Nursing

UNDERSTANDING NURSING MANAGEMENT AND ORGANIZATIONS:using nurse practitioners to manage patients with chronic conditions, encouraging patients to self-manage chronic conditions, and persuading providers to use electronic communication with patients. using nurse practitioners to manage patients with chronic conditions, encouraging patients to self-manage chronic conditions, and persuading providers to use electronic communication with patients. To meet both

DESIGNING ORGANIZATIONS :Managed Health Care Organizations The managed health care organization is a system in which a group of providers is responsible for delivering services (that is, managing health care) through an organized arrangement with a group of individuals (for example, all employees of one company, all Medicaid patients in the state). Different types of

Corporate health care network. Diversification Diversification provides another strategy for survival in today’s economy. Diversification is the expansion of an organization into new arenas. Two types of diversification are common: concen- tric and conglomerate. Concentric diversification occurs when an organization complements its existing services by expanding into new markets or broadening the types of services

Horizontal integration. Acute care hospital Long-term care facility Home health agency Ambulatory care clinic Sports medicine clinic Hospice care Figure 2-7 • Vertical integration. Hospital Imaging center Home care services Medical group practice Skilled nursing facility Ambulatory surgical center Long-term care Corporate board   Place Your Order Here!

DESIGNING ORGANIZATIONS:stay is limited stay is limited. Residential care facilities, also known as nursing homes, are sheltered environ- ments in which long-term care is provided by nursing assistants with supervision from licensed professional or registered nurses. As the population ages and the frail elderly account for more and more of the nation’s citi- zens, care

PRIVATE (NON GOVERNMENT) OWNERSHIP Voluntary (not for profit) Roman Catholic, Salvation Army, Lutheran, Methodist, Baptist, Presbyterian, Latter-day Saints, Jewish Community Industrial (railroad, lumber, union) Kaiser-Permanente Plan Shriners hospitals Investor- owned (for profit) Individual owner partnership corporation Single hospital (Investor-owned hospitals) Sectarian Nonsectarian GOVERNMENT OWNERSHIP Federal State Long-term psychiatric, chronic, and other State university medical centers

  DESIGNING ORGANIZATIONS 19;whereas government organizations are operated by city, county, state, or federal entities, such as the Indian Health Service. Voluntary organizations are usually not for profit, meaning that surplus mon- ies are reinvested into the organization. whereas government organizations are operated by city, county, state, or federal entities, such as the Indian Health

UNDERSTANDING NURSING MANAGEMENT AND ORGANIZATIONS accountability are the basis for constructing a network of making nursing practice decisions in a decentralized environment. As a result, nurses gain significant control over their practice, ef- ficiency and accountability are improved, and feelings of powerlessness are mitigated. The ultimate outcome of shared governance is that nurses participate in

DESIGNING ORGANIZATIONS 17:Service-Line Structures More common in health care organizations today are service-line structures Service-Line Structures More common in health care organizations today are service-line structures (Nugent et al., 2008). Service-line structures also are called product-line or service-integrated structures. In a service-line structure, clinical services are organized around patients with specific conditions (Figure 2-3). Integrated