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1Running head: PRINCIPLES OF ORGANIZATIONAL PERFORMANCEPrinciples of Organizational Performance ManagementWestern Governors UniversityC161
2Running head: PRINCIPLES OF ORGANIZATIONAL PERFORMANCEPrinciples of Organizational Performance ManagementThe population being targeted for the following balanced score card is a progressive care unit. This 28-bed step-down unit specializes in acutely ill adults with medical diagnosis, surgical interventions and trauma management. This highly skilled unit is classified critical care and follows the American Association of Critical Care Nurses model of progressive care as a part of the critical care continuum. These patients are moderately stable, require patient specific resources and ongoing nursing vigilance. The unit has a mixed patient population that allows for nursing diversity and fosters a broad base of knowledge by all staff. Nursing assignments are made on a shift by shift basis and take into consideration both staff skill level and current patient acuity (St Charles Health System, 2019). Balanced ScorecardIndicatorOutcomeMeasure/GoalNecessaryProcessesDriversPerformanceDecrease Emergency Department (ED) order to Progressive care admit time.Reduce readmission rates.Improve communication between the ED and bed board navigator.Utilize existing communication tool within the electronic health record.Increased reimbursement to the facility.Increase HCAHPS scores.Increase patient satisfaction scores.QualityDecrease CAUTI events.Decrease hospital acquired pressure ulcers.Provide evidence-based catheter care and maintenance education to patients and staff.Utilize indwelling catheter management Improved patient outcomes.Increased patient satisfaction.Reduce inappropriate indwelling catheter
3PRINCIPLES OF ORGANIZATIONAL PERFORMANCEprotocol to ensure removal as soon as indication no longer exists.use.Patient SafetyPrevent falls with injury.Increase medication barcode scanning rate.Perform fall assessment at admission and every shift.Create and implementan ongoing fall plan ofcare based on each shift assessment.Increase patient safety.Decrease patient mortality and morbidity.Decrease patient length of stay.Employee EngagementIncrease the Number of PCCN certified nurses on the unit.Increase employee engagement score.Offer the PNCC course to all nurses on the unit.Offer incentives and course reimbursementfor all staff who complete the certification.Improved nurse competency.Improved patient outcomes.Increase nurse retention.Necessary ProcessesAs electronic medical records become the norm in healthcare, opportunities exist to streamline communication, facilitate patient flow and create value for both the health system andits patients (Nelson et al., 2016). To implement this necessary process two main things will needto happen. First, St Charles utilizes a bed board navigator that assigns all patients coming from the ED, post-operative care area and direct admits. This position reviews the data and ensures that each patient is going to the correct inpatient domain. Unfortunately, the current