analyze an organization. As you proceed, consider how these frameworks allow you to examine the interplay of interdependent and related parts and processes that comprise the systems within an organization, as well as the arrangements or structures that connect these parts.

To prepare:

• Investigate and reflect on the systems and structures of an organization with which you are familiar. Consider the following:
  • What is the reporting structure?
  • Who holds formal and informal authority?
  • How many layers of management are there between the frontline and the highest office-holders of the organization?
  • How are interdisciplinary teams organized?
  • How is communication facilitated?
  • How well integrated is decision making among clinical personnel and administrative professionals?
  • How are particular service lines organized?
  • Which departments, groups, and/or individuals within the organization are responsible for monitoring matters related to performance, such as quality and finances?
• Select two of the following frameworks:
  • Learning organizations, presented in the Elkin, Haina, and Cone article
  • Complex adaptive systems (CAS), presented in the Nesse, Kutcher, Wood, and Rummans article
  • Clinical microsystems, presented in the Sabino, Friel, Deitrick, and Sales-Lopez article
  • Good to great, presented in the Geller article
  • The 5 Ps, presented in the ASHP Foundation article
• Review the Learning Resources for each of the frameworks that you selected. Also conduct additional research to strengthen your understanding of how to use each framework to assess an organization.
• Compare the two frameworks. How could each framework be used to identify opportunities to improve performance? In particular, how would you use each of these frameworks to analyze the organization that you have selected?

By Day 3

Post an analysis of the systems and structures of the organization you selected, sharing specific examples. Explain insights that you gained by comparing the two frameworks, and how each can be used to assess an organization, identify a need for improvement, and, ultimately, enhance the performance of an organization.

Hickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.
Chapter 1, “Evaluation and DNPs: The Mandate for Evaluation” (pp. 3-36)
Chapter 3, “Conceptual Models for Evaluation in Advanced Nursing Practice” (pp. 61-86)
Chapter 6, “Evaluating Organizations and Systems” (pp. 127-142)Chapter 1 defines microsystem, mesosystem, and macrosystem and notes that evaluation can focus on one of these levels or all three. Chapter 5 examines the evaluation of organizations and systems.

Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.
Chapter 2, “Understanding the Healthcare Organization” (pp. 31–43)Although this chapter focuses on hospitals, the authors provide information about strategic planning and organizational structure that is applicable in many health care settings. The authors examine financial and quality issues as key aspects of performance measurement.

Elkin, G., Zhang, H., & Cone, M. (2011). The acceptance of Senge’s learning organisation model among managers in China: An interview study. International Journal of Management, 28(4), 354–364.
Retrieved from the Walden Library databases.

This article outlines the five disciplines that Senge argued could be found in a learning organization. The authors also discuss the worldview that is inherent in business organizations in China and explain how this relates to Senge’s theory.

Geller, E. S. (2006). From good to great in safety: What does it take to be world class? Professional Safety, 51(6), 35–40.
Retrieved from the Walden Library databases.

Geller reviews and applies Collin’s foundational Good to Great theory from its focus on financial success to safety.

Nesse, R. E., Kutcher, G., Wood, D., & Rummans, T. (2010). Framing change for high-value healthcare systems. Journal for Healthcare Quality, 32(1), 23–28.
Retrieved from the Walden Library databases.

This article explores how to implement change in complex adaptive systems (CAS) such as health care. The authors purport that an understanding of the principles of change management in CAS is critical for success.

Sabino, J. N., Friel, T., Deitrick, L. M., & Salas-Lopez, D. (2009). Striving for cultural competence in an HIV program: The transformative impact of a microsystem in a larger health network. Health & Social Work, 34(4), 309–313.
Retrieved from the Walden Library databases.

The authors discuss cultural competence as part of a patient-centered perspective on health care delivery. They examine an approach to creating innovation that originates at the unit (microsystem) level and can be diffused to the larger health care environment (macrosystem).

After reading the following scenario decide whether Mr. Howe made the right decision in regard to his ailing wife. Describe the factors you considerd in in reaching your decision?

An elderly Florida man was in jail after he said he fatally shot his ailing wife because her medications were no longer affordable and she was in pain. William Howe, 86, was being held without bond after telling authorities that he had shot his wife in the head as she slept that morning in their home according to an affidavit. Mr. Howe called the 911 emergency line several hours after the fatal shooting. Howe told authorities that after the shooting he went to the kitchen for a cup of coffee, and called his daughters to tell them what he had done.

“I want to apologize I didn’t call earlier. I wanted to tell my kids what happened first,” Howe told authorities. Howe told authorities that he had been thinking of killing his wife, 84, for several days because she was in pain, the affidavit said. Howe said she had told him that she wanted to die in the past, and she had asked him to kill her, according to the affidavit.

A dispatcher at the County Sheriff’s Office said Howe remained in jail on a charge of first-degree, premeditated murder after an initial court appearance.

A local broadcaster reported that the couple had filed for bankruptcy in 2016 and that Carolyn Howe had been suffering from severe arthritis and other medical issues for at least 15 years. The AARP, a non-profit advocacy organization for people 50 years and older, said in a report last November that increasing costs for certain specialty prescription drugs have put them out of reach for many people and that Medicare does not necessarily make those drugs affordable. Authorities did not say what specific drugs Mrs. Howe was taking nor what kind of insurance the couple may have had. A search of records at the Florida Department of Law Enforcement does not show a prior criminal history for Mr. Howe.

5 points will be awarded for the introduction

10 points will be awarded for the quality of the body of the paper

5 points will be awarded for the concluding section of the paper

1) **********minimum 3 full pages (1 page each document) ( not words)**************************** (cover or reference page not included)

2)¨**********APA norms  (All paragraphs must be narrative and cited in the text- each paragraphs)

3)********** It will be verified by Turnitin and SafeAssign 

4)  Minimum 2 references not older than 5 years  (Only scholarly papers and research or pages from official sources such as CDC, WHO, etc. are accepted)

5) Each answer must be identified according to the question number. Check the list of questions. 

Your answer should start objectively answering the question

Question:

1)…………

2)…………

3)…………

Answer:

1)…………

2)…………

3)…………

___________________________________________________________

You must answer (2) question 3 times. 

You must submit 3 documents (each one 1 page).

Copy and paste will not be admitted. 

You should address the questions with different wording, different references, but always, objectively answering the questions

______________________________________________________________

1) Do you consider yourself a spiritual or religious person? Explain why?

2) What is the importance of your faith in your daily life?  

Submit a two paragraph, double space paper detailing your philosophy of health. To write your philosophy, do the following:

1. Provide your personal understanding of what health is and concisely describe or elaborate how this philosophy has shaped or continues to shape your (a) beliefs (b) behavior.
2. Then tie your philosophy to “your purpose of existence/life” and/or career interests.

To receive full credit, one is required to address all parts of the assignment. Please follow APA for in-text citation and reference lists. Good Luck!!!   

Need helppppp

Module 6 DQ 1 and DQ 2

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Please separate the two DQ with their individual reference page

Topic 6 DQ 1

In creating a new community-based health program, what program development model would you use? What recommendations would you employ for making the program development successful?

Topic 5 DQ 2

How can large, aggregated databases be used to improve population health?