The Aims and Core Business of Health Institutions From the Perspective of Both the Organization and the Nursing Sector Within the Organization

Both care institutions and nursing sectors have similar conceptions of the functions of medical establishments (Van den Broek, Boselie & Paauwe, 2014). From the organizational and nursing perspectives, hospitals and clinics' aims and key businesses include: providing clinical services to citizens and clients


The health facilities are expected to provide care services to various individuals and families in both clinics and community settings (Thornton, Ocasio & Lounsbury, 2015). Notably, the facilities offer treatment programs, where attention to abrupt injuries, continuous management of chronic infections, palliative care treatment, and general accessibility to specialists treatment (Lorenzi & Riley, 2013). That is of concern to both organizational and nursing sectors since the achievement of the program has to include the input of the nurturer.


Also, the establishments do prevention and early intervention by providing child health amenities like immunization and nutrition, maternal health activities, screening and early diseases detection, communicable disease control, and frequent checking of the old (Lorenzi & Riley, 2013). On the other hand, the sectors undertake rehabilitation and recovery programs by availing necessary support to the clients during the period like assisting for the upkeep and family members (Thornton, Ocasio & Lounsbury, 2015). Moreover, the facilities avail the clinical support systems such as pharmacy services, technical health and family wellness information system such as medical and case records, and data collection and quality assurance.


Health Promotion


Health care establishments have the noble role in building public healthiness policy that is intended to support the clients, nurses, and the community as a whole (Lorenzi & Riley, 2013). To achieve the commission, the institutions undertake the proactive steps to gather data on the social determinants of health like poverty, education outcomes, and addiction (Thornton, Ocasio & Lounsbury, 2015). Also, the sectors are creating a supportive environment by designing workplace policies and better practices that are conducive and non-discriminative.


Likewise, the health sectors support the community actions and development (Van den Broek, Boselie & Paauwe, 2014). In practice, they incorporate the public in health needs identification as well as prioritization of care services, as well as availing best mechanisms necessary to make informed decisions regarding healthiness issues (Lorenzi & Riley, 2013). Additionally, the institutions present health information, education, and nurturing of skills. To accomplish the activity, the sector seeks to provide a group care training and increased awareness of fundamental healthiness issues amidst the society residents.


Provision of Corporate Services and Infrastructure


From both the organizational and nursing perspectives, the care establishments must manage the corporate groups and provide essential amenities (Van den Broek, Boselie & Paauwe, 2014). For instance, the sector ensures that there is a complete administration and leadership program that is supportive, efficient, and flexible, both for the nurses as well as clients. The front-runners should be those that are sociable and taking the proactive efforts to motivate, steer, and support the staff (Lorenzi & Riley, 2013). Also, they often try to develop a productive partnership the management, corporate, and health professional leadership.


As well, health care institutions actively coordinate with the external agencies, usually at the organizational level to deliberate of issues that would promote the quality services delivery (Lorenzi & Riley, 2013). The care establishments also present the systems that would positively impact the outcomes of the amenities for use by the nurses, practitioners, and other staff to realize a maximum improvement. Purportedly, better training and allocation of technology for use in various clinics could achieve the result (Van den Broek, Boselie & Paauwe, 2014). Besides, they conduct the risk management programs by identifying timely identifying and managing hazards that would negatively affect the nurses and practitioners as well as provide appropriate IT for better solutions.


On the other hand, the care institutions carry out financial management practices. It involves a transparent monetary administration system, accurate fiscal reporting, payroll and staff entitlements, acquisition of the clinical services like allied health and specialist services (Van den Broek, Boselie & Paauwe, 2014). On the other hand, the clinics foster infrastructure administration by rendering health provisions like buildings, vehicles, and equipment. Also, the establishment ensures that care amenities meet the safety and health standards, as well as providing the housing facilities to the nurses and other practitioners within the health care sector (Lorenzi & Riley, 2013). Moreover, the body coordinates with the stakeholders to foster a Continuous Quality Improvement within the hospitals to garner a corporate image.


Community Engagement, Control, and Cultural Safety


While encompassing the community and maintaining their safety, the health care institutions incorporate clients with their services (Van den Broek, Boselie & Paauwe, 2014). To attain this ambition, these establishments equip the service providers like the nurses and practitioners with the skills of maintaining the healthiness of the clients, society, and even amongst themselves (Lorenzi & Riley, 2013). Also, the health care organizations, according to the Association perspective give the mutual participatory opportunity for any group or individual in the evaluation vital health programs. With proper orientation and inclusion of nurses and other experts, care bodies have managed to curb the well-being challenges such as unexpected diseases outbreaks that jeopardize the peaceful state of the residents.


Process Data and Outcome Data in the Context of Quality and Safety in Health Care


In value and safety context, the process includes the type of care that is provided and how the activities are being conducted to realize a full improvement in the services offered at the clinics (Raghupathi & Raghupathi, 2014). The action involves using different organizational resources that act as inputs to achieve the intended goals. A typical example of 'process' is Quality Improvement (QI). On the other hand, the outcomes, also known as the output refers to the ending result of the better practices and the contributions of the health care systems (Faries et al., 2014). In clinics, a sample of an outcome includes an improved quality of care establishments. Other parameters for determining the output incorporates patient satisfaction and changes in the health status.


Process data connotes the readily available information from various sources including the records from clinics, practice management systems, external population health evaluation, and comprehensive surveys (Raghupathi & Raghupathi, 2014). Apparently, the contents allow several care institutions to evaluate the present system and state while identifying the opportunities that should be exploited to earn an improvement (Faries et al., 2014). Also, the details result in close monitoring of the progress of activities over time. The person who is responsible for collecting the data are mainly the professionals of the clinics.


On the other hand, the output data refers to the statistically analyzed data usually by the healthcare professionals (Raghupathi & Raghupathi, 2014). After taking measurements, qualitative, and quantitative data analysis to identify strategies for an improvement in the care sectors, the resulting info forms the outcome statistics (Faries et al., 2014). For instance, after conducting patients and staff satisfaction surveys, the resulting summarized info would give some insight to the organization.


Purportedly, both process and output data have appeared adequate to solve the health issues. Both strategies contain seek to dispel the substandard delivery of the services (Raghupathi & Raghupathi, 2014). By referring to the existing info such as records from best performing clinics, and other best practice management systems, the underperforming sectors are likely to change the course of action to realize some elements of improvement following some insights (Faries et al., 2014). Also, the nature of the data that is collected from the key stakeholders like patients, employees, when analyzed objectively and applied in a nonbiased manner, is likely to improve the care sectors.


Clinical Care Activity


The Clinical Care Activity concerning Quality and Safety


In the recent past, the Health Information Management (HIM) has formed an important practice in the context of care institutions in maintaining both quality and safety (Middleton et al., 2013). While the question of high value and cost effectiveness of the clinics has been a greater concern, there is a greater need for more improvement. Moreover, the partiality in obtaining care services where some get better attention as compared to the rest created the need for change (Grol et al., 2013). However, with the adoption of HIM, the uniform excellence in amenities has been realized. That is because the process ensures that the data that are used for making care decisions are of high integrity, clean, accurate, readily obtained, and most current.


Besides, the prevalence of HIM has diverted the common phenomenon of drugs safety, and medical errors that hinder the protection and value of the care services (Healy, 2016). Through the capture of the reliable and valid data, the findings are readily transformed into useful information that is necessary to bring solution and bring modification in the care sectors.


With the help of HIM professionals, the data on the health care issues, once collected is converted into meaningful forms to aid in the objective decision-making of combating such matters (Middleton et al., 2013). Endowed with exclusive expertise, knowledge, and skills, HIM specialists impart vital info to the clinic's executives that would prompt for the advancement of the better delivery of the services. Additionally, HIM actions call for the accurate data assignment, their capture, and analysis (Grol et al., 2013). Also, the basis for decision making is the better care operation as well as patient protection and satisfaction.


Analysis of Scholarly Literature and Relevant Resources


Why it is Necessary to Collect Data. In reminiscence, it is vital to note that Health Information Management relies on the two types of info for its effectiveness and efficiency. First is the already existing facts either from the administrative, clinical database, laboratory repository, as well as from the electronic health records that are forming the aspect of the process data (Sahin, D. R., & Uslu, 2014). Also, the practice involves the periodic update of info, usually about the experience of the patient on the quality of services after they have been discharged from the clinics (Bowling, 2014). The facts are obtained after conducting formal research like qualitative survey by the HIM experts, after which the results become the stamina for ratifying the strategies for better improvement in the care delivery that is satisfactory to the critical participants- the hospital clients.


To Outline Strategies for Improvement in the Quality Care Provided. The diverse sources of process data give a chance for obtaining the necessary information that may be utilized to improve quality and safety of the services provided by the clinics to patients (Abdelhak, Grostick & Hanken, 2014). For instance, the availed information from the EHR, clinical registry, and administrative laboratories give some insight to the HIM experts on how to tackle the complaints of substandard services. Moreover, Wager, Lee & Glaser (2017) ascertains that effective HIM practices incorporate soliciting of the knowledge from the multiple data sources. It is mainly driven to have a superior solution from the presented facts after which the findings are being repurposed severally.


Giving Insight to the Effectiveness of Care Services and Areas to Improve on. On the other hand, the output data about the perception and experience of the patient after the discharge gives the ability to ascertain the effectiveness of the care services (Sahin, D. R., & Uslu, 2014). Because during the qualitative surveys, clients record exactly what they observe, it is very much vital to evaluate the competence and credibility of the amenities (Bowling, 2014). The objective and nonbiased analysis of the results in comparison with the process data has often led to underperformance eradication.


How Health Information Management Assists in Achieving Good Health Outcome


Reduction in Medical Errors. HIM has a set of defined roles that greatly assist in the accomplishment of better health results. Through the professionals, the system has significantly reduced the prevalence of unintended medical errors (Zeng, Reynolds & Sharp, 2009). Since the foundation of the research is supported by the already established data like clinical info, there is a likelihood of curbing the health disparities and professional mistakes of the care providers that would jeopardize the clinics. Moreover, the directed focus in giving the patient-centered medical treatment has a profound positive effect in the varying ailments of the clients.


Coordination of Health Info in Multiple Systems like Hospitals, Physician Offices, and Laboratory. Also, the widespread relay of health information as advocated by HIM has some substantive implication on the quality care services (Zeng, Reynolds & Sharp, 2009). Following the coordination of care info across various hospitals, laboratories, physician offices, and other entities, there is always a superior, collaborative, and contingent approach in tackling care queries (Melnyk et al., 2014). Apparently, the diversity of professionals from different institutions with varying proficiencies and technology often give a better solution to the negative health implications.


Research on Chronic Diseases Prevention and other Clinical Evaluation. Similarly, the commission of the HIM professionals conducts the clinical research, early detection, and management of chronic diseases has an undisputed mitigating effect on the outbreak of infections (Melnyk et al., 2014). Notably, the timely eradication of maladies has the vital implication in controlling the spread. Additionally, the clinical surveys and other post treatment information from patients assist in continually availing better care services that are suited for value care.


How Using Process and Outcome Data Has Helped Achieve Positive Outcomes in the Health Issue


Faster Identification of Health Associated Effects. The integration of data has a greater impact on the safety and compliance concerns of patients. With the help of process data in the form of clinical information as well as electronic documentation, the care challenges have been resolved (Hunink et al., 2014). As a result, the negative responses and sub standard treatment as well as unexpected diseases outbreaks are quickly spotted, tracked, and finally monitored to ensure their full eradication and elimination.


Optimization of Better Performance Outcomes. In the attempt to improve the quality care services, Medicaid has opted to advanced use of better performance measures that have proved to be vital over time (Hunink et al., 2014). The approach underlines the interventions of the resulting positive data to reinforce and upgrade hospital services. Notably, the output data replica assists in attaining reputed clinical practices that culminate to better care amenities in the underperforming institutions (Black, 2013). In this essence, the outcome figures are either directly or indirectly applied to some establishments to realize some recognizable changes.


Defining the Scope of Operation to Achieve Better Health Outcomes. With the help of outcome data, it is possible for clinics to concentrate on the specified areas to mitigate the services provided there is an existence of limitation (Black, 2013). In the case of social surveys administered to patients after their discharge to evaluate the level of satisfaction and clients' perception, the institutions would map the areas of underserviced to realize efficient care. Similarly, the info would dispel the elements of substandard care.


How the Data are Used in Relation to Quality and Safety in the Healthcare Institutions


The data is Being Governed. Data governance is the essential foundation of the information management policies. It entails a group of specified individuals who are charged with making an informed management decisions (Meeks et al., 2014). Also, the experts assist in developing the structure needed to enforce rules, conduct technological training, education as well as auditing the compliance. Through facts control, it is usually possible to reinforce quality and safety in the care establishments since there is certainty in the availability of appropriate inventory of info for various research purposes and retrieval.


The Data is Being Standardized. In many circumstances, both outcome and process data on quality and safe care practices are being simplified and made a uniform for easier internalization (Meeks et al., 2014). In some establishments, they often create, utilize, and maintain the statistics dictionary to ensure that there is a consistent use as well as the universal and equitable understanding of the value care services through reports and analysis of the info (Roski, Bo-Linn & Andrews, 2014). Notably, this ensures that there are a consistency and comparability of the figures to exacerbate an efficient decision making towards delivering a superb care.


The Data is Captured, Validated, and Maintained. Having obtained the patient identity and other crucial information, the outcome is used to run the Master Patient Index (MPI) (Wager, Lee & Glaser, 2017). It enables the care institutions to understand the patient population and general performance for both internal and external reporting. On the other hand, the facts maintenance involves the creation and implementation that safeguard the data. With the prevalence of back-ups and disaster recovery process, there is a surety that the info is safely kept to assist in continually giving directions to improve protection of hospital clients and their level of satisfaction (Roski, Bo-Linn & Andrews, 2014). As well, the performance figures are being tested for accuracy through a validation process to ensure their integrity and competence of clinics in providing value care.


The Data is Professionally Analyzed for Better Output. From the measurement figures, the raw information undergoes a critical evaluation concerning the health care performance whereby various informed conclusions are being made (Wager, Lee & Glaser, 2017). The accurate estimation of the patient care and analysis of the outcomes create a central point for the excellent amenities delivery within the clinics. Among the associated merits incorporate reduced infections, proper patient satisfaction, eradication of adverse instances and events, as well as using the evidence-based medicines to standardize the treatments (Meeks et al., 2014). Importantly, the adoption of EHR has necessitated for the automatic evaluation of the output and process data to bring an automatic decision and clue to the care providers on how to attain better care services.


References


Abdelhak, M., Grostick, S., & Hanken, M. A. (2014). Health Information-E-Book: Management of a Strategic Resource. Elsevier Health Sciences.


Black, N. (2013). Patient reported outcome measures could help transform healthcare. BMJ: British Medical Journal (Online), 346.


Bowling, A. (2014). Research methods in health: investigating health and health services. McGraw-Hill Education (UK).


Faries, D. E., Obenchain, R., Haro, J. M., & Leon, A. C. (2014). Analysis of observational health care data using SAS. SAS Institute.


Grol, R., Wensing, M., Eccles, M., & Davis, D. (Eds.). (2013). Improving patient care: the implementation of change in health care. John Wiley & Sons.


Healy, J. (2016). Improving health care safety and quality: reluctant regulators. Routledge.


Hunink, M. M., Weinstein, M. C., Wittenberg, E., Drummond, M. F., Pliskin, J. S., Wong, J. B., & Glasziou, P. P. (2014). Decision making in health and medicine: integrating evidence and values. Cambridge University Press.


Lorenzi, N. M., & Riley, R. T. (2013). Organizational aspects of health informatics: managing technological change. Springer Science & Business Media.


Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Singh, H. (2014). An analysis of electronic health record-related patient safety concerns. Journal of the American Medical Informatics Association, 21(6), 1053-1059.


Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence‐Based Nursing, 11(1), 5-15.


Middleton, B., Bloomrosen, M., Dente, M. A., Hashmat, B., Koppel, R., Overhage, J. M., ... & Zhang, J. (2013). Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. Journal of the American Medical Informatics Association, 20(1), 2-8.


Raghupathi, W., & Raghupathi, V. (2014). Big data analytics in healthcare: promise and potential. Health information science and systems, 2(1), 3.


Roski, J., Bo-Linn, G. W., & Andrews, T. A. (2014). Creating value in health care through big data: opportunities and policy implications. Health affairs, 33(7), 1115-1122.


Sahin, D. R., & Uslu, T. (2014). Investigation of effects of accreditation, institutionalization and data communication on quality improvement and employee performance. Emerging Markets Journal, 3(3), 32.


Thornton, P. H., Ocasio, W., & Lounsbury, M. (2015). The institutional logics perspective. John Wiley & Sons, Inc..


Van den Broek, J., Boselie, P., & Paauwe, J. (2014). Multiple institutional logics in health care:'productive ward: releasing time to care'. Public Management Review, 16(1), 1-20.


Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care information systems: a practical approach for health care management. John Wiley & Sons.


Zeng, X., Reynolds, R., & Sharp, M. (2009). Redefining the roles of health information management professionals in health information technology. Perspectives in Health Information Management/AHIMA, American Health Information Management Association, 6(Summer).

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