!!!PLEASE READ ABOUT THE HEALTHCARE ORGANIZATION BELOW BEFORE STARTING ASSIGNMENT!!!! Healthcare Organization In this assignment, a non-profit organization that aims to promote care for patients with hypertension and diabetes will be created. The type of organization created is a specialized healthcare center that promotes the provision of effective healthcare services to patients who suffer from diabetes and hypertension. Additionally, the organization will create awareness about the conditions that may increase the risk of an individual contracting the two diseases. The name of the healthcare facility will be ‘Preventative Care Clinic.’ The facility mission will be “to increase the quality of life for the people battling diabetes and hypertension by providing high-quality patient-centered care to them as well as educating the population on the best ways that may be used to prevent oneself from suffering from the two illnesses.” The vision of the facility will be “to create an environment where the people with diabetes and hypertension can access care services regardless of their level of income.” ‘Preventative Care Clinic’ aims to identify the victims of diabetes and hypertension and provide them with the appropriate care that is needed as well as availing the necessary resources to them. By doing this, the clinic will promote the increase of the quality of life among the individuals who have diabetes and hypertension. Hypertension and diabetes are some of the lifestyle diseases that are increasing at a higher rate daily. Thus, by promoting effective care to the people who have illnesses, the health outcomes of the population will be promoted. The healthcare facility will offer services such as identifying individuals with diabetes and hypertension and providing effective care to them by addressing their individual needs, providing nutritional counseling, providing eye, foot, and skin care to patients, Medicare care, promoting patient’s awareness on managing medical interventions and ensuring the utilization of coping mechanisms for chronic illnesses. Preventative Care Clinic will be located in Austin, Texas due to Texas being one of the states in the U.S. with the lowest standards of healthcare services. Additionally, Texas has a high percentage rate of uninsured and underinsured residents, therefore, locating the healthcare facility in the location will ensure that many residents have access to the healthcare facility. Preventative Care Clinic will be medium-sized healthcare facility which will enable the facility to attend and service more patients in the location. The approximate number of employees that will be required will be 350. Data Examination As indicated above, the healthcare facility will be located in Austin, Texas. The city has a total population of 978,908 (City Data, n.d.). In the population of Austin, 99% of the population is in the urban area while only 1% is in the rural area. The proportion of the male population is 50.6% which is 495,694 people (City Data, n.d.). On the other hand, the female population of 483,214 makes up 49.4 % of the population in the city. The median age of the residents in Austin is 33.9 years (City Data, n.d.). The estimated household income in the city is $75,413 whereas the per capita income as of 2019 was $46,217. The estimated median house value is $378,300. In Austin, the population of Whites is 477,668, the population of Hispanics is 318,016, the population of Asian is 79,536, the population of African Americans is 72,334, the population of American Indians is 2,796 whereas the rest of the races constitutes 1,260 people (City Data, n.d.). Texas has one of the worst healthcare systems in the United States. Considering that Austin is the capital city of the state, it is assumed to have better health facilities, however, the healthcare facilities are below average in comparison to the data on healthcare facilities in the rest of the United States. The state of a high number of uninsured and underinsured people, tough Medicaid regulations, and lack of quality healthcare services providence to the patients that has resulted in some of the highest rates of disease and death. Texas is ranked the fourth last state in the United States to have poor healthcare facilities by the National Healthcare Quality and Disparities Report (Callaghan et al., 2019. Some of the common medical conditions in Austin include cancer, heart disease, chronic lung disease, hypertension, stroke, diabetes, and obesity (Callaghan et al., 2019). Unfortunately, these medical conditions are some of the most expensive preventable chronic illnesses in Austin. As a result, ‘Preventative Care Clinic’ has chosen to concentrate on the provision of care to diabetes and hypertension patients due to these chronic illnesses having the possibility to result in other detrimental illnesses if not well controlled. Additionally, since the healthcare industry in Austin is poor and with a high uninsured rate of people, the healthcare facility, ‘Preventative Care Clinic’, is fit for this location to provide high-quality healthcare services at very affordable rates to the low-income earners (Callaghan et al., 2019). Some of the types of healthcare facilities located in Austin, Texas include hospitals, outpatient clinics, hospices, long-term care facilities, specialized care centers, and outpatient care centers (Callaghan et al., 2019). Some the healthcare facilities that are located in Austin include Austin Surgical Hospital, Dell Children’s Medical Center of Central Texas, Scoot & White Hospital, St. David’s Medical Center, Cedar Park Regional Medical Center, Northwest Hills Surgical Hospital, Seton Medical Center Austin, and University Medical Center Brackenridge (Travis County Health and Human Services Department, 2016). ‘Preventative Care Clinic’ will be different from the other healthcare facilities in the area as it will focus on the providence of diabetes and hypertension care to its patients. Additionally, the healthcare facility will be a non-profit healthcare facility thus indicating that it will charge very low and affordable prices to its patients. Moreover, residents identifying as low-income families and those that are uninsured and underinsured will be qualified to access the offered healthcare services that will be provided in the healthcare facility. Organization Dynamics and Structure The healthcare facility will have a managerial team and a board of managers. The c-level executives and the departmental managers will be employed based on their merit. Being employed based on merits indicates that individuals with a lot of experience will be hired to fill the positions because such individuals will ensure that the healthcare facility is successful. Since Preventative Care Clinic is a non-profit healthcare facility, it is essential to ensure that the managers are effective with ensuring that the amount charged to the clients is enough to cater for the running costs. Alternatively, managers should pitch the aim of the organization to non-governmental organizations to acquire the funding that will enable the healthcare facility to cater to the low-income earners that are underinsured (Mick and Shay, 2014). The healthcare facility will have several departments including the pharmacy department, finance department, human resource department, research department, outpatient department, inpatient department, physical medicine and rehabilitation department, counseling department, and medical department. The governing board of the healthcare facility will consist of people who have a plethora of experience in the healthcare industry and the required education. The board will consist of members with managerial backgrounds, financial backgrounds as well as healthcare backgrounds. Measures to maintain diversity and cultural competence will be formulated. Since the healthcare facility will have people from various cultural backgrounds, the employees at the healthcare facility will be needed to follow the stipulated strategies that will be used to ensure that diversity is maintained (Henderson et al., 2018). Some of the strategies will be the promotion of effective communication and collaboration, encouraging feedback, and focusing on attaining the objectives of the healthcare facility such as promoting patient-centered care and patient safety (Borkowski, 2016). Teamwork will be promoted in this healthcare facility and a visionary management style will be used in managing the healthcare facility. The process management theory will be used to influence organizational behavior (Bratton & Gold, 2017). The theory is utilized to increase the efficacy and efficiency of the processes that will be involved in the healthcare facility. The theory will also be utilized to ensure that the objectives of the healthcare facility are achieved. The target market of the healthcare facility will be individuals that have diabetes and hypertension residing in the Austin, Texas area. The healthcare facility will also target to serve the patients with diabetes and hypertension in the towns surrounding Austin. There are no special needs that will be required for the patients in ordered to be serviced in Preventative Care Clinic. Individuals of all genders and ethnicities will be treated and be provided with quality and patient-centered care while in Preventative Care Clinic. Recommendations and Conclusion In a nutshell, the healthcare facility will provide care services for individuals with diabetes and hypertension in the city of Austin, Texas, and the surrounding regions. Currently, there are not specialized care healthcare facilities catering to patients with diabetes and hypertension in the area. Since the level of healthcare in Texas is low, the healthcare facility will come to revolutionize the story. One of the recommendations that may be given is to seek funding from non-governmental organizations. By seeking funding from non-governmental organizations will ensure that the healthcare facility can provide healthcare services to the patients with diabetes and hypertension that come from low-income earning families. Another recommendation would be to increase the conditions that the healthcare facility will provide care for by including other chronic illnesses such as cardiovascular illnesses in order to maximize possible funding. Healthcare Delivery Models Preventative Care Clinic will be an accountable care organization. An accountable care organization is a healthcare entity that has integrated various services in a quest to endeavor to reduce the costs of healthcare expenditure costs and increase the accessibility of healthcare services to the target population. The medical providers and the healthcare facilities involved in this case work together to ensure that the patients access quality healthcare services at cheaper prices. As an ACO, the healthcare facility will promote healthcare services that will ensure that the patients with diabetes and hypertension in Austin and the surroundings receive high-quality healthcare services. The categorization has been done based on the healthcare practitioners and other involved stakeholders that will be involved in the process. Additionally, the patients will not be required to be members to have primary caregivers to access healthcare services. The healthcare facility will take it upon itself to be accountable for the quality, cost, and overall care that will be promoted since it is a not-for-profit healthcare facility. Comprehensive Explanation of Services The healthcare facility will offer various services to the target population. The main healthcare service that will be offered will be the provision of care services to the patients that have diabetes and hypertension in Austin and the surrounding areas. Thus, the healthcare facility will identify the people with diabetes and hypertension and provide appropriate care to them to address their individual needs provide eye-foot, and skincare to the patients as well as providing nutritional counseling to the patients (De Boer et al., 2017). The healthcare facility will incorporate inpatient, outpatient, and ancillary services to the patients with diabetes and hypertension depending on their level of illness. That will ensure that all the patients with diabetes and hypertension that seek help in the healthcare facility will find the required help (De Boer et al., 2017). The facility will also provide e-health services to other patients. The patients who cannot travel to Austin to receive the care from the healthcare facility can receive care through the e-health services (Bauer, 2018). By receiving e-health services will ensure that the facility serves a wide population in addition to reducing the number of people who visit the physical premises in order to save on space for catering to severely ill patients (Bauer, 2018). The delivery of care in the healthcare facility will entail the three sections that will be used to deliver care to patients namely; outpatient, inpatient, and ancillary services (Burton, 2017). The three sections indicate the delivery of care from the beginning to the end. Information Systems (E-Health) Appropriate healthcare information systems will be used to manage the data at the healthcare facility. The healthcare facility will use different information systems to ensure that the patient data is collected and stored safely in the healthcare facility (Bauer, 2018). Some of the information systems that will be utilized include electronic medical records, electronic health records, practice management software, master patient index, patient portals, remote patient monitoring, and clinical decision support (Bauer, 2018). The healthcare information systems that have been identified will be used in the patient information. When a patient visits the healthcare facility or open the e-health platform, they will be required to fill their data and health history (Bauer, 2018). The information will be collected at this point and other tests, interventions, and medications given at the healthcare facility. The data will be stored in a cloud which will increase the security of the data that is collected as well as promoting easy management of the data (Bauer, 2018). In order to ensure that the security of the data collected is promoted, the healthcare facility will formulate security measures, standards, and policies. Additionally, it will abide by the existing security measures such as HIPPA and HITECH regulations (Bauer, 2018). The security standards and policies that will be implemented in the healthcare facility includes a password policy that will require the employees at the healthcare facility to create strong passwords that will expire after every fortnight, multifactor authentication that will require the employees to use their fingerprint after putting the passwords, encryption of the patient data, and regular updating of the system to install the latest security patches to the systems (Bauer, 2018). The healthcare facility will promote interoperability through the use of cloud computing services. That will ensure that the data collected at any point in the healthcare facility can be accessed at another point. Thus, it will improve the delivery of healthcare services at the healthcare facility (Bauer, 2018). The healthcare facility will have a board of directors. The c-level management in the healthcare facility will be in charge of managing the healthcare facility as well as reporting to the board of directors. The healthcare facility will also have departmental managers that will report to the c-level managers. The employees in the departments will report to the departmental managers. Some of the departments that will be in the healthcare facility include the finance department, pharmacy department, research department, human resource department, inpatient department, physical medicine and rehabilitation department, outpatient department, ancillary services department, and medical department. The general strategy of the healthcare facility will be to provide effective healthcare services to patients with diabetes and hypertension. The healthcare facility will do that by catering to the patients as well as educating them on the best measures to increase the quality of their lives and improve their outcomes. To ensure that the healthcare facility is effective, the healthcare practitioners will be trained to increase their knowledge, skills, and expertise. Operational Excellence To achieve level four organization operational excellence, the healthcare facility will use operational tools such as Six Sigma, and lean (Shi & Singh, 2017). Using the Six Sigma in the healthcare facility will lead to shortening the wait times, preventing falls and injuries in the healthcare facility, reducing medication errors, promoting patient safety, and increasing the turnaround times for lab results. Additionally, the use of lean healthcare will streamline the processes of the healthcare facility (Shi & Singh, 2017). That will lead to the minimization of waste in all processes, tasks, and procedures through ongoing system improvement and following the five lean principles which are; value, flow, perfection, value stream, and pull (Shi & Singh, 2017). Quality Assurance & Accreditation There are six domains to quality healthcare namely; safety, effectiveness, patient-centered, timely, efficient, and equitable. (Shi & Singh, 2017) The healthcare facility will promote all six domains of healthcare quality. Healthcare will promote safety by promoting patient safety in the healthcare facility. It will be achieved through enough staffing and staff training to reduce medical errors and other errors. The healthcare facility will implement evidence-based practice as a way of promoting effective and efficient care to the patients (Shi & Singh, 2017). Through operational tools such as six sigma and lean healthcare, the healthcare facility will promote timely care to the patients (Agency for Healthcare Research and Quality, n.d.). Additionally, the healthcare facility will promote equitable patient-centered care to all the patients. The healthcare facility will promote risk management as well as patient safety in the facility. To achieve that, the healthcare facility will employ enough staff. That will prevent overworking the staff thus ensuring they are alert to promote patient safety (Clark, 2010). Additionally, they will be trained to ensure that they avoid making medical errors and other errors that may occur. Patient engagement will be promoted. That will ensure that the patients identify any risks that they might be facing thus enabling the healthcare practitioners to mitigate them. Thus, the healthcare practitioners and the patients will be actively involved in risk management (Clark, 2010). The facility will also create a risk management plan that will be used in cases of risks from other factors such as natural disasters. The healthcare facility will use Six Sigma and lean healthcare to ensure there is continuous quality improvement. The use of lean healthcare will streamline the processes of the healthcare facility. That will lead to the minimization of waste in all processes, tasks, and procedures through ongoing system improvement and following the five lean principles which are; value, flow, perfection, value stream, and pull (Shi & Singh, 2017). Using the Six Sigma in the healthcare facility will lead to shortening the wait times, preventing falls and injuries in the healthcare facility, reducing medication errors, promoting patient safety, and increasing the turnaround times for lab results (Shi & Singh, 2017). The healthcare facility will promote quality patient-centered care and foster patient safety. Therefore, effective strategies that may be utilized to promote patient safety, as well as the provision of quality healthcare services, will be implemented to ensure that the safety rating of the healthcare facility is high (McLaughlin & Olson, 2017. The healthcare facility’s target is to achieve an “A” in safety rating by reducing infections, increasing practices to reduce errors, and training the healthcare staff (McLaughlin & Olson, 2017). The competencies that the healthcare facility should target at improving to join the Joint Commission and be accredited are patient care, medical/clinical knowledge of the healthcare practitioners, interpersonal and communication skills level in the healthcare facility, practice-based improvement and learning, systems-based practice, and professionalism (Shi & Singh, 2017). Conclusion/ Recommendations In a nutshell, the healthcare facility will provide quality healthcare services to patients with diabetes and hypertension in the city of Austin, Texas, and the surrounding areas. The healthcare facility should ensure that it promotes quality healthcare services, patient safety, and patient-centered care to the patients. The healthcare facility should implement six sigma and lean healthcare as well to improve its healthcare services. One of the recommendations for the healthcare facility is the training of the medical staff. It will ensure that they promote patient safety as well as the delivery of high-quality healthcare services. Additionally, through training, the healthcare facility will meet the requirements of the Joint Commission. Another recommendation should be streamlining the processes and the procedures in the healthcare facility. Streamlining will enable the facility to achieve its objectives as well as meeting the requirements to join the Joint Commission. References Agency for Healthcare Research and Quality. (n.d.). Six domains of health care quality. Retrieved from https://www.ahrq.gov/talkingquality/measures/six-domains.html Bauer, G. (2018). Delivering value-based care with e-health services. ACHE. Retrieved from https://www.ache.org/-/media/ache/about-ache/covid/hap/deliveringvaluebasedcarewithehealthservices5.pdf Borkowski, N. (2016). Chapter 1: Overview and history of organizational behavior. In Organizational behavior in health care (3rd ed.). Jones and Bartlett Learning: Burlington, MA. Retrieved from the Trident Online Library. Bratton, J., & Gold, J. (2017). Human resource management: theory and practice. Palgrave. Burton, D. A. (2017). The anatomy of healthcare delivery model: How a systematic approach can transform care delivery. Retrieved from https://downloads.healthcatalyst.com/wp-content/uploads/2014/06/anatomy-of-healthcare-delivery.pdf Callaghan, T., Washburn, D. J., Nimmons, K., Duchicela, D., Gurram, A., & Burdine, J. (2019). Immigrant health access in Texas: policy, rhetoric, and fear in the Trump era. BMC health services research, 19(1), 1-8. Clark, J. S. (2010). Data analysis in health care compliance programs. Journal of Health Care Compliance, 12(3), 39-40,70-71. Retrieved from the Trident Online Library. City Data. (n.d.). Austin, Texas (TX) profile: Population, maps, real estate, averages, homes, statistics, relocation, travel, jobs, hospitals, schools, crime, moving, houses, news, sex offenders. City-Data.com - Stats about all US cities - real estate, relocation info, crime, house prices, cost of living, races, home value estimator, recent sales, income, photos, schools, maps, weather, neighborhoods, and more. https://www.city-data.com/city/Austin-Texas.html De Boer, I. H., Bangalore, S., Benetos, A., Davis, A. M., Michos, E. D., Muntner, P., ... & Bakris, G. (2017). Diabetes and hypertension: a position statement by the American Diabetes Association. Diabetes care, 40(9), 1273-1284. Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in the community: A concept analysis. Health & Social Care in the Community, 26(4), 590–603. doi: 10.1111/hsc.12556. Retrieved from the Trident Online Library. Mick, S. S., & Shay, P. D. (2014). Chapter 2: A primer of organizational theories in health care. In Advances in health care organization theory (2nd ed.). John Wiley & Sons: San Francisco, CA. Retrieved from the Trident Online Library. McLaughlin, D. B. & Olson, J. R. (2017). Chapter 15: Holding gains. Healthcare Operations Management (3rd ed.). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library. McLaughlin, D. B. & Olson, J. R. (2017). Chapter 4: Strategy and the balanced scorecard. Healthcare Operations Management (3rd ed.). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library. Shi, L., & Singh, D. A. (2017). Chapter 1: Major characteristics of U.S. health care delivery. In Essentials of the U.S. health care system (4th ed). Burlington, MA: Jones & Bartlett Learning. Retrieved from the Trident Online Library Shi, L., & Singh, D. A. (2017). Chapter 2: Foundations of U.S. health care delivery. In Essentials of the U.S. health care system (4th ed). Burlington, MA: Jones & Bartlett Learning. Retrieved from the Trident Online Library Travis County Health and Human Services Department. (2016). CHRONIC DISEASE IN AUSTIN/TRAVIS COUNTY. AustinTexas.gov. https://www.austintexas.gov/sites/default/files/files/Health/Chronic_Disease/Chronic_Disease_in_Travis_County___cover.pdf Case Assignment: Using the information from the reading above, please extend your paper by answering the questions below. 1. Regulatory Compliance and Health Care Law a. Regulatory compliance in health care is all about a health care organization's adherence to laws, regulations, guidelines, and specifications relevant to its business processes. Complete an extensive review of federal, state, and local laws, regulations, and guidelines relevant the business processes of your organization/facility. i. Prepare an executive summary of federal, state, and local laws, regulations, and guidelines applicable to your organization/facility. Be sure to identify how patient safety will be maintained. b. Corporate Compliance Program (Showalter, 2017, pp. 569-572) i. Using the outline created in the Module 2 Discussion and the feedback received from your colleagues, develop a comprehensive document outlining the Organizational Policies and Procedures for your organization/facility. 2. Health Care Ethics a. develop a comprehensive Code of Ethics for your organization/facility. b. Design a health care ethical committee. i. Identify the members. ii. Distinguish the roles and responsibilities of the committee. 3. Conclusions and Recommendations a. Bring this section to a close and provide 2 or 3 recommendations for your organization based on the information researched and identified. REQUIRED READINGS: American College of Healthcare Executives. (2020a). ACHE code of ethics. Retrieved from https://www.ache.org/about-ache/our-story/our-commitments/ethics/ache-code-of-ethics American College of Healthcare Executives. (2020b). Creating an ethical culture within the healthcare organization. Retrieved from https://www.ache.org/about-ache/our-story/our-commitments/ethics/ache-code-of-ethics/creating-an-ethical-culture-within-the-healthcare-organization Agency for Healthcare Research and Quality. (2020). Patient safety organization (PSO) program.Retrieved from https://www.pso.ahrq.gov/legislation Hester, M. D., & Schonfeld, T. (2012). Chapter 1: Introduction to healthcare ethics committees. In Guidance for healthcare ethics committees. United Kingdom: Cambridge University Press. Retrieved from the Trident Online Library. Hester, M. D., & Schonfeld, T. (2012). Chapter 5: Mission, vision, goals: Defining the parameters of ethics consultation. In Guidance for healthcare ethics committees. United Kingdom: Cambridge University Press. Retrieved from the Trident Online Library. Morrison, E. E. (2016). Chapter 15: Codes of ethics and administrative practice. Ethics in health administration: A practical approach for decision markers (3rd ed.). Retrieved from the Trident Online Library. Showalter, J. S. (2017). Chapter 15: Fraud laws and corporate compliance. The law of healthcare administration (8th ed.). Chicago, IL.: Health Administration Press. Retrieved from the Trident Online Library. Optional Reading Hester, M. D., & Schonfeld, T. (2012). Chapter 6: Ethics consultation process. In Guidance for healthcare ethics committees. United Kingdom: Cambridge University Press. Retrieved from the Trident Online Library. Assignment Expectations 1. Conduct additional research to gather sufficient information to justify/support your analysis. 2. CRITICAL THINKING SKILLS NEED TO BE UTILIZED 3. CITE EVERY FACT 4. Case papers should be at least 5 pages, not including the title and reference pages. 5. Support your paper with peer-reviewed articles with at least 5 references. Use the following link for additional information on how to recognize peer-reviewed journals: o Angelo State University Library. (n.d.). Library guides: How to recognize peer-reviewed (refereed) journals. Retrieved from https://www.angelo.edu/services/library/handouts/peerrev.php 6. You may use the following source to assist in formatting your assignment: o Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl.english.purdue.edu/owl/resource/560/01/ 7. For additional information on reliability of sources, review the following source: o Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content POWERPOINT Expectations (PART 2) The intent of the PowerPoint presentation is for you to transform the theoretical and general aspects, from the case assignment above, to a “Board-meeting” presentation. The PowerPoint will demonstrate the culmination of your understanding and your ability to identify the key points of your case work and transform them into relevant slides utilizing Microsoft PowerPoint (PPT) software. 1. Conduct additional research to gather sufficient information to justify/support your analysis. 2. The PPT should be at least 10 slides, not including the title and reference pages. 3. DO NOT COPY AND PASTE SLIDE CONTENT IN THE NOTE SECTION. The note section of EACH SLIDE should be an extemporaneous discussion of your material, with your slides simply providing highlights.