Healthcare organizations have differences and similarities across the board. Some healthcare institutions are faith based and will not allow for some procedures. Others provide small procedures and vaccinations. Some healthcare facilities are for profit and others are non-profit. While other health care providers only take certain types of insurances, either government funded or privately funded insurances. The Mayo Clinic is large not for profit operating healthcare provider and healthcare research entity. They provide a vast array of services in the United States from diabetes to cancer treatment and research. The Mayo Clinic has a worldwide reputation and standard that continues to receive accolade and awards. The Mayo clinic has received the Joint Commission’s Gold Seal of Approval. This award is given to organizations that demonstrate the highest dedication to improving and providing patients with best quality of care. The Mayo Clinic takes pride in being able to provide the highest level of care and to also maintain it. The Mayo Clinic has established a department to manage any infraction that may hinder its goal of achieving this standard it has set forth (Mayo Clinic For Patients, 2013). The Mayo clinic has to maintain a standard that is consistent with the reputation that they have established for themselves through risk and quality management. The Mayo Clinic has a compliance and integrity program established to reinforce safety. This program is put into place to monitor the overall business practices and to ensure they are being conducted with integrity. The program puts all policies and procedures under one chain of command so that they can be monitored and used as a means of communication for employees. The compliance office oversees the directing and receiving of reports, questions, and concerns about the care provided.
The Compliance Office works with all department heads and stakeholders to ensure regulations and requirements are met (Integrity and Compliance Program, 2011). They also establish furthering education so that employees
are up to date on current rules and regulations. The compliance office is open to receive any and all violations reports. The violations are investigated thoroughly. This program ensures that the company is able to provide statements in relation to its business practices, current and forthcoming law changes, and to protect itself and staff from any civil or legal issues. The integrity and compliance program applies to all individuals who work in any capacity at the mayo clinic from main stakeholder to students and volunteers. Workers are expected to report any violations that are suspected or otherwise known (Integrity and Compliance Program, 2011). The compliance program offers an open door policy and protects its employees from retaliation. The purpose for this office is to identify violations that are against company policy and the company and its employees to be civilly liable, and criminally liable. Each Mayo facility has a compliance officer on staff to ensure its compliance and integrity program is being fulfilled. Compliance officers are responsible for investigating suspected violations. Each employee is required to take a compliance-training course to ensure that they know what is expected of them when they witness, suspect, or commit a violation.
The compliance program further educates new employees on the standard in which Mayo conducts business. The current state of providing healthcare is ever changing and the Mayo Clinic has to stay one step ahead and ensure that their employees are properly educated in all aspects of healthcare laws (Integrity and Compliance Program, 2011). Abrazo recognized as 2011 as Best in Arizona by U.S. News and World Report, One of the Best in Phoenix, ranked #12 for the Arrowhead Hospital are a few of its great recognition as an great health care organization. The Joint Commission name Maryvale Hospital for heart attack, heart failure, pneumonia and surgical care as “top Performer”. The American Heart Association and American Stroke Association awarded The Sliver Plus Achievement Award for 2012 and 2011 to Phoenix Baptist Hospital and the Arizona Quality Alliance awarded Arrowhead Hospital in 2012 for Excellence. Abrazo Health Hospital has done and continues to contribute the best quality care in the valley for its community. Maintaining a fact sheet that include Medical Group, Health Institute, School-Based Health Centers, an Emergency Center in North Peoria, and providing health plans for those who need help in these areas. Abrazo has also contributed to many charitable
organizations in the Valley. Like the American Heart Association, Susan G. Komen, YMCA, Leadership Council, and many high schools. They continue to provide information to the community and continue huge amount of support to the American Heart Association, Community Education and Outreach, Fire Service Leadership Conference, Keogh Foundation, School-Based Health Centers, Susan G. Komen, Race for Cure, The Legacy Backpack Buddies, and the Valley of the Sun United Way.
Abrazo Health is part of the Nashville-based Vanguard Health System who embraces non-profit health care systems and serves as a bridge for these non-profit organizations to connect, serve as a business partner to for-profit corporation. The Vanguard Health System and Abrazo Health continue to provide top quality care in affiliation with board certified physicians, nursing professionals and well-trained staff, all who were recognized by national organization that share the same values in patient care. Showing Distinguished Awards from American Heart Association, Arizona Quality Alliance, The Joint commission, and named “Best in Phoenix” by U.S. New and World Report, Abrazo leads in the healthcare industry with a fantastic reputation. Another organization’s risk and quality management that finds themselves in a unique situation between providing the best resources possible to the community and regulation is the Southwest Autism Research & Resource Center.
The Southwest Autism Research & Resource Center, also known as SARRC, is a non-profit, community-based organization that conducts research and distributes information, as well as supports individuals with autism and their families. In 2009, SARRC conducted 250 training and orientations, as well as offered information and services to students and staff in 90 Arizona schools. All of the services they offer are of highest quality and evidence based (“Sarrc”, n.d.). Autism touches on a broad spectrum of conditions and behaviors. In order to provide support for this spectrum, SARRC performs and receives research from many doctors as well as developmental psychologists. Performance is monitored by how the varying levels of success the therapies have on developmental delays such as feeding, speech, and social skills. Autism touches on a broad spectrum of conditions and behaviors. In order to provide support for this spectrum, SARRC performs and receives research from many doctors as well as developmental psychologists. Performance ismonitored by how the varying levels of success those therapies have on developmental delays such as feeding, speech, and social skills. For SARRC, the main regulatory body that effects accreditation on research and treatment is the Arizona Board of Psychologist Examiners.
By following the guidelines set by the Arizona Board of Psychologist examiners, SARRC will be in compliance and be able to perform at expectations above the high standards set by the board. They also have to make sure that they are following regulations set forth by the U.S. Food and Drug Administration. Some of these regulations include the use of electronic records, protection of human subjects, informed consent, and specific safeguards for children.
By continuing partnerships with doctors and researchers and following the guidelines set by the regulatory board, SARRC can focus on becoming the center of choice for those seeking assistance Autism spectrum disorders. This will help improve overall organizational performance.
The most important part of an organization is to make sure everyone at all levels is working toward a unified goal. Some levels of the organization may have other compartmentalized goals, but overall the message should be clear. Leadership should set the expectations of all incoming employees, but all employees should have a way of giving feedback to leadership on how they feel the organization is progressing to its goal. Staff needs to know that without compliance and accreditation guidelines the organization cannot survive, much less thrive on the assistance it provides to the community. The goal is to have a majority of the staff believe in the direction of the organization and for the organization to listen to its employees.
Compliance and regulation set the tone for risk and quality management systems in an organization. Certain aspects may help or hinder performance depending on the particular regulations set by the state. With the guidelines in place, quality management can gauge whether exceeding these standards would help the organization. Besides the level of service provided in quality management, risk management dictate that these actions are responsible from a fiduciary standpoint. Nonprofit organizations aren’t in it to make the big bucks per se, but they still are a business that needs to
run and pay employees, facilities, and other services provided.
Abrazo Health offers a broad range of medical services, internal medicine, general surgery, cardiology, orthopedics, mother and infant care, diagnostic imaging, and emergency service. Mayo clinic offers cardiology, diabetes, and neurology surgery. SARCC focuses primarily on autism research. Abrazo departments are strictly viewed by the board members to ensure safe and quality care is being provided. Abrazo has over 5,000 employees, 600 volunteers and 2,000 affiliated physicians, and are located all over the Phoenix Valley. The Mayo Clinic is somewhat nationwide with its main facilities in Minnesota, Florida, and Arizona. The Mayo Clinic staffs and employs around 61,000 employees. The mayo clinic also has a research department and an accredited medical school established to train medical professionals and student medical doctors (Mayo Clinic facts – 2012, 2013). Abrazo Health Hospital has five acute who are all accredited by The Joint Commission (TJC) who have accredited hospital for more than 50 years. Arrowhead Hospital, Maryvale Hospital, Phoenix Baptist Hospital and West Valley Hospital are recognized as a certified Primary Stroke Center and are a part of the Abrazo Health Hospital. All three of these organizations are not for profit.
Each facility has its own purpose and mission statement. Not all healthcare facilities are the same as they provide care in their own way established from their own standards and levels of care. Each has a common goal in providing the highest level of care in any treatment they provide. Each has the tough task of always having to update their quality and risk management goals to meet the demands of the public and reimbursement agencies along with maintaining their accreditations. Quality and risk management have to be proactive and stopping incidents before they start. Incidents cost organizations financially and in the long run take away from the level of care that they are trying to provide.
Abrazo Health. (2013). Retrieved from http://www.abrazohealth.com/home.aspx Integrity and Compliance Program. (2011). Retrieved from
http://www.mayoclinic.org/mcitems/mc2500-mc2599/mc2570.pdf Mayo Clinic Facts — 2012. (2001-2013). Retrieved from http://www.mayoclinic.org/about/facts.html Mayo Clinic For Patients. (2013). Retrieved from http://health.usnews.com/besthospitals/area/mn/mayo-clinic-661MAYO/for-patients SARRC. (n.d.). Retrieved from http://autismcenter.org/about_sarrc.aspx
University of Phoenix Material
Organizational Performance Management Table
After you have completed your individual research on your chosen type of health care organization, collaborate with your Learning Team to complete this table. Then, refer to this table as you collaborate to write your paper. Include this table as an appendix to your paper.
Fill in the necessary information in each cell, but be as succinct as possible.
1. Provide names of or links to specific organizations. Summarize key products or services provided by each type of organization and identify the primary customers they serve.
Organization One| Organization Two| Organization Three|
MAYO Clinichttp://www.mayoclinic.com/The Mayo Clinic is a non-for-profit worldwide organization that is dedicated to medical care and research. They employee Doctors from all practices and utilize their expertise to work together for the better of the patients. The Mayo Clinic also has school for furthering education for medical professionals. They treat over a million people a year. Their mission is to provide care and let people care for themselves. They provide up to date information and methods for their patients and website | Abrazo HealthCarehttp://www.abrazohealth.com/home.aspx Abrazo Health offers a broad range of medial services, internal medicine, general surgery, cardiology,
orthopedics, mother and infant care, diagnostic imaging, and emergency service. Providing new standard care and over 5,000 employees, 600 volunteers and 2,000 affiliated physicians. They are located all over the Phoenix Valley. | Southwest Autism Research & Resource Center (SARRC)http://autismcenter.org/default.aspxSARRC is a non-profit, community-based organizations that conducts research and distributes information, as well as support for individuals with autism and their families. In 2009, SARRC conducted 250 trainings and presentations, as well as offered information and services to students and staff in 90 Arizona schools. All of the services they offer are of highest-quality and evidence-based. |
2. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect each organization. Provide the title, section, parts, or subparts or the numbering system and so on of the specific regulations or accreditation requirements.
For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation; Title 21 CFR Part 11, Subpart C, § 11.200 Electronic Signature: http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrsearch.cfm?cfrpart=11
Organization One| Organization Two| Organization Three|
Mayo Clinic and its website are accredited through the Joint Commission. The Joint Commission overseas hospitals that receive Medicaid reimbursements. The Joint Commission has also accredited the Mayo Clinic in its Advanced Stroke Center. Commission on Accreditation of Rehabilitation Facilities (CARF) has accredited Mayo Clinic for their inpatient rehabilitation programs.CEO Cancer Gold Standard Accreditation.Breast Clinic has received the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons.-Educational Accreditations Mayo Clinic’s College of Medicine, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) which provides continuing medical education for physicians. Mayo Clinic College of Medicine designates
these educational activities for category 1 credits toward the American Medical Association (AMA) Physician’s Recognition Award.College of Medicine, Mayo Clinic, has achieved Accreditation with Commendation – which is the highest level of recognition offered by ACCME.| Abrazo Health Hospital and the five acute are all accredited by The Joint Commission (TJC). The Joint Commision have been accredited hospital for more than 50 years. Arrowhead Hospital, Maryvale Hospital, Phoenix Baptist Hospital and West Valley Hospital are recognized as a cerified Pimary Stroke Center and are apart of the Abrazo Health Hospital. Also recognized as 2011 Best in Arizona. U.S. News and World Report, One of the Best in Phoenix, ranked #12- Arrowhead Hospital.TJC top Performer- Marvale Hospital for heart attack, heart failure, pneumonia and surgical care. American Heart Association and American Stroke Association- The Sliver Plus Achievement Award for 2012 and 2011 to Phoenix Baptist Hospital.Arizona Quality Alliance- Award for Excellence to Arrowhead Hospital in 2012. Abrazo Health Hospital have done and continue to contribute the best quality care in the valley for years. | Use of electronic records and electronic cignatures Title 21 CFR Part 11 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=11 Protection of Human Subjects Title 21 CFR Part 50 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=50 Informed ConsentTitle 21 CFR Part 50.25 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=50.25 Safeguards for ChildrenTitle 21 CFR Part 50.55 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=50.55 |
3. Highlight the effect of each organization’s regulations, accreditation requirements, and other standards on the risk- and quality-management functions and activities.
Organization One| Organization Two| Organization Three|
Mayo Clinic has a standard of practice, therefore they need the highest of accreditations. They have to maintain their level year round to not only their patients but also their employees. Risk management has to assess any and all possible issues that could cost the company money and loss of
productivity due to fines, and employment turn over. Quality management has to ensure that all employees are up to date on education and changes in regulations and procedures. The accreditations aloow the Mayo Clinic to conduct certain researches and also certain procedures such as brain and cardio surgical procedures. Without the accreditation they would not be able to perform said procedure and therefore lose money. | Abrazo Health has 5 acute hospitals in the state of Arizona. Arrowhead, Maryvale, Paradise Valley, Phoenix, and in West Phoenix. Each providing a broad range of medial needs and working with the Arizona Heart Hospital and leading a great reputation in the cardiovascular department. Abrazo has been rewards on numerous occasions which has lead the organization to continue to provide great quality care all over the metropolitan area of Phoenix Arizona. Abrazo Health maintain a fact sheet which include Medical Group, Health Instutute, School-Based Health Centers, an Emergency Center in North Peoria, and providing health plans. Abrazo has also contributed to many charitable organizations in the Valley. Like the American Heart Association, Susan G. Komwn, YMCA, Leadershio Council, and many high schools., they continue to provide information to the community and continue huge amount of support to the American Heart Assoication, Community Education and Outreach, Fire Service Leadership Conference, Keogh Foundation, School-Based Health Centers, Susan G. Komen, Race for Cure, The Legacy Backpack Buddies, and the Valley of the Sun United Way.| Since SARRC is a non profit research organization located in Arizona, not only do they have to comply with non-profit laws but also the regulation of the Arizona Board of Psychologist Examiners. This board of examiners regulates how employees of SARRC are licensed to perform work with children and the education they need to keep licenses up to date. From a risk standpoint the board ensures that SARRC employees are licensed to give psychological treatment to children and to use safe methods. This also helps SARRC maintain high quality as the research techniques used exceed the Board of examiners qualifications as per SARRC programs (http://autismcenter.org/programs.aspx)|
4. Specify components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other
mechanisms—to be used by each organization.
Organization One| Organization Two| Organization Three|
Mayo Clinic has a compliance department and employs compliance officers that ensure policies and procedures are being followed accordingly. Compliance officers investigate all forms of complaints and work with department directors and managers to manage investigations and look for ways to stop these issues before they start. Education is developed through past incident along with present and future policy and law changes.| Abrazo part of the Nashville-based Vanguard Health System who Abrzo providing top quality care in affiliated with board certified physicians, nursing professionals and well-trained staff who have been recognized by national organization who share the same value in patient care. Showing Distinguished Awards from American Heart Association, Arizona Quality Alliance, The Joint commission, and named “Best in Phoenix” by U.S. New and World Report, Abrzon leads in the healthcare industry with a fantastic reputation. | SARRC research led by Christopher Smith, Ph. D an experimental psychologist, uses collaboration between different methods and scientists to find the possible causes of autism. Since autism is such a broad spectrum and there is no pinpointed contributing factor, most of the research and progress in the field is experimental. Most patients go in with the understanding that Autism may not be something that is curable. Performance is measured by the proven research methods which are demonstrated to work the most effectively for the child which varies per child for the broad spectrum disorder.|
5. Provide links to any relevant sources that will be useful as your Learning Team completes the paper.
Organization One| Organization Two| Organization Three|
http://www.mayoclinic.org/mcitems/mc2500-mc2599/mc2570.pdfhttp://health.usnews.com/best-hospitals/area/mn/mayo-clinic-661MAYO/for-patientshttp://www.mayoclinic.org/about/facts.html| | |