Healthcare HRM

The current assignment discusses the various aspects of human resources management of a healthcare organization. Middleville regional health center has been evaluated across a number of comprehensive areas which are – human resources, information technology, finances and marketing. The implementation of the electronic medical records can also help in improving the standards of healthcare services of Middleville by integrating their services with a vast number of medical channels.

Running head: HEALTHCARE HRM
Healthcare HRM
Name of the student
University name
Author’s note

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Introduction
The current assignment discusses the various aspects of human resources management
of a healthcare organization. Community health is one of the most important aspects of health
and social care. The community care set up often consists of a number of public and private
healthcare institutes. In the current study the support care services provided by Middleville
regional health center have been evaluated across a number of comprehensive areas which
are – human resources, information technology, finances and marketing. Middleville faces a
stiff competition from some of its competitors such as Brierfield and Greystone. Therefore,
the sustenance of Middleville is under constant threat due to constant pressure from the rest
of the healthcare provides.However, for delivering effective healthcare services the
organization needs to be strengthen its technological interface. This can help in collating a
large amount of patient data in a very small time. The implementation of the electronic
medical records can also help in improving the standards of healthcare services of
Middleville by integrating their services with a vast number of medical channels.
Role of the governing body
The governing body of a health care organization is responsible for overseeing a
number of comprehensive functions. Some of these are making strategic decisions for the
hospital, hiring of an effective CEO, ensuring that the hospital provides quality services.
Additionally, long term financial planning is also one of the major focus areas of the
governing body of a hospital. Therefore, loopholes within the effective planning of such
activities can result in deterioration of the quality of the health care services. The strategic
plan is developed by the Middleville by the management using the mission statement as the
guide. As commented by Kramar (2015), the plan designed should be realistic and time-
bound in nature. One of the most important criteria of the governing board of a hospital is to

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oversee the recruitment of the medical staffs with the right qualification and expertise.
Financial planning is one of the most important aspects of ensuring high quality interrupted
health care services to the regional people. In this respect, the Middleville hospital recruits
financial analysts who could help in effective contingency or risk planning for the future. The
financial planning could be done in stages for the Middleville healthcare organization. As
commented by Jamali, El Dirani & Harwood (2015), setting up of competitive benchmarks
can help the organization improve over one another. It helps the trustees in analyzing the
good practices from other organizations and implanting the same within their own
organization. As commented by Wager, Lee & Glaser (2017), the annual reviews help in
identification of the opportunities for saving. The right allocation of the resources aging lies
with the hands of the governing body. Therefore, conducting a performance check on a
regular basic can help in understanding the organizational loopholes. As commented by
Jamali et al. (2015), the trustees or the governing bodies need to re-direct these sources for
the enhancing the productivity of the underperforming departments.
The governing body needs to continuously strive towards the improvement of the
performance of the healthcare organization. In the current case study the go burning body of
the Middleville conducts an annual performance check every year to understand the
performance standards of individual healthcare staff. Additionally, it is tied up with a number
of university medical colleges where special adult and continuing courses are run for the
medical staffs of the hospital.
Importance of performance measurement
Middleville can use a diverse range of performance measurements indicators for
estimation of the overall performance of the healthcare center. In this respect, Middleville has
huge patient base and is one of the most frequented regional healthcare centers compared to

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its counterparts. As commented by Zingg et al. (2015), performance evaluation is very
important with respect to maintaining high quality of healthcare services by the regional care
center. Middleville had employed a number of methods for evaluating its performance from
time to time. Some of these are conducting an annual assessment test which will help in
rating the performance of its internal staffs. Additionally, the number of inpatients versus the
number of outpatients could be used by Middleville for the estimation of effective and
appropriate healthcare serviced delivered by the healthcare center. The more number of
inpatients could be reflected upon as a negative attribute rather than positive. On the contrary
lesser days of hospital stay and faster recovery have been associated with high quality of care
services (Shuck, Twyford, Reio & Shuck, 2014). Therefore, the Middleville uses the patient
information from the databases for calculating the ration of the number of inpatients
(numerator) versus the number of outpatients (denominator). The larger the lower digit, the
less will be the result which reflects a positive benchmark ratio. Additionally, the hospital can
use a number of other measurement techniques such as conducting online surveys. The
Middleville regional healthcare center can conduct a random assessment online by sending a
survey questionnaire to some of its frequented and esteemed clients. The responses generated
could help theme in getting a comprehensive idea regarding the overall functioning pattern of
the hospital. In this respect, a number of quality indicators developed by the Agency for
Healthcare Research and Quality (AHRQ) could be used. The AHRQ makes use of readily
available hospital inpatient administrative data. The indicators process the performance
measurements based upon ICD-9-CM and inpatient administrative data. The
inclusion/exclusion criteria are divided into –sex, age, type of admission and surgical
procedure attended (Gliklich, Dreyer & Leavy, 2014). The data sources could be further
grouped into –administrative data, patient derived data, medical information record (Choi, L,
Adam & Tan, 2016). However, as argued by Almajali, Masa'deh & Tarhini (2016), for the

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assessment of the hospital data strong and effective electronic medical records are needed.
As commented by Mossialos et al. (2015), inability to maintain the sensitive patient
information can result in violation of the Data Protection Act, 1998.
Areas of focus for the healthcare organization
In order to deal with the competitive market Middleville need to develop a number of
strategies. Some of these are enhancing the productivity of the organization by recruitment
and appropriate training of the healthcare staffs. Additionally, implementing sophisticated
and structured technologies such as electronic medical records can also help in dealing with a
huge amount of patient data effectively (Nguyen, Bellucci & Nguyen, 2014). Therefore,
productivity and infrastructure are the two focus areas which should be taken on a priority
basis by the Middleville healthcare organization. In order to gain competitive advantage over
its similar market players Middleville needs to enhance the quality of its services. For the
purpose of which it will need to run a quality check up on a regular basis. This will further
help in keeping up with the current healthcare demands. As commented by Smolowitz et al.
(2015), installation of the electronic medical records can further help keeping up with the fast
pace service demands.
Costs and benefits associated with implementing EMR in healthcare
The current century has been taken over by data informatics which places more
emphasis upon the integration of electronic medical records in healthcare system. As
commented by Carlson, Chilton, Corso & Beitsch (2015), the EMR serves as a more
intelligent, adaptive method of delivering healthcare services. However, the implementation
of electronic medical records in healthcare is often associated with huge amount of costs
(Dinev, Albano, Xu, D’Atri & Hart, 2016). Statistically speaking, the implementation of
EMR would cost a single physician operating through an ambulatory setting somewhere

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between $ 163, 75 dollars to $ 164,000 dollars (Pirozzi & Ferulano, 2016). The centers of
Medicare and Medicaid services (CMS) have avoid more than 30 billion as financial
incentives to more than 500,00 to Medicare Medicaid providers for implementing EMR
systems (Krousel-Wood et al., 2017). With a majority of the US based hospitals now shifting
to the compulsory Implementation of electronic health record systems data security becomes
an important concern (Strömgren, Eriksson, Bergman & Dellve, 2016). As supported by Bal
& Dorenbosch (2015), an additional amount has to spent for the integration of the firewall
software which ultimately helps in keeping the data safe and private.
The implementation of the EMR within a care setup could be further supported with
the help of a cost-benefit measurement. The analysis helps in measuring the effectiveness of
the implementation of the EMR. There are two types of additional costs which are incurred
over here which are – system costs and induced costs. The system costs consist of the
charged accrued for building the system infrastructure which is necessary to develop the
EMR applications. As argued by Gittell & Logan (2015), placing too much of dependency
upon the EMR could be risky. This is because in the context of such services getting
disrupted the entire operations and management of the healthcare institute would suffer
Middleville has been using the conventional paper chart method for the management of the
patient data alongside its limited EMR activities. However, with the increase in the demand
for fast pace health and support care services the hospital had been thinking of enhancing its
technological abilities to cater to the requirements of the patients better (Tekingündüz, Top,
Tengilimoğlu & Karabulut, 2017).
However, there are plenty of benefits of the implementation of electronic medical
records in hospitals. Some of these are generation of additional revenues along with reducing
the cost of maintaining a paper chart system. The reductions could be further elaborated with
the help of a number of additional points such as reduction of supplies for paper charts,

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reduction in the incorporation of storage facilitates such as lockers and drawers for papers
and charts containing vital patient information. Additionally, the number of staffs who had to
be recruited earlier for the maintenance of important patient data manually could be lowered.
This could help in reducing a sufficient amount of the healthcare costs spent after hiring and
maintenance of human resources. Additionally, the EMR can fast the process of referral ion
case of dealing with complex cases by providing the patient with an easy option of multiple
referrals (Carlson et al., 2015).
The electronic medical systems could be implemented within the healthcare setups
using a number of easy steps which has been outlined below:
Figure: lay out plan for EMR implementation
Assessment of technical and financial readiness of Middleville before the
implementation of the EMR
Planning of the approaches to be followed for the implementation of the
EMR using the information gathered during the assessment phase
Upgradation to a certified EHR technology
Conduct training upon use of the HER within the healthcare setup
Improvement within the process of workflow through continuous evaluation
of practice goals post implementation of EMR in Middleville

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(Source: Author)
Promoting employee satisfaction
Employee satisfaction is one of the vital objectives of human resource management.
Middleville has been hit badly due to the economic recession and is not able to provide
proper salary to some of its employees. This has resulted in a huge number of employee
turnovers. This has badly affected the productivity of the hospital as Middleville is one of the
largest regional healthcare centers and caters and is visited by almost 221,000 visitors each
day. As commented by Gittell & Logan (2015), raising the salary of the employees amidst
economic recession can result in negative revenue generation for the hospital. Therefore, the
Middleville emphasizes upon enhancing the productivity of the employees along with
providing them providing them with flexible duty hours. As commented by Gliklich, Dreyer,
& Leavy (2014), a large portion of the US healthcare has been bogged down with
compassionate fatigue. Therefore, providing an effective work life balance could help the
healthcare providers in coping with work related stress. Additionally, provision of training to
the healthcare providers working for Middleville on a regular basis could also help in
enhancing the overall productivity of the organization (Brooks, El-Gayar & Sarnikar, 2015).
Conclusion
The current study focuses upon the aspect of human resource management in
healthcare. For the current study Middleville regional healthcare center has been taken into
consideration. The healthcare center offers a wide variety of support care services to the local
community. However, the Middleville have been hit by a bad economy where the
organization had been unable to provide salary to its staff. Additionally, the healthcare center
is also planning to install an electronic medical record within the care setup. However,
appropriate marketing strategies as well as sufficient finances will be required for the process.

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A number of factors play a governing role in the execution of the business process.
These are the level of knowledge or training possessed by the staff in the handling and
management of the electronic healthcare systems. Additionally, the lack of effective finances
can serve as a hindrance in the implementation of the latest systems and technologies.
Therefore, sufficient support from the government and federal government agencies can help
in enhancing the functioning of the regional healthcare center.

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