1. Importance of Governance in Health Care Organizations
The health care organizations in Canada as mentioned in the case are mostly publicly funded, accumulating almost 30% of their expenses recovery from the citizens, employers, insurance companies and the third parties. According to the 2005 health care expenditure figure for Canada, almost 10% of the total GDP (Gross Domestic Product) went in to the expenses for the Health Care sector. In the same year, it was crystal clear for every organization operating in Canadian Territory to have data supported and quality of care indicators in their performance that would help them attain the competitive landscape. Therefore, in order to ensure competitiveness the corporation needed to deliver results and manage its current resources efficiently. In order to maintain governance in the organization and to ensure quality and safety in the health care organizations, there should be high emphasis on educating and training of the work force with respect to cleanliness along with importance of life and death.
Consequently, it is very important for the health care organization to pay utmost attention to the issue of governance in this sector. It is evident form Umbra case analysis that it lacked governance to a great extent. Therefore, in order to sustain business viability in this industry, it is important for the board of health care to focus on quality and patient safety in a timely fashion. For achieving this goal, Umbra needs to develop structures and processes that are highly coordinated and don’t overlook the importance of hard number and performance management issues. So for sustaining governance, companies need to establish goals, monitor performance, select relevant performance indicators rather redundant ones and strict action needs to taken just in case the goals are not achieved. It should be held widely that in this industry, client focus is the primary target that can’t be lost. The trend towards increased responsibility and accountability on the board’s end need to thrive more so that procedures and authorities are not taken for granted.
2. Situation That Has the Greatest Impact on Patient Outcomes
The situation at Umbra that had the greatest impact on the industry as a whole is lack of effective administration. The patient outcomes which includes: the patient’s safety, the effectiveness of the treatment provided, time taken to reach the client and a patient centered care. It was seen that in case of Umbra, the administration used to accept a referral check in for the available nurse and fix the appointment without making sure of the distance between the area of the client and the nurse. Most of the nurses used to take long hours on the trip by choosing the same route. Due to lack of administrative skills, most of the nurses used to back-off at the eleventh hour due to which the client suffered and Umbra’s reputation suffered alike. In addition to that, the invoices sent to client are rejected with a rate of 20% per week. There is a lack of data collection capacity that would have helped Umbra in better management of customers and in the quality improvisation process. Due to all these inefficiencies, the major sight on client was lost by Umbra along with loosing customer base.
3. Conceptual Principles Influence on Decision:
a. Accountability
To be in the position of leadership, it is important for the leaders of an organization to actively participate in taking blames of their mistakes as they participate in taking credit for their work. If they fail to do that, they would not be able to succeed in the long run. So, a leader needs to be proactive towards a certain outcome whether good or bad one need to establish that under his supervision mistakes are humbly accepted and then rectified. It is hence, all about integrity in both contexts whether organizational or personal.
b. Conflict management
The leader should be able to manage conflicts amongst people in his supervisions in tactful manner. The conflict must be managed at the initial level and must not be given room to persist or become pervasive. In order to manage change efficiently, the leaders need to develop dynamic leadership qualities. Leader must not always act a boss but also as a care taker for his or her sub ordinates. Understanding the situation first and then managing triggers from the employees will help the leader solve the problem in a more effective manner. In addition to all this, the leader needs to develop assertiveness and should not show arrogance in his attitude; this will help the leader manage conflict such that none of the parties get hurt.....................................
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