Roemer Model of Healthcare System

Roemer’s model of healthcare service system comprises of management, organization of programs, resource production, economic support and delivery of services. This article discusses the importance of economic support for maintaining a quality emergency department, factors affecting hospital efficiency, the role of communication in collaborative care, and quality indicators for service resourcing and delivery.

RUNNING HEAD: ROEMER MODEL OF HEALTHCARE SYSTEM
ROEMER MODEL OF HEALTHCARE SYSTEM
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Roemer’s model of healthcare service system comprises of management,
organization of programs, resource production, economic support and delivery of services.
Roemer’s model sees stability of a healthcare institution with respects to infrastructural,
social, political and cultural framework. Organizational Culture has been seen to transform
through custom and beliefs within over decades. Socioeconomic status, race and sociocultural
growth strengthen the organization culture. Lifestyle patterns and daily behaviors develops to
a feeling of well-being and its typical to specific cultures (Riegelman, & Kirkwood, 2015).
These diversities influences delivery of patient services. Cultural differences have led to
diversities and disparities in healthcare system. An emergency room is a place in the hospital
where emergency cases that requires the most immediate and acute care, are taken care of.
The stocks of medicine and medical aid equipment should be adequate all the time to handle
different levels of severity or acute emergencies in a reliable way. In regards to Roemer’s
model, crash cart medications should be resourced properly for proper delivery of services.
Hence, economic support from the investors and government healthcare framework is pivotal
for maintenance of a quality emergency department.
A quality care is a joint responsibility of everyone working in the emergency room
starting from nurses to doctors to quality inspectors and administrators and the team together
must be able to provide a quality care to each admitted patient. Hospital efficiency can be
determined by a number of factors – 1) Reduced discharge delay (van et al., 2015) – social
care has been seen as an important factor in delayed discharge. Hence, the level of quality
care needs to be increased and length of hospital stay needs to be decreased in order to
address quality care 2) Preventing admissions – a good community care can help reduce
admission in emergency department. This strategy according to Roemer’s model – needs to
be an extended healthcare framework of a hospital to its proximal societies and cultures.
Disease preventive and awareness programs can always stop unnecessary admissions to

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emergency departments. 3) Reduced re -attendance – re attendance to emergency departments
occurs due many sociocultural and psychosocial factors like alcohol and substance abuse,
anxiety, paranoia and social isolation. This problem can be addressed by precise counseling
of the patients by the attending nurses, doctors of emergency department. Patient knowledge
has be empowered and discharge plan has be created immaculately for extending quality
patient care even at home.
Communication is huge factor in formulating a quality collaborative care towards a
patient. To achieve this – the barriers needs to dropped between the collaborating disciplines
such as medical and nursing. Communicating information to the patient party is very
important and there comes many barriers while transferring sensitive awkward information to
a highly emotional patient family such as life threatened situations or child violence. They
often lack adequate time and perhaps the skills to devote to this crucial task. The nurses
especially the young inexperienced nurses lack the convincing skills or the communication
skills required to address such a delicate situation which hinders the service delivery and
organization of programs equally. Social and community workers has shown to deliver a
better service in these matter and hence, from outside they continue to be valuable in
fulfillment or delivery of a complete emergency care. Emergency department attendance
reveals a crisis on patient party’s side while trying to cope with the emotional turbulence and
hospital’s critical clinical norms at the same time that reflects on the progress of the whole
clinical process occurring at the hospital. Joint and collaborative decision making is vital and
that is why, nurse – patient and nurse – patient party collaboration is encouraged in order to
shoot towards a better outcome in a short period of time.
There are certain quality indicators (Versporten et al., 2016.) that decides the service
resourcing and service delivery at the hospital. These indicators are – waiting time ( which
can decide the extent of deterioration in patient’s symptoms), handling unplanned re-

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attenders, service experience, handling patient complaints, staff and trainees satisfaction,
morbidity and mortality review in hospitals( which is an direct marker of quality care and
hence should be kept in check). Other indicators of quality are the number of patients who
left with getting checked due to delay, evidence based medical practice by both nurse and a
doctor, national clinical audits, patient survey, time to key interventions, ambulatory care
sensitive conditions, time to full initial assessment of the emergency patient. Electronic
clinical quality measures are regulatory tools which helps measure the quality if hospital
service with respect to delivery of safe, patient-centered, timely care. Clinical quality
measures caters to aspects like a) Family and patient Engagement b) Clinical Effectiveness c)
Public Health and community care quality d). Coordination of care and e). Patient Safety.
The regulatory measures are vital to assessment of quality control indicators and should be
designed ethically covering all the aspects of healthcare delivery.

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References:
Riezelman, R., & Kirkwood, B. (2015). Public health 101. Public health 101, enhanced
second edition.
van Sluisveld, N., Hesselink, G., van der Hoeven, J. G., Westert, G., Wollersheim, H., &
Zegers, M. (2015). Improving clinical handover between intensive care unit and
general ward professionals at intensive care unit discharge. Intensive care
medicine, 41(4), 589-604.
Versporten, A., Bielicki, J., Drapier, N., Sharland, M., Goossens, H., ARPEC Project
Group, ... & Blyth, C. C. (2016). The Worldwide Antibiotic Resistance and
Prescribing in European Children (ARPEC) point prevalence survey: developing
hospital-quality indicators of antibiotic prescribing for children. Journal of
Antimicrobial Chemotherapy, 71(4), 1106-1117.