Hospitals or Health Care

Hospitals or health care sectors are locations where the health of the public is taken care of, and health treatments of patients are done through diagnosis, clinical treatment, and prevention of disease in order to help them in recover from their physical and mental impairments. Therefore, it is very important to maintain the quality of care and treatment provided to the patients. The facilities provided to the patient should be of high quality and need to be under the vigilance of the respected team. It is also important to be serious about the care provided, and the workers should be more responsible since this industry deals with the health of the community (Boyd and Sheen 2014).

In this context, the "Rubicon Health" three issues were observed that lead to the worsening of the health condition of the patient and deterioration of the sanitation in the organization. The three issues were based on the clinical, non-clinical and patient experience inside the hospital. The flaws in the management and the health care professionals lead to this situation where there was an elevation observed in the “hospital acquired infection” by twenty, percent patient complains increased by thirty percent, and nurse leave and attrition rate has increased by fifteen percent. Moreover, there exists a lack of fund to bring about any technical or equipment implementation. In order to bring about changes and modifications in the management system and action plan needs to be developed and designed so the hospital can get accreditation by the survey team (Dixon-Woods et al. 2013).

Plan of action:

Clinical issues –

In terms of the clinical complications that has been observed in the “Rubicon Health” the first issue that was brought to notice was that the “hospital acquired infection (HAI)” among patients have increased by almost twenty percentage reflecting an unhealthy and insanitary condition in the atmosphere of the health care sectors of the organization. According to Middleton et al. (2013), “Healthcare associated infections (HAI)” are a risk to patient safety. CDC gives national headship in surveillance, laboratory research, outbreak investigations and anticipation of “healthcare-associated infections.” CDC utilizes knowledge obtained through these actions to spot infections and build up new strategies to avoid “healthcare-associated infections.” “Public health action by CDC” and supplementary healthcare partners has moved to achieve improvements in medical practice, medical dealings, and the continuing growth of “evidence based infection” management guidance and preclusion successes (Dudeck et al. 2013).

According to the standards of “National Safety and Quality in Health Service NSQHS – (Australia), the governance and the quality improvement systems criteria can be achieved by implementing a vital governance system that lays down the various policies, procedures or protocols. As stated by Free et al. (2013), these policies involve establishment and maintenance of a “clinical governance framework,” “collecting and reviewing of the presentation data,” “communication with the clinical and also the non-clinical staffs,” “implementation of the prevention strategies” and “recognition of the risk associated with safety and quality.” Moreover, the standards state that the stakeholders and other board members of the health organization should take the complete liability of the patient safety and quality of the treatment provided (Aiken et al. 2012).

The first step of the plan of action would involve a trigger that prompts the healthcare system to start a prominence on quality improvement and also pointing the beginning of culture drift. Then a committee and a council of quality control consisting of authorized nurses and other staff should be established. As discussed Bohmer (2013), the responsibility of the committee will be keeping a check on the sanitation of the health care so that no infections are able to spread. In this context, in the “Rubicon Health” the urology and the orthopedic surgeons already informed the infection control nurse to communicate with them in matters of the pathology to let them understand about the present issue. Since monitoring of the cleanliness status was not properly done by the infection control nurse and the report was not stated correctly to the doctors, the condition related to the "hospital acquired infection has elevated (Kongstvedt 2012).

As stated by Lewis et al. (2014), on the other hand, a systematic and multidisciplinary team approach should be effectively designed in order to recognize and study a complicated and problem area. Once the area is identified the root cause of the problem should be analyzed. Once the analysis is made, there would be a reduction in the in the blood infections, patient fall, complications, readmission and also mortality. As evidence states that there has been an increase in the “hospital acquired infection (HAI)” in the “Rubicon Health” by twenty percentages.  This situation of the organization has developed due to the impaired performance. The duties that were given to the various employees were not performed properly and the issues related to patients were kept unnoticed. This implementation should be done in accordance with the NSQHS standard of “Preventing and Controlling Healthcare Associated Infections” that states that systems and various strategies should be designed in order to prevent the infection of the patients within the medical set up and to manage the infection (Ellis 2014).

“Healthcare associated infections (HAI),” are infections which patient acquire while they are getting treatment for one more stipulation in a health care locale. HAIs can be acquired wherever health care is conveyed, involving inpatient severe care hospitals, outpatient frameworks as like ambulatory surgical units and end-stage renal ailment services, and long-standing care services such as “nursing homes and rehabilitation centers.” HAIs may develop from any transmittable agent involving bacteria, viruses and fungi as well as an additional less frequent variety of pathogens. HAI can destroy the environment of the whole health care sector if not identified and managed at the correct time (Jarvis 2015).

An “infection control practitioner (ICP)" should be assigned to the multidisciplinary team to typically perform current surveillance of such infections for definite wards, compute infection rates and account these facts to vital employees, execute staff education and training, act in response to and apply outburst control measures, and discuss with employee health complications.  All most every health care worker should obtain supplementary infection manage training and episodic assessments of aseptic care as an intended patient safety action. Nurses have the inimitable chance to unswervingly reduce health care-related infections from end to end identification and application of evidence related events to check HAI amongst patients and caring the health of the employees. “Clinical care nurses” unswervingly should be advised to avert infections by monitoring, performing, assuring observance and reporting to the expertise medical professionals with aseptic job practices (García-Moreno et al. 2015).

Patient experience –

In a health care sector, the main aim is to satisfy the patient and his or family through proper treatment and care. In any sort of negligence in the treatment may arouse a situation where the patient gets compelled to complain about the health care professionals. According to the “Recognizing and Responding to Clinical Deterioration in Acute Health Care” standards of NSQHS, the systems and the process of the health service should be implemented in order to respond effectively to the need of the patient whenever the clinical condition of the healthcare deteriorates. Regarding the reference context, the approximate increase in the patient complaint is thirty percent. The complaints from the patients involve rudeness shown by the health care staffs, long duration of waiting in the emergency departments and also the employees were alleged for stating or remarking that the patients should be grateful towards the staffs for their immense contribution in improving their health. Moreover, in one instance a patient complain made formally through a letter. It was assured to be addressed properly but the issue was kept on hold unnoticed (Drummond et al. 2015).

The plan of action to resolve such problems needs firstly needs to create and design “A specific Complaints Management System” which will involve some unique and trustworthy employees who will be involved in the process of recording and evaluation of the complaints that are being raised by the patients or their family members. The set up of the system should involve appropriate area to receive the complaints, system to prioritize the complaints, acknowledgment of the complaints and briefing of the responsibilities, investigation and resolution of the complaints that should be addressed by the staffs and also by the policy makers (Holloway, I. and Wheeler 2013).

 Secondly, staffs meetings should be held where instruction and training regarding their behaviors need to be briefed. In accordance with rude behavior or communication that might hurt the patient as stated in the context strict action should be taken against the employees. Moreover, a small vigilance team would be developed out of the existing staff in order to measure and monitor the conduct of the staffs. Lastly, after identification of the main areas of problem the complaints needs to be summarized and a follow up survey should be done in regular intervals (Marston et al. 2016).

As per the information gained from the context, the emergency department of the “Rubicon Health” in many occasions has delayed in the waiting time. This issues need to be focused on the vigilance team, identified and resolution to the related problem needs to be made. The action plan would involve systems to monitor the area and the activities of the staff members employed in the emergency department (Department of Health 2013).

Non-clinical issue –

 As stated by Jeffreys (2015), nursing profession relates to focused care on individuals, families and the communities. Nurses play one of the most significant roles a health care sector. Nurses’ practice is diverse and the care provided by them is to be appreciable in terms of the patient recovery. Therefore, their absence in the health care unit can bring about a huge change in the patients health and care. In context to the "Rubicon Health" organization, there exists a lot of issues related to the nurse employment and attrition rate. The record states that the attrition rate and the number of leave taken by the nurses of this organization have increased almost by fifteen percent. The minimal duration of the sick leave taken by the nurses without a medical certificate is about one to two days (Bish et al. 2013).

According to the “Performance and Skills management” criterion of standard 1 of the NSQHS i.e. “Governance for Safety and quality in Health Service Organizations” a performance development system should be implemented for the medical workforce in order to improve their scope of practice and seek regular feedback from the workforce would ensure their understanding level of safety and quality system. In accordance with this standard the complications and the problems experienced by the organization should be addressed and action needs to be taken (Lartey et al. 2014).

 According to Crettenden et al. (2014), the action plan would firstly involve the regular identification of issues of the workforce through a feedback collection team and analysis of those areas where amendments need to be made. Secondly, a system should be developed which can be designed to provide a “rewarding environment in which nurses can work, with opportunities to grow, and a chance to be heard and participate in practice decisions keeps experienced nurses at the bedside and, ultimately, improves patient care.” Reward and recognition help to motivate the employees and also it acts as a strategy to retain the employees (Pauly et al. 2012).

The last plan of action would involve conducting meetings in order to address the stakeholders for policies to be designed by the policy makers which would consist of various leave policies for the employees of the organization. The policies might involve leaving for the nurses after a night shift, equal distribution of the duties, etc. (Brown et al. 2013).

Reason for selection of the issue and resolution –

The three issues selected are key to the achievement of the accreditation first of all since in a health care sector earns the profit out of the patient who needs to be satisfied by resolving their problems and with proper care and medical treatment. If their complaints are being resolved and, they are being attended well, the satisfaction level might help to motivate the staffs.  This problem can be resolved by establishing a “specific Complaints Management System” involving trustworthy pre-existing staffs that can identify, analyze and resolve their problems (Weaver 2013).

 The second issue related to the spreading of the "Hospital acquired infection" is important in order to develop the level of sanitation and the infectious free environment in the hospital. Moreover, on addressing the problem, the recovery rate would increase and, the mortality rate would decrease in the "Rubicon Health" organization. This can be resolved by the development of a "committee and a council of quality control" consisting of authorized nurses and, other staff should be established. The responsibility of the team would be to keep a check on the sanitation of the organization. Moreover, some infection control practitioner could be hired in order to provide training to the existing staffs involved directly in patient care.

The non-clinical issue is significant since nurses play a major role in the health care sector. Their absence can hamper the health condition of the patients. The resolution of this problem would involve a feedback mechanism or operation of the nurses and other employees, rewards and recognition system designing and also implementation of the leave policy (Trepanier et al. 2013).

Conclusion:

The three issues in e “Rubicon Health” were based on the clinical, non-clinical and patient experience inside the hospital. The flaws in the management and the health care professionals lead to this situation where there was an elevation observed in the "hospital acquired infection" by twenty, percent patient complains increased by thirty percent, and nurse leave and attrition rate has increased by fifteen percent. Moreover, there exists a lack of fund to bring about any technical or equipment implementation. On following certain standards of the NSQHS the following issues were identified and action plan has been developed.

HAIs can be acquired wherever health care is conveyed, involving inpatient severe care hospitals, outpatient frameworks as like ambulatory surgical units and end-stage renal ailment services, and long-standing care services such as "nursing homes and rehabilitation centers." This can be resolved by the development of a "committee and a council of quality control" consisting of authorized nurses and, other staff should be established. The second issue was the complaints from the patients involve rudeness shown by the health care staffs, long duration of waiting in the emergency departments and also the employees were alleged for stating or remarking that the patients should be grateful towards the staffs for their immense contribution in improving their health. This problem can be resolved by establishing a "specific Complaints Management System" involving trustworthy pre-existing staffs that can identify, analyze and resolve their problems. The third issue involves the attrition rate and the number of leave taken by the nurses of this organization has increased almost by fifteen percent. Resolution would involve the reward and recognition system. Although there are gaps in the “Rubicon Health” organization, on addressing the problem properly can raise its standards and quality.

References:

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