ASSIGNMENT ON HIGH PERFORMANCE HSO.

Running head: HIGH PERFORMANCE HSO
High Performance HSO
Name of the Student:
Name of the University:
Author Note:

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Table of Contents
Introduction................................................................................................................................3
Discussion..................................................................................................................................3
Strengths and Weaknesses of the Organization.....................................................................3
Infrastructure......................................................................................................................4
Technology.........................................................................................................................4
Online facilities..................................................................................................................4
Leadership..........................................................................................................................4
Integration..........................................................................................................................4
Expense..............................................................................................................................4
Cyber security....................................................................................................................5
Steps for improvement...........................................................................................................5
Improve cyber security.......................................................................................................5
Integration..........................................................................................................................5
Cost-reduction for patients.................................................................................................5
Human resource management............................................................................................5
Importance of the steps......................................................................................................6
Challenges..............................................................................................................................6
Recommendations for action steps.........................................................................................6
Conclusion..................................................................................................................................7
References..................................................................................................................................8

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Introduction
Health care organizations serve the largest mount of people and thus need a structure
and system that would enable them to have a high performance organization (Zismer, 2013).
The Beldrige program enables the organizations to improve them so that they are able focus
on the customers completely and serve them better. In this report, the New York-
Presbyterian Hospital has been analyzed, their strengths and weaknesses identified and
recommendations have been made for the improvement of the organization.
Discussion
NewYork-Presbyterian Hospital is one of the most comprehensive healthcare
institutions in the USA. They are dedicated to deliver their patients excellent integrated
delivery system. They are located in the metropolitan area of the New York City though their
services are availed by people all over the country. They have the support of Weill Cornell
Medicine and Columbia University College of Physicians and Surgeons. They are country’s
leader in medical education, research, innovation and patient care (About Us - NewYork-
Presbyterian., 2019). They have four division: New York-Presbyterian Hospital, New York-
Presbyterian Regional Hospital Network, New York-Presbyterian Physician Services and
New York-Presbyterian Community and Population Health . The organization will be
evaluated in respect to the Baldrige Excellence Criteria of Managing all of the components of
your organization as unified whole, an aspect specially focused on the 2017-2018 Baldrige
framework (The National Institute of Standards and Technology., 2015).

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Strengths and Weaknesses of the Organization
The organization, one of the most sought after health care institutes in USA, has many
positive and negative aspects. The strengths of the organization are:
Infrastructure: the organization has several medical institutions like Weill Cornell Medicine
and Columbia University College of Physicians and Surgeons collaborated with them. They
have different divisions for regional healthcare, ambulance service and community healthcare
management. There infrastructure includes thousands of beds, operation theatres, pathology
centers, doctors, nurses and other executives (Griffith, 2015).
Technology: in order to provide the best healthcare, the organization uses the best medical
equipment, technology and facilities. This makes them leaders in the industry. They also have
an extremely developed network system and record database that stores all patient data.
These can be used to diagnose the conditions of the patients better and provide them with
better care.
Online facilities: the organization uses their online website for the patients ease. The patients
can book appointments, call ambulances and navigate their services through this website.
This knowledge sharing helps people to gain trust towards their services.
Leadership: the leadership, management and the board members create a formidable unit of
the organization. They are equipped to handle all kinds of situation. They are able to manage
the workings of the hospital well.
The weaknesses of the organization are:
Integration: the organization has several units, hospitals, institutions, colleges and
associations attached to it. They face problem in integrating all these facilities and services.
The database is too large and sometimes take time to access (Whittington et al.2015).

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Expense: the healthcare in USA is expensive. In this organization, the expense of healthcare
is quite high and thus many patients might face problem while paying the bills. The health
insurances cover much of the healthcare, but they have become costly and difficult to claim
in many cases.
Cyber security: the organization holds an enormous amount of personal data of large
number of people. The database have the risk of being under attack from hackers which will
have an immense detrimental effect on the organization.
Steps for improvement
In order to prepare the New York-Presbyterian Hospital for Baldrige program the following
steps can be taken:
Improve cyber security: the organization must improve the security of the record keeping
system. They must install improved and hierarchy based information access system so that
the information is better protected. Better firewalls and thereat detection system is also
necessary.
Integration: the most important part of Baldrige program is to integrate the organs into on
unit for better performance. In order prepare the organization, the integration of all the units
are necessary. The medical facilities, colleges and services need to work seamlessly. In order
to do that, an improved communication channel needs to be established.
Cost-reduction for patients: the organization should attempt to reduce the cost of the
healthcare services. They should also provide the audience with assistance regarding the
insurance claims so that they are able to avail their services.
Human resource management: the organization recruits a large number of human resource
personnel for the different services. An effective human resource management system needs

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to be established (GOVERNANCE AND LEADERSHIP., 2019). The human resources needs to
spread evenly and efficiently in order to provide optimum service to the patients.
Importance of the steps
These steps are important, as these will prepare the organization for Baldrige recognition.
The Baldridge recognition requires organizations to have high performance characteristics.
Integrating the different organs and institutions connected to it, establishing patient assistance
and human resource management will help the organization perform better.
Challenges
For the implementation of the steps a change needs to be brought in the organization
and the workers related to it needs to support it. This is likely to be the greatest challenge.
The workers are generally resistant to any large change. They might feel threatened because
of the changes that are needed. Another challenge that can appear is the funding. These kinds
of changes need large funding. The authority and the management may be unwilling to invest
a large sum of money for the implementation of the plan. Managing the patients and their
care during the change period is another challenge (Schulingkamp & Latham, 2015). A large
number of patients visit the hospital every day. Being one of the most popular and a leader in
the country, they cannot stop their day-to-day working while implementing these changes.
Recommendations for action steps
In order to address these challenges, a health care administrator would need to
communicate with the staffs and administrators of the organization. An open communication
channel between the authority, management and the workers needs to be established. The
staffs need to be informed about the changes and what improvement it will make to them, the
organization and the patients that they care for. A detailed discussion with the trustees and the
board member will solve the funding problem.

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Conclusion
The above discussion concludes that the New York-Presbyterian Hospital has the
potential to become a Baldrige acclaimed and awarded institutions. With certain minor
changes the organization will be able to prepare to meet their standards.

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References
About Us - NewYork-Presbyterian. (2019). Retrieved 29 September 2019, from
https://www.nyp.org/about-us
Bodinson, G. W. (2005). Change healthcare organizations from good to great. Quality
progress, 38(11), 22.
GOVERNANCE AND LEADERSHIP. (2019). Retrieved 29 September 2019, from
https://www.nyp.org/about-us/governance-and-leadership
Griffith, J. R. (2015). Understanding high-reliability organizations: Are Baldrige recipients
models? Journal of Healthcare Management, 60(1), 44–61.
Schulingkamp, R. C., & Latham, J. R. (2015). Healthcare performance excellence: a
comparison of Baldrige award recipients and competitors. Quality Management
Journal, 22(3), 6-22.
The National Institute of Standards and Technology. (2015). 2015–2016 Baldrige excellence
framework (health care). Retrieved from
http://www.nist.gov/baldrige/publications/hc_criteria.cfm
Whittington, J. W., Nolan, K., Lewis, N., & Torres, T. (2015). Pursuing the triple aim: The
first 7 years. Milbank Quarterly, 93(2), 263–300. Retrieved from
http://www.milbank.org/uploads/documents/featured-articles/pdf/Milbank_Quarterly_
Vol-93_No-_2_Pursuing_the_Triple_Aim_The_First_7_Years.pdf
Zismer, D. K. (2013). Connecting Operations, Operating Economics, and Finance for
Integrated Health Systems. Journal of Healthcare Management, 58(5), 314-319.