Improving Healthcare Management System

The Dickinson Hospital aims to improve its healthcare management system by adopting a competency model that emphasizes cost-effective interventions and high-quality care. The hospital focuses on developing competencies in healthcare professionals to deliver patient-centered care, utilizing interpersonal communication skills, and prescribing necessary tests for disease identification. This approach is expected to enhance the overall efficiency of the hospital's healthcare management system.

Running head: REFLECTION OF MSN PROGRAM PROJECT
REFLECTION OF MSN PROGRAM PROJECT
Name of the student
Name of the University
Author note

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Introduction
Increasing healthcare related costs is the primary concern for the healthcare department
of America. According to the governmental data of American government’s healthcare
department, in the year 2008, healthcare related costs increased up to $2.4 trillion and
contributed with 16% in the total GDP of America (Catlin & Cowan, 2015). Therefore, I chose
the strategies to cut down high healthcare costs by reducing the amount of wastes in resources
related to unnecessary tests. For this purpose, the management service of Dickinson Hospital
situated in rural area of United States, in which the physicians used certain model of competency
to decide medical tests which are unnecessary and elimination of which can reduce high
healthcare costs (Tilburt et al., 2013). In this reflective analysis I will be highlighting the
important aspect of the competency in the week 4 practicum assessment and will discuss the way
the practical assessment facilitated the development of competency. Further, I will be
highlighting the areas in which the program can be improved and will suggest possible solutions
to improve the program.
The effect of practicum project on the development of competency
While conducting the practical assessment in the Dickinson hospital, I observed that
maximum of local rural individuals are unable to attain quality healthcare due to the increasing
cost of healthcare service in that hospital. Hence, the hospital management decided to apply
several means, which could help to reduce the healthcare related costs for the benefits of the
local population (Trepanier & Crenshaw, 2013). Therefore, they used models such as AONE
Nursing leader competency model, which helps the each leadership in the healthcare service to
evaluate their competency with the core system. Further, if any lack identified, it helps the

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executives by providing them curriculum guidelines, educational trainings, and enough
knowledge to reinforce the knowledge, so that proper and adequate usage of resources can be
maintained. This competency bears much importance as through this model fur aspects of
management system such as communication and relationship management, knowledge of the
healthcare related environment, professionalism skills and business skills and principles can be
efficiently maintained (Huppertz et al., 2014).
While conducting my assessment, I observed that as my assessment topic was the prime
concern for the healthcare facility and therefore they implemented the AONE model of
competency in their facility. The most important competency it developed in the healthcare
providers and the staff in the facility was they become open to discussions and keen to know and
learn newer technologies so that the extra healthcare related costs can be eliminated from the
service. Therefore, the ability to accept newer education and technology was the biggest
competency the AONE model was able to implement in the healthcare system.
How the project facilitated the development of competency?
Several means, through which my practical assessment helped the healthcare facility to
think about healthcare cost reduction and development was using strategies that helped the
healthcare facilities to be more cost effective and care effective (Melnyk et al., 2014). I observed
that the healthcare facilities undertook cost effective analysis to understand the quantity of
healthcare related to health and not in the monetary terms. They analyzed the specific
intervention that was able to save the life of a patient using less resource and cost-effective
process and in the process they analyzed the number of diarrhea patient, cardiac disease and
tuberculosis related patient, whose life has been saved using cost effective and improved quality

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of healthcare intervention (Rozensky & Janicke, 2012). In this process of comparison of
competencies, more than two interventions were included within which, the most competent and
cost effective intervention. Further, to practically prove the statement, they conducted
competency practical assessment in which, two groups of a specific disease related patients were
included and the physicians applied the interventions included in the competency comparison
and applied related immunization or medication process. Finally, through this process, they were
able to find out the care effective and cost effective nursing intervention (Chalkidou et al., 2014).
Furthermore, with cost effective means, the healthcare facilities also conducted care
effective research and through evidence based practice, compared the cost effective intervention
is able to fulfill the criteria of care effective practice or not. Moreover, the nursing ethics, code of
conduct, and the criteria for person-centered healthcare are also compared with the process
(Olsson et al., 2013). Finally, the facilities compared the healthcare intervention with the
government driven primary healthcare intervention and assessed its cost-effectiveness,
accessibility and range of application. Therefore, from this instance, it is evident that my chosen
project let the hospital authority to think about the healthcare needs of rural people having low
socio-economic status in their vicinity (Patterson & Krouse, 2015). Hence, they applied the
AONE competency model in their healthcare facility, which made the higher authority
competent to necessary and cost effective changes in the process. on the other hand, this project
also determined that the hospital authority made their management system competent to newer
system by including aspects such as safety, diversity, effective communication, patient centered
care and influential behavior in the system so that quality of the healthcare can be enhanced
using this overall development approach (Chalkidou et al., 2014).

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Area that needs improvements and suggestions
The location of Dickinson Hospital was near to the rural United States and due to which,
maximum of the patients who used to seek healthcare service in the hospital were belong to low
socio-economic status. Therefore, increasing healthcare costs were unbearable for them. This
was my protect topic, and while conducting the assessment in that hospital, I observed several
changes in the staff as well as management process with primary aim to make the healthcare
process care effective and cost effective (Dozier, Grunig & Grunig, 2013). However, the first
Mistake the organization did while implementing improvement was not informing employees
about the change management. This leads to unrest in the employees as they were unable to
stabilize their work process according to the new cost effective process. Therefore. The first
improvement I think the management should implement in process is regarding the
implementation of change in the organization (Kim et al., 2012). Further, for the analysis of cost
effective intervention, the healthcare workers conducted survey within the organization, so that a
shared vision of the healthcare workers can be collected and depending on that decision making
about the patient centered care can be finalized by the leadership. This will further help the
workers of the organization to work in an inter-professional teams that will enhance the
knowledge of healthcare professionals about a wide array of topics and through which, effective
management practices will be successfully implemented. Hence, these are few of the areas such
as management team, communication between employees in the Dickinson Hospital that needs
improvement according to me and hence, I have suggested few ways through which the
objectives can be achieved (Patterson & Krouse, 2015).

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Conclusion
As the world economy is progressing, healthcare has become one of the major concern
for the human civilization as increasing cost and expensive medication has detached a bigger
section of population from the modern healthcare services. Therefore, I decided to conduct a
practicum assessment on the strategy that the Dickinson Hospital applied in their management
system that will help to tie the patients with low socio-economic status to the quality healthcare
system. The Authorities utilized the AONE model of competency and using that they focused on
the competency of interventions with cost effective and high quality care, further it helped to
increase the competency level of healthcare professional to adopt new system and take account
of aspects such as inter-personal communication, patient-physician relationship, using
interventions that has the ability to treat patient cost effectively and prescribing necessary and
important tests needed for the identification of disease. However, the process laced several
aspects and for the overall improvement of the healthcare management system of Dickinson
hospital, few suggestions were provided in the assignment as well.

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