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PART A

1. I selected the Mayo Clinic in Rochester, Minnesota. 

2. I chose the Mayo Clinic because it is a highly respected healthcare organization that provides a wide range of services. I have also had personal experience with the Mayo Clinic, as my father was treated there for Hypertensive disorders. 

3. The Mayo Clinic is a not-for-profit hospital. This type of facility typically provides services such as inpatient and outpatient care, surgery, and emergency services. 

a. The type of control for the Mayo Clinic is voluntary non-profit – private. This means that the Mayo Clinic is privately owned and operated, but not for profit. The services typically provided at this healthcare organization include medical and surgical care, as well as research and education. 

4. The total performance score (TPS) Quality Score for the Mayo Clinic is 100. The four domains of the TPS are clinical quality, patient experience, safety, and efficiency. 

a. One credible additional source of quality data on healthcare organizations is the Joint Commission. 

5. Two organizational ethics that are reflected in the type of facility and the type of control listed for the Mayo Clinic are honesty and integrity. The Mayo Clinic is honest in its dealings with patients, staff, and the community. The Mayo Clinic is also committed to integrity in its research and medical care. 

6. The nurse’s role in fiscal responsibility for this type of organization related to value-based care is to ensure that the care provided is of high quality and is cost-effective. The nurse can do this by ensuring that the patient receives the right care at the right time. 

7. One healthcare organizational change that could improve the delivery of value-based healthcare for the Mayo Clinic is to increase the number of primary care physicians. This would improve access to care and allow for more preventive care, which would ultimately save money.

PART B

In contrast, the St. John’s Riverside Hospital is a for-profit hospital, whereas the Mayo Clinic does not make money. The Mayo Clinic is a for-profit company, yet it does not profit from its operations. A holding company owns the St. John’s Riverside Hospital, which is a for-profit facility.

1. In terms of value-based healthcare, the Mayo Clinic is more in line. Since the Mayo Clinic is a non-profit institution, it is driven to provide only the best possible treatment to its patients. In other words, St. John’s Riverside Hospital is a for-profit business.

2. There is a greater emphasis on patient-centered treatment at the Mayo Clinic. As a non-profit medical facility, the Mayo Clinic is committed to providing the best possible treatment for all of its patients, regardless of their financial situation. In other words, St. John’s Riverside Hospital is a for-profit business.

3. The Medicare website and the Joint Commission website are two financial and quality data sources that might guide any healthcare organization’s transition.

Explanation:

1.

 I selected the Mayo Clinic in Rochester, Minnesota. 

2.

 I chose the Mayo Clinic because it is a highly respected healthcare organization that provides a wide range of services. I have also had personal experience with the Mayo Clinic, as my father was treated there for Hypertensive disorders.

3. 

The Mayo Clinic is a non-profit medical facility. Emergency services, surgery, and inpatient and outpatient treatment are often offered by this sort of hospital. The Mayo Clinic has one of the largest medical libraries in the world, and its physicians are well-known for being pioneers in their disciplines. The clinic is a great location for me to pursue my studies since it has a lot of expertise treating uncommon diseases. I am certain that my choice to pursue a medical degree at the Mayo Clinic will enable me to realize my objectives of mastering Internal Medicine and assisting others in living better, healthier lives.

a. 

The type of control for the Mayo Clinic is voluntary non-profit – private. This means that the Mayo Clinic is privately owned and operated, but not for profit. The services typically provided at this healthcare organization include medical and surgical care, as well as research and education.
==Directions  A3A. .
The type of control for the Mayo Clinic Hospital is suitably identified as voluntary non-profit, which reflects the Mayo Clinic Hospital, Methodist Campus. Information related to the services provided seems to reflect the Mayo Clinic Hospital, Saint Mary’s Campus. Please identify which campus is being discussed.

 

4. 

The Mayo Clinic has a 100 total performance score (TPS) Quality Score. Clinical quality, patient experience, safety, and efficiency make up the TPS’s four domains.
The percentage of patients who indicate that their physicians listen to them and take their concerns seriously as well as the quantity of patients who get suggested treatment are used to gauge clinical quality. The patient experience domain gauges how well patients are treated and how well they interact with personnel. It also takes into account the staff’s punctuality, responsiveness, politeness, and respect as well as the cleanliness of the waiting areas and offices.
The number of patients who have a significant adverse event while they are at Mayo Clinic serves as a measure of safety.
Efficiency is defined as the speed with which patients can be seen by a doctor, the length of time they must wait before receiving treatment or surgery, the length of time they must stay in the hospital following surgery or treatment, and the frequency with which they require additional diagnostic tests outside of the hospital setting.

a. 

One credible additional source of quality data on healthcare organizations is “the Joint Commission”. “The Joint Commission is an independent, not-for-profit organization that accredits and certifies healthcare organizations and programs in the United States”. The Joint Commission accredits healthcare organizations based on a set of standards that focus on quality and safety.
A4==== The submission accurately identifies the four domains of the TPS and discusses their meaning; for example, clinical quality is reflected in the percentage of patients indicating their physician listens to their concerns. The TPS is identified as 100, which does not reflect the scores of either the Mayo Clinic Hospital, Methodist Campus, or the Saint Mary’s Campus.

5. 

Honesty and integrity are two organizational values that are represented in the Mayo Clinic’s listing of the types of facilities and controls it utilizes, and both of these values are important to the Mayo Clinic. When interacting with “patients or employees and members of the community”, “the Mayo Clinic” is known for being trustworthy. Integrity is important to the Mayo Clinic in both the medical treatment it provides and the research it does.
Because it does not tell patients, employees, or members of the community any lies regarding the medical treatments it offers or the amount of money it makes, the Mayo Clinic is known for practicing ethical business practices. They also do not conceal information from patients about their health issues because they feel that individuals should have access to all of the information that is relevant to them when it comes to the choices that they make regarding their health care. Additionally, the clinic maintains an open-door policy, which allows anybody to enter the facility without the need for an appointment. This demonstrates that the staff does not conceal anything from the patients that visit the clinic.
The Mayo Clinic has developed policies to ensure that all of its employees, at all levels of leadership within the organization, behave ethically. This is part of the clinic’s commitment to upholding the highest standards of integrity in both the medical care it provides and the research it conducts. They also provide training programs to educate workers on how they may make ethical decisions throughout their contacts with people over the course of their workdays, including patients who visit them for medical treatment services.
A5 === Honesty and integrity are capably identified as two organizational values. Which of the two Mayo Clinic Hospitals in Rochester, Minnesota, is being discussed is unclear.

6. 

The nurse’s role in financial sustainability for this type of organization related to value-based care is to ensure that the care provided is of high quality and is cost-effective. By ensuring that the patient gets the appropriate care at the appropriate time, the nurse may do this.
Through their expertise in clinical practice, evaluation, and diagnosis, nurses may also contribute to the development of strategies for raising healthcare quality and cost-effectiveness. The nurse may be able to recommend novel therapies or techniques that might enhance results while costing less.  In order to identify obstacles that could prevent patients from obtaining the treatment they need, nurses may also be involved in evaluating patients’ requirements and available resources. For instance, nurses can be able to aid patients in securing financial support from insurance companies or governmental initiatives so they can afford pricey treatments like chemotherapy.

7. 

Increasing the number of primary care doctors is one healthcare organizational adjustment that might enhance the Mayo Clinic’s ability to offer value-based healthcare. This would increase preventative care and enhance access to care, which would eventually result in cost savings.
The increased need for primary care doctors is a well-known reality. One of the earliest medical facilities to adopt value-based healthcare, which emphasizes prevention over treatment in order to provide better care at reduced costs, is the Mayo Clinic. However, increasing the number of primary care doctors it hires would be one approach to enhance its delivery of value-based healthcare.
Nearly 1,100 primary care doctors are among the over 4,000 staff physicians at the Mayo Clinic (Mayo Clinic). However, despite having a significant number of medical professionals on staff, Rochester, Minnesota—where the Mayo Clinic is located—only has roughly 12 primary care doctors for every 10,000 residents (Arizona State University). This implies that a lot of Rochester residents would have trouble locating a physician who can provide them access to basic medical care.
A7=======Increasing the number of primary care physicians available reasonably reflects improvement in preventive care, which can result in cost savings. This aspect can be more effectively evaluated once the facility is sufficiently identified.

Part B.

The Mayo Clinic is a not-for-profit hospital, while the St. John’s Riverside Hospital is a for-profit hospital. The Mayo Clinic is privately owned and operated, but not for profit. The St. John’s Riverside Hospital is a for-profit hospital that is owned by a holding company.
B======The submission generally identifies St. John’s Riverside Hospital compared to the Mayo Clinic Hospital. The American Hospital Directory identifies three facilities with this name. Please specifically identify which St. John’s Riverside Hospital is being used for the comparison.

 

1.

Being a not-for-profit institution, the Mayo Clinic is not concerned with turning a profit. Instead, it concentrates on giving patients high-quality treatment. Being a for-profit hospital, the St. John’s Riverside Hospital’s primary goal is to maximize profits.
These two hospitals, which are both in Minnesota, are regarded as being of the highest caliber. The two hospitals are distinct from one another due to their many peculiarities.
The Mayo Clinic concentrates on giving patients high-quality treatment, while St. John’s Riverside Hospital concentrates on producing money. This is one way that these two institutions vary from one another. Another distinction is the ownership of the two institutions: whereas St. John’s Riverside Hospital is owned by shareholders who desire to profit from their investment in the hospital, the Mayo Clinic is a not-for-profit corporation.
B1 ======== The submission appropriately notes that non-profit facilities do not focus on profits. It has been identified that St. John’s Hospital is in Minnesota. The hospital directory recognizes three St. John’s hospitals in New York. Clarification is needed for exactly which facilities are being compared.

2

Patient-centered treatment at the Mayo Clinic is more firmly established than at other institutions. As a non-profit medical facility, the Mayo Clinic is committed to providing the best possible treatment for all of its patients, regardless of their financial situation. In other words, St. John’s Riverside Hospital is a for-profit business.
Patients who are healthy and have adequate insurance coverage are more likely to be prioritized by St. John’s Riverside Hospital since its principal purpose is to generate money first and foremost. Some patients may suffer worsening of health or even death as a consequence of treatment denial, especially those with more complicated medical illnesses or those without appropriate health insurance coverage. As an alternative, the Mayo Clinic operates as a nonprofit because it believes that high-quality healthcare should be available to everyone, even those who cannot otherwise pay it. Because of this, all patients are treated similarly regardless of their financial level or other variables like insurance status or prior diseases
B2======. The difference in focus between for-profit and non-profit organizations is competently addressed. This aspect can be more effectively evaluated once the two organizations being compared are sufficiently identified.

C====. References and in-text citations have been provided. A consistent application of APA style is not demonstrated. Examples include but are not limited to direct quotes without in-text citations, missing references, and references without a corresponding in-text citation.

 

3

One financial and one quality data source that could inform organizational transformation in any healthcare organization are the Medicare website and the Joint Commission website. When it comes to finding out how much money healthcare providers spend on services and supplies, the Medicare website has a variety of data. It also shows which treatments are most popular with their consumers. Organizational changes may be made using this data to attract more patients who will spend more money on your services, which will boost profit margins. To see how well hospitals are doing in reducing errors and infections, you may visit the Joint Commission website. It also tells us how effectively they handle it when they do make a mistake. By using this information, you may make organizational changes to enhance the security of your patients, decrease the likelihood of errors and infections, and avoid costly litigation.

Key references:

Chang, E., Cohen, J., Koethe, B., Smith, K., & Bir, A. (2017). Measuring job satisfaction among healthcare staff in the United States: a confirmatory factor analysis of the Satisfaction of Employees in Health Care (SEHC) survey. International Journal for Quality in Health Care, 29(2), 262-268.
Shrestha, S., Miao, R., Wang, L., Chao, J., Yuce, H., & Wei, W. (2017). Burden of atopic dermatitis in the United States: analysis of healthcare claims data in the commercial, Medicare, and Medi-Cal databases. Advances in therapy, 34(8), 1989-2006.
Olson, J. E., Ryu, E., Hathcock, M. A., Gupta, R., Bublitz, J. T., Takahashi, P. Y., … & Cerhan, J. R. (2019). Characteristics and utilisation of the Mayo Clinic Biobank, a clinic-based prospective collection in the USA: cohort profile. BMJ open, 9(11), e032707.

 

 

 

 

For the above, revisions needsto be down in 

A3a

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B

B1

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C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
BS NURSING D223

 

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